at a glance
- Humana is a private insurance company that offers Medicare Part D prescription drug plans.
- Humana Part D plans offer a range of coverage options, including $0 copay and deductible plans.
- Some plans offer special savings for using preferred retail pharmacies.
- Humana offers both Medicare Advantage with Part D coverage and stand-alone Part D plans.
Humana Medicare Part D plans offer prescription drug coverage to people eligible for Medicare.
Humana currently offers three stand-alone Part D plans with different cost and coverage options, including low- or no-cost deductibles and drug copays.
Plans also have special cost savings for using in-network preferred Walmart pharmacies.
Let’s take a closer look at the different Part D plans offered by Humana, including what they cover and costs.
With Humana, you can choose from among three Medicare Part D stand-alone plans. Specific plan costs and coverage may vary depending on where you live.
The three plans are:
- Humana Walmart Value Rx Plan, which covers 3,500 medications
- Humana Premier Rx Plan, which covers 3,700 medications
- Humana Basic Rx Plan, which covers 3,450 medications
Costs like deductibles, monthly premiums, and drug copays will depend on the specific plan. We’ll go over these costs in more detail below.
Humana Part D plans have individual formularies, or lists of covered prescription drugs. These formularies group medications into five tiers:
- Tier 1: preferred low-cost generics
- Tier 2: higher-cost generics and some lower-cost brands
- Tier 3: plan preferred brand-name medications
- Tier 4: higher-cost generic and brand-name medications that are not plan preferred
- Tier 5: higher-cost specialty medications
The three plans have different costs for medications depending on the tier and cost-sharing coinsurance requirements. Costs are also higher if you use nonpreferred retail pharmacies.
Plans may also have special coverage requirements for medications in tiers 3 to 5, due to higher costs like prior authorization or step therapy for certain medications.
Humana Part D plans offer different cost savings depending on:
- your medications
- where you fill prescriptions (preferred retail pharmacy or mail order)
- where you live
When reviewing plans, remember that you still have to pay any Part A and B premiums and deductibles, along with Part D out-of-pocket costs like premiums, deductibles, copays, and coinsurance.
Here is an example of 2022 costs with the Humana Premium Rx Plan in four different cities:
|New York, NY||Atlanta, GA||Albuquerque, NM||Seattle, WA|
|Copay for preferred pharmacy tier 1 generics||$1||$ 1||$1||$1|
|Tier 2 copay||$4||$ 4||$4||$4|
|Tier 3 preferred brands||$45||$45||$45||$45|
|Tier 4||39% of cost||49% of cost||49% of cost||49% of cost|
|Tier 5||25% of cost||25% of cost||25% of cost||25% of cost|
While deductibles and tier 1 and 2 copays may be the same, there are differences in premiums and out-of-pocket costs for the higher tiers with each plan, depending on where you live.
If you take brand name or specialty medications in the higher tiers, compare cost and coverage for each plan based on where you live.
Keep in mind, all plans may not have in-network pharmacies in your location, which can increase your costs for medications.
Asking the right questions can help you select a Part D plan that meets your needs. Check out the answers to a few commonly asked questions about finding a Part D plan.
How do I check which medications are covered by Humana prescription drug benefits?
You can search the list of covered drugs on the Humana website by entering your medications to see whether they’re covered and if there are any special requirements for coverage.
You can also call Humana directly at 800-457-4708 to ask about coverage and costs.
Plans can change what medications they cover, so check your coverage and your plan’s formulary every year to make sure your medications are still covered.
How do I find a Humana Medicare Advantage prescription drug plan or stand-alone Medicare prescription drug plan that covers my medications?
Depending on your medication needs and budget, you can search medigcre.gov for 2022 by ZIP code to find the best choice for you.
Medicare plan search tool
Medicare also offers its own plan search tool for finding Advantage and Part D plans. This tool includes fields to enter your medications and preferred pharmacies.
You can search by ZIP code and compare coverage and costs for multiple plans from different companies.
Medicare Part D is prescription drug coverage offered by private insurance plans.
All Part D plans have formularies – lists of covered medications. These are arranged in tiers, from lower-cost generics to higher-cost specialty medications.
Since there are hundreds of plans available, it’s important to make sure your medications are covered and to find out where they fall on your plan’s formulary. This way, you can find the best value for your needs.
Although Medicare Part D is optional, if you don’t have some type of creditable drug coverage when you become eligible — or if you delay coverage — you could end up paying a late enrollment penalty.
Humana offers a few different coverage options for medications, including Medicare Advantage plans with Part D coverage and three stand-alone Part D plans.
The Humana Walmart Value Rx Plan and the Humana Premier Rx Plan offer:
- $0 deductibles
- low or no copays for tier 1 and 2 prescription drugs
- cost-sharing options
Depending on the medications you take, you can review the different types of coverage and costs to see which plan suits you best.
Some states have limited preferred pharmacy network options available with the Humana Part D plans. Check to make sure you’re happy with the network pharmacy options in your area before signing up for any of the three plans.