Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP) CY2027
Offered by Humana Inc. (company name as listed by CMS) · Plan ID H1036-167-000 · Medicare Advantage with drug coverage, Special Needs Plan (D-SNP)
Available in 2027 in: 96 counties in North Carolina. See full service area
2027 Overall Star Rating: 4.5 out of 5 stars What star ratings mean
We do not offer every plan available in your area. Currently we represent 11 organizations which offer 45 products in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options. 1-800-MEDICARE (1-800-633-4227) is open 24 hours a day, 7 days a week. TTY users call 1-877-486-2048.
Medicare evaluates plans every year based on a 5-star rating system. Star Ratings shown are 2027 Star Ratings released by CMS on October 8, 2026.
This plan's 2027 documents
Summary of Benefits (PDF, carrier document, 2027)
The Summary of Benefits is the plan's own description of its costs and benefits. It comes from the plan company.
Key numbers from CMS files
- Monthly plan premium
- $0. You still pay your Part B premium.
- Most you pay in-network in a year (MOOP)
- $9,850CMS lists this as a zero-dollar cost-sharing plan for people with Medicare and Medicaid. As long as you keep your Medicaid, you generally pay $0 for covered Medicare Part A and Part B services from in-network providers. Drug copays may apply. The amount shown is the plan's in-network yearly limit on Part A and Part B cost sharing.
- Drug deductible
- $0
- Part B giveback
- None
- Over-the-counter or benefit card
- Benefit card: $2,520 per year (covers OTC items, hearing, extra benefits for members who qualify)
- Extra benefits listed
- Dental, Vision, Benefit card
These numbers come from CMS files. For what each benefit covers and costs, read the Summary of Benefits above. We do not write our own descriptions of plan benefits.
See all benefits
- Preventive dental, most the plan pays
- $1,500 per year
- Comprehensive dental, most the plan pays
- one limit shared with preventive dental (amount above)
- Eyewear, most the plan pays
- $200 per year
Amounts are the most the plan pays, as listed in CMS benefit files.
Compared with 2026
Compared with Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP) (H1036-167-0), the 2026 plan.
| Item | 2026 | 2027 |
|---|---|---|
| Monthly premium | $14.20 | $0 |
| Most you pay in-network (MOOP) | $9,250 | $9,850 |
| Drug deductible | $615 | $0 |
| Overall star rating | 4.5 out of 5 | 4.5 out of 5 |
Service area
North Carolina (96)
Alamance County, Alexander County, Alleghany County, Anson County, Ashe County, Avery County, Beaufort County, Bertie County, Bladen County, Brunswick County, Buncombe County, Burke County, Cabarrus County, Caldwell County, Camden County, Caswell County, Catawba County, Chatham County, Cherokee County, Chowan County, Clay County, Cleveland County, Columbus County, Cumberland County, Currituck County, Davidson County, Davie County, Duplin County, Durham County, Edgecombe County, Forsyth County, Franklin County, Gaston County, Gates County, Graham County, Granville County, Greene County, Guilford County, Halifax County, Harnett County, Haywood County, Henderson County, Hertford County, Hoke County, Hyde County, Iredell County, Jackson County, Johnston County, Jones County, Lee County, Lenoir County, Lincoln County, Macon County, Madison County, Martin County, McDowell County, Mecklenburg County, Mitchell County, Montgomery County, Moore County, Nash County, New Hanover County, Northampton County, Orange County, Pamlico County, Pasquotank County, Pender County, Perquimans County, Person County, Pitt County, Polk County, Randolph County, Richmond County, Robeson County, Rockingham County, Rowan County, Rutherford County, Sampson County, Scotland County, Stanly County, Stokes County, Surry County, Swain County, Transylvania County, Tyrrell County, Union County, Vance County, Wake County, Warren County, Washington County, Watauga County, Wayne County, Wilkes County, Wilson County, Yadkin County, Yancey County
Data used on this page
- CMS CY2027 Landscape Source File, November 2026 release (202611)
- CMS CY2027 plan benefit files and the Medicare Plan Finder benefit summary file dated October 15, 2026
- 2027 Star Ratings data tables dated October 8, 2026
- Summary of Benefits files collected from plan company websites, October 28 to November 11, 2026
- How we build these pages