The 2025 Enrollment Application and other plan documents are available in Chinese, Korean and Spanish for certain plans.
Chinese documents
Applications
Full application – Chinese – 2025
D-SNP application – Chinese – 2025
Plan documents
2025 Medicare Transition Policy – Chinese
Humana Gold Plus® H3533-033 (HMO)
Summary of benefits – Chinese Brooklyn and Queens, NY - 2025
Evidence of coverage – Chinese – Brooklyn & Queens, NY — 2025
Annual Notice of Change – H3533-033 – Chinese – Brooklyn & Queens, NY - 2025
CMS 3533 Plan Star Ratings – 2025
Prescription Drug Guides – Abbreviated 20250020PDGCH2545625 – 2025
Prescription Drug Guides – Comprehensive 20250020PDGCH2545625C – 2025
Humana Gold Plus H3533-034-001 (D-SNP)
HumanaChoice® H5525-055 (PPO)
Summary of benefits – Chinese – San Francisco and Marin County, CA – 2025
Evidence of coverage – Chinese – San Francisco & Marin Counties, CA – 2025
Annual Notice of Change – Chinese – H5525-055 — San Francisco, Marin Counties, CA —2025
CMS 5525 Plan Star Ratings – 2025
Prescription Drug Guides – Comprehensive 20250012PDGCH2545625C– 2025
Prescription Drug Guides - Abbreviated 20250012PDGCH2545625– 2025
Provider and Pharmacy Directories – 2025
H3533 – Chinese - Humana Gold Plus HMO - Humana Gold Plus HMO D-SNP Hudson Valley
H3533 – Chinese - Humana Gold Plus HMO - Humana Gold Plus HMO D-SNP New Jersey
H3533 – Chinese - Humana Gold Plus HMO - Humana Gold Plus HMO D-SNP Brooklyn
H3533 – Chinese - Humana Gold Plus HMO - Humana Gold Plus HMO D-SNP Connecticut
H3533 – Chinese - Humana Gold Plus HMO - Humana Gold Plus HMO D-SNP Queens
H5525 – Chinese - Humana Choice PPO San Francisco and Marin Counties, CA
Korean documents
Applications
Plan documents
2025 Medicare Transition Policy – Korean
Annual Notice of Changes – Korean –2025
Humana Dual Select H5619-165 (HMO D-SNP) - Korean, Select Counties, WA—2025
Humana Gold Plus SNP-DE H5619-166 (HMO D-SNP) - Korean, Select Counties, WA—2025
Humana Gold Plus SNP-DE H5619-167 (HMO D-SNP) - Korean, Select Counties, WA—2025
Evidence of Coverage – Korean – 2025
Humana Dual Select H5619-165 (HMO D-SNP) - Korean, Select Counties, WA—2025
Humana Gold Plus SNP-DE H5619-166 (HMO D-SNP) - Korean, Select Counties, WA—2025
Humana Gold Plus SNP-DE H5619-167 (HMO D-SNP) - Korean, Select Counties, WA—2025
Humana Gold Plus SNP-DE H5619-168 (HMO D-SNP) - Korean, King and Snohomish Counties, WA—2025
Summary of Benefits—Korean—2025
Humana Dual Select H5619-155 (HMO D-SNP)
Humana Dual Select H5619-165 (HMO D-SNP)
Humana Gold Plus SNP-DE H5619-166 (HMO D-SNP)
Humana Gold Plus SNP-DE H5619-167 (HMO D-SNP)
Humana Gold Plus SNP-DE H5619-168 (HMO D-SNP)
Prescription Drug Guide—Korean—2025
Humana Dual Select H5619-165 (HMO D-SNP)
Humana Gold Plus SNP-DE H5619-166 (HMO D-SNP)
Humana Gold Plus SNP-DE H5619-167 (HMO D-SNP)
Humana Gold Plus SNP-DE H5619-168 (HMO D-SNP)
Annual Notice of Changes – Korean –2025
Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP)
Evidence of coverage – Korean – Clark County, WA – 2025
Evidence of coverage – Korean – Snohomish County, WA – 2025
Evidence of coverage – Korean – Whatcom & Skagit Counties, WA – 2025
Evidence of coverage – Korean – Washington state – 2025
Humana Gold Plus SNP-DE H5619-155 (HMO D-SNP)
Evidence of coverage – Korean – King & Snohomish Counties, WA – 2025
Summary of benefits – Korean – King and Snohomish Counties, WA – 2025
Provider and Pharmacy Directories - 2025
H5619 – Korean - Humana Gold Plus HMO D-SNP Snohomish County
H5619 – Korean - Humana Gold Plus HMO D-SNP Washington
H5619 - Korean - Humana Gold Plus HMO D-SNP King and Pierce Counties
Application forms—2025
Full/Korean Application Form 2025
D-SNP/Korean Application Form 2025
Spanish documents
Application Forms – 2025
Full Spanish Application Form - 2025
DSNP Spanish Application Form - 2025