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Humana Basic Rx Plan (PDP) - S5884-134-000
$10.10
Monthly Premium
Humana Basic Rx Plan (PDP) is a Medicare Part D Prescription Drug Plan offered by Humana Inc.
* Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system.
$10.10
Monthly Premium
Plan ID: S5884-134-000
South Carolina Medicare beneficiaries may want to consider reviewing their Medicare prescription drug coverage options, such as a standalone Part D prescription drug plan (PDP) or a Medicare Advantage (Medicare Part C) plan that includes drug coverage.
A Part D plan can be used alongside your Original Medicare (Part A and Part B) coverage. A Medicare Advantage plan that includes drug coverage combines your Part A, Part B and Part D benefits into a single plan
Learn more about South Carolina Medicare prescription drug plans like the one below and find a plan that offers the benefits you want at an affordable price.
Humana Basic Rx Plan (PDP) - S5884-134-000 Basic Costs and Coverage
| Coverage | Details |
|---|---|
| Monthly plan premium | $10.10 |
| Annual deductible | $615.00 |
| Preferred pharmacies? | Yes |
| Accepts Mail Order? | Yes |
| Star Rating | Plan too new to be measured |
Prescription Drug Costs and Coverage
The Humana Basic Rx Plan (PDP) is a prescription drug plan which offers the following coverage:
Initial Coverage Level
| Tiers | Tier 1 Preferred Generic Drug | Tier 2 Generic Drug | Tier 3 Preferred Brand Drug | Tier 4 Non-Preferred Drug | Tier 5 Specialty Tier Drug |
|---|---|---|---|---|---|
| Standard retail | $1.00 | $2.00 | 25% | 30% | 25% |
| Preferred mail order | $0.00 | $0.00 | 20% | 30% | 25% |
| Standard mail order | $1.00 | $2.00 | 25% | 30% | 25% |
| Tiers | Tier 1 Preferred Generic Drug | Tier 2 Generic Drug | Tier 3 Preferred Brand Drug | Tier 4 Non-Preferred Drug | Tier 5 Specialty Tier Drug |
|---|---|---|---|---|---|
| Standard retail | $3.00 | $6.00 | 25% | N/A | N/A |
| Preferred mail order | $0.00 | $0.00 | 20% | N/A | N/A |
| Standard mail order | $3.00 | $6.00 | 25% | N/A | N/A |
Plan Documents
| Links to plan documents |
South Carolina Counties Served
- Abbeville
- Aiken
- Allendale
- Anderson
- Bamberg
- Barnwell
- Beaufort
- Berkeley
- Calhoun
- Charleston
- Cherokee
- Chester
- Chesterfield
- Clarendon
- Colleton
- Darlington
- Dillon
- Dorchester
- Edgefield
- Fairfield
- Florence
- Georgetown
- Greenville
- Greenwood
- Hampton
- Horry
- Jasper
- Kershaw
- Lancaster
- Laurens
- Lee
- Lexington
- Marion
- Marlboro
- Mccormick
- Newberry
- Oconee
- Orangeburg
- Pickens
- Richland
- Saluda
- Spartanburg
- Sumter
- Union
- Williamsburg
- York