Gonzaba News for Agents

Carrier Spotlight: Humana

Apr 10, 2026

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: WellPoint

WellPoint is pleased to support San Antonio agents with a strong 2026 Medicare Advantage portfolio that includes D-SNP, C-SNP, and HMO-POS options. Our plans offer competitive benefits including $0 premium, $0 PCP copays, strong dental allowances, vision, hearing,...

Carrier Spotlight: UnitedHealthcare

Hello, San Antonio Agents! I’m Roel Garces, Market Growth Manager with UnitedHealthcare. Our market growth team educates and supports agents in San Antonio, Corpus Christi, Austin, and Waco. We are committed to working together with you as partners and will continue...

Introducing Your New Broker Helpline Specialists!

At Gonzaba Medical Group, our Broker Relations team is dedicated to building strong partnerships with agents, providing personalized support, and helping brokers navigate the GMG patient resources available to their clients. As we prepare for a new healthcare market...

Broker Helpline is Here!

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...