Humana Walmart Rx Plan PDP for Arizona Seniors
|Initial Coverage Limit:||$2,850.00|
|Pharmacy Mail Order:||Yes|
|Gap Coverage:||No Gap Coverage|
|Low Income Subsidy:||No|
|PDP ID No:||S5884-174|
|Approved by CMS for:||AZ Residents|
|Rx Plan Type:||National|
2014 Medicare Prescription Drug Plan Overview
Humana Walmart Rx (PDP) is an approved Medicare Part D Drug Plan underwritten by Humana Insurance Company for eligible Arizona seniors with Medicare benefits.
The monthly premium is $12.60 ($151.20 for a full 12 months) and the pharmacy deductible is $310.00 per year. The highest deductible allowed this year is $310.
The plan is based on drug formulary ID 00014055. The formulary offers 3189 FDA approved medications. Be sure to verify that your medications are covered.
Arizona seniors, be aware that a few different circumstances may decrease or increase your actual premium. Specifically, if you qualify for Extra Help (full or partial), your premium will decrease. On the other hand, if you have a premium penalty, your premium will be slightly more.
The Humana Walmart Rx Plan plan compares well with these plans:
- Express Scripts Medicare - Value at $54.70 per month for Arizona Seniors
- Express Scripts Medicare - Choice at $70.50 per month for Arizona Seniors
- Transamerica MedicareRx Choice at $50.10 per month for Arizona Seniors
Humana Walmart Rx Plan Initial Coverage
ICP - the Initial Coverage Phase - is where you share the cost of your prescriptions with your insurance company. You and the carrier each pay your share until you hit the Initial Coverage Limit (ICL). In 2014, the ICL is $2,850. This number is adjusted each year. This plan has a deductible, so your ICP does not start until the deductible has been paid.
All prescription drugs fall into one of several tiers within the insurance carrier's drug formulary. Carriers use the formulary tiers to manage cost-sharing. Be aware that tiers are not standardized. In other words, carriers assign drugs to the tier they deem most suitable.
In Arizona the pharmacy co-pay for prescription drugs is as follows:
|Tier||Co-Pay Amount||Medications in Tier|
|1||$1.00||249 Preferred Generics|
|2||$4.00||815 Non-Preferred Generics|
|3||20%||715 Preferred Brand Drugs|
|4||39%||1059 Non-Preferred Brand Drugs|
|5||25%||351 Specialty Drugs|
The Initial Coverage Limit with Humana Walmart Rx Plan is $2,850.00. This plan does not qualify for a no cost LIS premium.
Humana Walmart Rx (PDP) 2014 Coverage Gap
The prescription drug Coverage Gap (aka, "Donut Hole") is the coverage phase where you must pay all of your medication costs. You can learn more about costs in the donut hole by reading What is the Medicare Part D Donut Hole? When you reach the donut hole with the Humana Walmart Rx (PDP) plan all depends on your prescriptions.
Here's how the carrier defines the 'donut hole' gap coverage for this policy: No Gap Coverage
Humana Walmart Rx Plan Plan Members
The number of seniors using the Humana Walmart Rx Plan plan nationally is 0. In your area (PDP region 28) there are a reported 0 seniors using this pharmacy plan. That's based on the previous year's CMS information.
Additional Facilities and Services in AZ
More Information About Humana Insurance Company
Humana Inc., headquartered in Louisville, Kentucky, is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.
The summary (overall) rating for this Humana Insurance Company plan is 3.5 out of 5 based on reviews from 0 user ratings from the previous year. For more information about the review process, visit http://cms.gov.