We are excited to introduce the new Gonzaba Broker Helpline! As our team continues to grow, we are expanding support services to better assist you and your clients. Whether you have questions about chronic verification updates, client information, providers, or...
Gonzaba News for Agents
Carrier Spotlight: Humana
Hello, San Antonio! I am Jose Perez, your local Humana Broker Relationship Manager, alongside Michael Renteria, and we are committed to helping you navigate Humana’s 2026 benefits and agent support tools with greater ease and confidence, while keeping the needs of our members at the center of everything we do. For 2026, Humana continues to deliver meaningful growth through enhanced benefits and expanded market presence, while maintaining a strong focus on affordability.
2026 HMO Highlights include:
Humana Gold Plus (HMO) – H4461-058-000
- Monthly premium: $0.00
- MOOP: $3400 in-network
- PCP: $0 copayment
- Specialist: $15 copayment
- Acute inpatient: $95 per day (days 1–5)
- Emergency/Urgent care: $65 copayment / $150 copayment
- Rx deductible: $615 (Tiers 4, 5)
- Rx copays: $0/$0/$45/46%/25%
- Dental: $4000 annually
- Vision: $300 annually for eyewear (PLUS Provider)
- Hearing: $299 copayment for Advanced; $0 for Standard
- OTC: OTC Debit Card $75/Quarter with rollover
Humana Gold Plus – Diabetes and Heart (HMO C-SNP) – H4461-066-000
- Monthly premium: $0.00
- MOOP: $3450 in-network
- PCP: $0 copayment
- Specialist: $10 copayment
- Acute inpatient: $95 per day (days 1–5)
- Emergency/Urgent care: $65 copayment / $150 copayment
- Advanced imaging: $200 copayment; $300 copayment
- Rx deductible: $615 (Tiers 4, 5)
- Rx copays: $0/$0/$45/47%/25%
- Dental: $2000 annually
- Vision: $250 annually for eyewear (PLUS Provider)
- Hearing: $0 copayment for Advanced; $0 for Standard
- Healthy Options allowance: $75/Quarter with rollover
Humana Gold Plus SNP-DE (HMO D-SNP) – H4461-069-000
- Monthly premium: $0.00
- MOOP: $0
- PCP: $0 copayment
- Specialist: $0 copayment
- Acute inpatient: $0
- Emergency/Urgent care: $0
- Advanced imaging: $0
- Rx deductible: $0
- Rx copays: $0/$0/LIS Copays T3–T5
- Dental: $3000 annually
- Vision: $300 annually for eyewear (PLUS Provider)
- Hearing: $0 copayment for Advanced; $0 for Standard
- Healthy Options allowance: $75 monthly with rollover
Humana Gold Plus SNP-DE (HMO D-SNP) – H4461-070-000
- Monthly premium: $0.00
- MOOP: $0
- PCP: $0 copayment
- Specialist: $0 copayment
- Acute inpatient: $0
- Emergency/Urgent care: $0
- Advanced imaging: $0
- Rx deductible: $0
- Rx copays: $0/$0/LIS Copays T3–T5
- Dental: $3000 annually
- Vision: $300 annually for eyewear (PLUS Provider)
- Hearing: $0 copayment for Advanced; $0 for Standard
- Healthy Options allowance: $215 monthly with rollover
Carrier Spotlight: SCAN
Hello, San Antonio! I am Erika Gomez, Broker Account Executive with SCAN Medicare Advantage, supporting agents with marketing materials, event support, AOR protection, and HRA incentives for T65 & CSNP clients. View SCAN Highlight Benefits here.
Beyond Primary Care: Expanding Care Through Physical Therapy
At Gonzaba Medical Group, we believe that care extends beyond primary care. Our Physical Medicine and Rehabilitation services are created to support patients through every step of recovery, helping them regain strength, enhance mobility, and return to the activities...
View Photos from our 2026 Agent Thank You Party
View photos from our 2026 Agent Thank You Party on Friday, March 27 – View the Photos Here!