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What Types of Medicare Part D Prescription Drug Plans Does Humana Offer?


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Are you concerned about getting help with prescription drug costs? Fortunately, as a Medicare beneficiary, you may be eligible to enroll in a Medicare Prescription Drug Plan from Humana to get this coverage.

Original Medicare, Part A and Part B, includes very limited prescription drug coverage. Medicare Part A (hospital insurance) may cover prescription drugs that are part of your treatment as an inpatient, while Medicare Part B may cover certain prescription drugs administered to you as an outpatient. Medicare Part D Prescription Drug Plans are available from private insurance companies, like Humana, that contract with Medicare to deliver this benefit to you.

Anyone who is eligible for Original Medicare (Part A and/or Part B) is generally also eligible to enroll in Medicare Part D to get prescription drug coverage, such as a Humana Medicare Part D Prescription Drug Plan. While enrollment is entirely voluntary, it’s important to sign up as soon as you are eligible if you think you’ll want this coverage. If you don’t, you may have to pay a late-enrollment penalty with your monthly premium when you do sign up for Medicare prescription drug coverage – a penalty you’ll continue paying as long as you have this coverage.

What are stand-alone Medicare Part D Prescription Drug Plans from Humana?

Stand-alone Medicare Part D Prescription Drug Plans are simply plans that work alongside your Original Medicare coverage and may help pay your prescription medication costs. Because these plans come from private, Medicare-approved insurance companies like Humana, your costs (such as premiums, copayments, and deductibles) may vary from plan to plan.

Each Medicare Part D Prescription Drug Plan from Humana has a formulary, which is a list of prescription drugs the plan covers organized into tiers, or price levels. This is true of all Medicare Part D Prescription Drug Plans. When you’re choosing a plan, you may want to make sure the plan’s formulary lists the medications you take. A plan’s formulary may change at any time. You will receive notice from your plan when necessary.

Here are the Medicare Part D Prescription Drug Plans (PDPs) that Humana offers. Please note that availability may vary depending on where you live.

Humana Walmart Rx Plan (PDP) features:
  • No deductible for Tier 1 and Tier 2 prescriptions
  • Copayments as low as $0 for certain Tier 1 and Tier 2 mail-order drugs (conditions apply)
  • Low premiums nationwide
  • A wide selection of generic drugs
  • Preferred cost-sharing at certain pharmacies
Humana Preferred Rx Plan (PDP) features:
  • Preferred cost-sharing at certain pharmacies
Humana Enhanced Plan (PDP) features:
  • No deductible
  • A vast array of prescription drugs in the formulary

You can see the different Humana Medicare Part D Prescription Drug Plans available in your area by using the Humana PDP search tool.

Another way to get Medicare prescription drug coverage

You can get Medicare prescription drug coverage in either of two ways:

  • Through stand-alone Medicare Part D Prescription Drug Plan (described above)
  • Through a Medicare Advantage Prescription Drug plan

What’s the difference between Medicare Advantage Prescription Drug plans and stand-alone Medicare Part D Plans from Humana?

Humana’s Medicare Advantage Prescription Drug plans offer you an alternative way to get all your Medicare benefits in one convenient plan. By law, Medicare Advantage plans must cover everything Original Medicare covers (except for hospice care, which is still covered by Part A). Humana’s Medicare Advantage plans typically include prescription drug coverage. However, in addition to prescription drug coverage, some plans may offer additional benefits such as coverage for routine vision, dental, and hearing care.

You must continue to pay your Part B premium, plus any premium required by your plan, if you enroll in a Medicare Advantage plan.

Humana’s stand-alone Medicare Prescription Drug Plans (PDPs), on the other hand, work alongside your Original Medicare coverage, and they can’t be combined with most types of Medicare Advantage plans. In fact, if you enroll in a Medicare Advantage plan with prescription drug coverage and then enroll in a stand-alone Humana PDP, you may be automatically disenrolled from your Medicare Advantage plan and returned to Original Medicare.

Read about the election periods when you can sign up for a Medicare Part D Plan or a Medicare Advantage plan from Humana. In the meantime, feel free to start exploring plans at your convenience by inputting your zip code at the top of the page.

Humana is a Medicare Advantage HMO, PPO, and PFFS organization and a stand-alone prescription drug plan with a Medicare contract. Enrollment in any Humana Medicare 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, pharmacy network, and/or provider 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, IA, IL, IN, KY, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NH, NJ, NY, OH, OR, PA, RI, SC, SD, TN, VA, VT, WA, WI, WV; suburban areas of AZ, CA, CT, DE, HI, IL, MA, MD, ME, MI, MN, MO, MT, ND, NH, NJ, NY, OH, OR, PA, PR, RI, VT, WA, WV >; 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: < DE, MA, MD, ME, MI, MN, MS, ND, NY, OH, SC, and VT> ; 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.

Humana MyOption optional supplemental benefits (OSB) are only available to members of certain Humana Medicare Advantage (MA) plans. Members of Humana plans that offer OSBs may enroll in OSBs throughout the year. Benefits may change on January 1st each year.

This website and its contents are for informational purposes only. Nothing on the website should ever be used as a substitute for professional medical advice. You should always consult with your medical provider regarding diagnosis or treatment for a health condition, including decisions about the correct medication for your condition, as well as prior to undertaking any specific exercise or dietary routine.

Last Updated Date: 7/30/2017

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