Humana Medicare Part D plans, also called Medicare prescription drug plans, provide prescription drug coverage for Medicare beneficiaries.
About 5.3 million people are enrolled in a Humana Medicare stand-alone prescription drug plan.1
Humana prescription drug plans work with Original Medicare (Medicare Part A and Part B), Medicare Supplement Insurance plans and may work with certain Medicare Advantage plans.
This article will detail Humana plan options and what factors may impact monthly costs.
Humana offers three Medicare stand-alone prescription drug plans:2
Your exact plan options and cost sharing may vary depending on your location.
Drug costs are organized into tiers. Each plan listed above charges different copayments or coinsurance when you fill a prescription within each tier. The tiers range from Tier 1, Preferred Generic, up to Tier 5, Specialty Tier. For example, if you get a generic prescription from Tier 1, your copay should be significantly lower than if you get a specialty prescription from Tier 5.
You may have to pay a separate copayment or coinsurance for each prescription you fill. So if you take a significant amount of prescriptions, your out-of-pocket costs may be higher.
This plan offers affordable generic medications at Walmart pharmacies, though plan enrollees are not restricted to Walmart pharmacies.3
If you are enrolled in this plan and fill a prescription, there is a $0 annual deductible for prescription drugs in Tiers 1 and 2 and a $405 annual deductible for Tiers 3, 4 and 5. Once your deductible is met, you will have to pay a certain copayment or coinsurance when you fill a prescription.
This plan offers low copayments and preferred cost sharing.4
If you are enrolled in this plan and fill a prescription, there is a $405 annual deductible for prescription drugs in Tiers 1, 2, 3, 4 and 5. Once your deductible is met, you will have to pay a certain copayment or coinsurance when you fill a prescription.
This plan offers broad prescription drug coverage.5
If you are enrolled in this plan and fill a prescription, there is a $0 annual deductible for prescription drugs in Tiers 1, 2, 3, 4 and 5. You may have to pay a certain copayment or coinsurance when you fill certain prescriptions.
If you are enrolled in a Humana Medicare stand-alone prescription drug plan, your monthly costs will vary depending on which plan you are enrolled in, when you enrolled in coverage, which prescription drugs you take and which pharmacy you use.
Your plan premium will vary depending on the plan you choose. The three Humana Medicare prescription drug plans listed above have different monthly premiums. One plan, the Humana Walmart Rx Plan™(PDP)is offered in many areas for just $20.40 per month (and just $18.40 in IN, KY and OH).
Your monthly premium may be higher if you waited to get Medicare prescription drug coverage.
According to Medicare.gov, you may have to pay a late enrollment penalty if you waited 63 days or more after your Initial Enrollment Period to get prescription drug coverage and did not have other creditable drug coverage.
If you have to pay the late enrollment penalty, it will be added to your monthly plan premium. The exact amount will vary depending on how long you waited to get coverage.
The pharmacy you use may impact your Medicare prescription drug plan costs.
Depending on the plan you choose, your prescriptions may be less expensive if you fill them at certain pharmacies.
For example, if you are enrolled in the Humana Walmart Rx Plan™ (PDP) and fill your prescriptions at Walmart, Walmart Neighborhood Market or Sam’s Club pharmacies, your copayments may be cheaper than if you filled your prescription at another pharmacy.
If you are interested in learning more about Humana Medicare stand-alone prescription drug plans, a licensed insurance agent6 can help. They can review your coverage needs and help you find a suitable plan for your needs. Call TTY Users: 711 24 hours a day, 7 days a week, or request a free plan quote online, with no obligation to enroll in a plan.
1Humana. 2017 Annual Report. Retrieved from https://humana.gcs-web.com/static-files/c7a3ff1d-4a42-44b1-9284-342d4997366f.
2Humana. Humana prescription drug plans (PDP). Retrieved from https://www.humana.com/medicare/products/drug-plan.
3Humana. Humana Walmart Rx Plan (PDP). Retrieved from https://www.humana.com/medicare/products/drug-plan/2018-walmart-rx?kc=0300014732
4Humana. Humana Preferred Rx Plan (PDP). Retrieved from https://www.humana.com/medicare/products/drug-plan/2018-humana-preferred-rx-pdp?kc=0300014732.
5Humana. Humana Enhanced (PDP). Retrieved from https://www.humana.com/medicare/products/drug-plan/2018-pdp-enhanced?kc=0300014732.
6TZ Insurance Solutions LLC/TruBridge licensed agents who may call you are not direct employees of Humana and are not connected with or endorsed by the U.S. Government or the federal Medicare program.
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The purpose of this communication is the solicitation of insurance. Contact will be made by an insurance agent/producer or insurance company.
MedicareAdvantage.com is a website owned and operated by TZ Insurance Solutions LLC. TZ Insurance Solutions LLC is a licensed and certified representative of A Medicare Advantage HMO, PPO and PFFS organization and a stand-alone prescription drug plan with a Medicare contract. Enrollment in any plan depends on contract renewal.
TZ Insurance Solutions LLC and the licensed sales agents that may call you are not connected with or endorsed by the U.S. Government or the federal Medicare program. This website does not contain a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call (877) 486-2048), 24 hours a day / 7 days a week or consult www.medicare.gov.
Not all plans or products are available in all markets. Additional plans may be available in your service area.
Humana is a stand-alone prescription drug plan with a Medicare contract. Enrollment in a Humana plan depends on contract renewal.
This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments and restrictions may apply. Benefits, premiums and/or member cost-share may change on January 1 of each year.
You must continue to pay your Medicare Part B premium.
The Formulary, and pharmacy network may change at any time. You will receive notice when necessary.
Humana’s pharmacy network offers limited access to pharmacies with preferred cost sharing in urban areas of AL, CA, CT, DC, DE, GA, IA, IL, IN, KY, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SC, SD, TN, VA, VT, WA, WI, WV; WY; suburban areas of AZ, CA, CT, DC, DE, HI, IA, IL, IN, MA, MD, ME, MI, MN, MO, MT, ND, NH, NE, NJ, NY, OH, OR, PA, PR, RI, SD, VT, WA, WV, WY; and rural areas of AK, IA, MN, MT, ND, NE, SD, VT, WY. There are an extremely limited number of preferred cost share pharmacies in urban areas in the following states: CT, DE, MA, MD, ME, MI, MN, MS, NC, ND, NY, OH, RI, SC, VT, WA; suburban areas of: MT and ND; and rural areas of: ND. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. For up-to-date information about our network pharmacies, including pharmacies with preferred cost sharing, please call Customer Care at 1-800-281-6918 (TTY: 711) or consult the online pharmacy directory at Humana.com.
Other pharmacies are available in our network.
This is not a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
The plans we represent do not discriminate on the basis of race, color, national origin, age, disability, or sex. To learn more about a plan’s nondiscrimination policy, please click here.
Last Updated 5/31/2018