2022 
Summary of Benefits 
H1036265001SB22 GNHH4HIEN_22_C SBOSB035 
Humana Gold Plus H1036-265 (HMO) 
Greater Tampa Bay 
Tampa Metro Area 
Our service area includes the following county/counties in Florida: Hernando, 
Hillsborough, Pasco, Pinellas. Pre-Enrollment Checklist 
Before making an enrollment decision, it is important that you fully understand our benefits and rules. If you 
have any questions, you can call and speak to acustomer service representative at  1-800-833-2364 (TTY: 
711) .