Humana Basic Rx Plan: Part D Plan S5884-103 Details for District of Columbia
Humana Basic Rx Plan is a prescription drug plan from Humana that's available to people enrolled in Original Medicare or a Medicare Advantage plan without Part D benefits.
This 2025 Medicare Part D plan has a $67.80 monthly premium, $590.00 annual deductible, and a $2,000 initial coverage limit. *This plan is rated 3.5 (Above Average) stars out of 5 stars by CMS.
See more Top Medicare Part D Plans in District of Columbia.
| Part D Plan Basics | |
|---|---|
| Plan ID: | S5884-103 |
| Plan Type: | PDP |
| Plan Year: | 2025 |
| Premium: | $67.80/mo |
| Deductible: | $590.00/yr |
| Benefit Type: | Basic |
| Low Income Subsidy: | Yes |
| Availability: | District of Columbia |
| Insured By: | Humana |
Prescription Drug Premium with Extra Help
Although Humana Basic Rx Plan's monthly premium is bundled with the total plan cost, some plans may receive low-income subsidy (LIS) assistance known as Extra Help. The following table outlines the LIS available through this Humana plan (if any).
| Low Income Premium Subsidy: | $46.32 |
| Low Income Premium Subsidy CMS Pays: | $46.30 |
| Low Income Subsidy Premium: | $21.50 |
The Social Security Extra Help page has more information about the Low-Income Subsidy (“Extra Help”) program.
Prescription Drug Plan Deductible
This plan's Medicare Part D annual deductible is $590.00. You must pay this amount at the pharmacy before Humana begins paying its share
Prescription Drug Plan Out-of-Pocket Costs
In addition to the plan's monthly premium and deductible, Humana Basic Rx Plan has copayments (a fixed dollar amount) and/or coinsurances (a percentage amount) that you must pay when you pick up your prescriptions. The following table shows you those costs.
| Drug Tier | Retail | Mail Order | |
|---|---|---|---|
| Preferred Generic | $0.00 | $0.00 | |
| Generic | $1.00 | $1.00 | |
| Preferred Brand | 23.00% | 23.00% | |
| Non-Preferred Drug | 44.00% | 44.00% | |
| Specialty Tier | 25.00% | 25.00% | |
| *Deductible does not apply. | |||
CMS Rating Marks for Plan Year 2025
Each year the Centers for Medicare & Medicaid Services (CMS) rates drug plans (Part D) in four broad categories. We do not recommend joining a plan with an overall rating of less than 3.0. Here are the most recent CMS ratings for this plan.
| CMS Measure | Star Rating |
|---|---|
| Overall Plan Rating | |
| Drug Plan Customer Service | |
| Complaints and Changes in the Drug Plan | |
| Member Experience with the Drug Plan | |
| Drug Safety and Accuracy of Drug Pricing |
The true value of any Medicare Part D plan can only be judged by how well it covers your medications.
Contact Humana
| Plan Website: | Humana |
|---|---|
| Formulay Information: | Humana Formulary Information |
| Pharmacy Information: | Humana Pharmacy Information |
| Prospective Part D Members: | (800)706-0872 |
| Prospective Part D TTY Users: | 711 |
Citations & References
- Humana, "http://www.humana.com/medicare", Last Accessed March 1, 2025
- Medicare.gov, "How to get prescription drug coverage", Last Accessed March 2, 2024
- Medicare.gov, "How Part D works with other insurance", Last Accessed March 14, 2024
- Medicare.gov, "Medicare costs at a glance", Last Accessed March 11, 2024
- SSA.gov, "Apply for Medicare Part D Extra Help program", Last Accessed March 9, 2024
- CMS.gov, "Landscape Source Files", Last Accessed March 1, 2025
- CMS.gov, "Medicare Part C & D Performance", Last Accessed March 1, 2025
- CMS.gov, "Benefits Data", Last Accessed March 1, 2025