What is Plan S5884-199 from Humana?
Humana Walmart Value Rx Plan is a 2024 Enhanced Medicare Part D plan from Humana that's available to beneficiaries enrolled in a Medicare Advantage plan without Part D benefits or Medicare Part A and/or Part B.
This Part D plan has an initial coverage limit of $5,030 (up from $4,660 in 2023), an out-of-pocket threshold of $8,000 (up from $7,400 in 2023), and a $545.00 deductible that must be paid before cost-sharing begins. CMS rated this plan 3.0 (Average) out of 5 stars.
|Rx Gap Coverage:||Yes|
|Low Income Subsidy:||No|
Prescription Drug Plan Premium
Although Humana Walmart Value Rx Plan's monthly premium is bundled with the total plan cost, some plans have supplemental costs and/or offer low-income subsidy (LIS) assistance. The following table outlines the premium details of this Humana plan.
|Basic Part D Premium:||$33.80|
|Supplemental Part D Premium:||$4.40|
|Total Part D Premium:||$38.20|
|Part D Premium with Full LIS Assistance:||$4.40|
For more information about the Low-Income Subsidy (aka, "Extra Help") program, refer to the Social Security Extra Help page.
Prescription Drug Plan Deductible
The Medicare Part D annual deductible with this plan is $545.00. This is the amount you must pay at the pharmacy before Humana begins paying its share.
NOTE: The deductible does not apply to one or more drug tiers in this plan (see "Prescription Drug Plan Out-of-Pocket Costs" below).
Prescription Drug Plan Out-of-Pocket Costs
In addition to the plan's monthly premium and deductible, Humana Walmart Value 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.
|1 (Preferred Generic)||$0.00 copay|
(deductible does not apply)
(deductible does not apply)
|2 (Generic)||$1.00 copay||$20.00 copay|
|3 (Preferred Brand)||16%||22%|
|4 (Non-Preferred Drug)||49%||49%|
|5 (Specialty Tier)||25%||25%|
Our Review & 2024 CMS Rating Marks
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.
This Medicare Part D plan gets 3.0 out of 5 stars overall. Here's our quick summary of how well Humana Walmart Value Rx Plan performs.
|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|
Most Part D plans get average marks, including this one. Humana Walmart Value Rx Plan delivers an excellent customer care experience when members call for help. When it comes to member complaints to Medicare, this plan does an average job. The member experience with this Humana plan is about average. Drug safety and the accuracy of drug pricing with this plan are about average.
Every plan covers drugs differently, so it's important to look at your total cost. You can find enhanced benefit plans that have a lower monthly cost than this one. If the plan covers your prescriptions at a lower price overall, that's fine. This plan has a deductible, but one tier is excluded (see table above).
Additional Enhanced Medicare Part D Plan Options in Mississippi
Here are some additional plans in your area that might be worth reviewing:
- AARP Medicare Rx Preferred from UHC
- Mutual of Omaha Rx Essential
- Humana Premier Rx Plan
- Wellcare Value Script
- SilverScript Plus
|Plan Website:||Humana Plan Information|
|Formulay Information:||Humana Formulary Information|
|Pharmacy Information:||Humana Pharmacy Information|
If you qualify for Original Medicare but have not yet enrolled or verified your enrollment status, you can do so on the Social Security Administration website. You can learn more about the Medicare Advantage program on www.medicare.gov.
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, GlobalHealth, Health Care Service Corporation, Cigna Healthcare, Humana, Molina Healthcare, Mutual of Omaha, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Scott and White Health Plan now part of Baylor Scott & White Health, UnitedHealthcare(R), and Wellcare.
Citations & References
- Humana, "http://www.humana.com/medicare", Last Accessed October 15, 2023
- Medicare.gov, "Explore your Medicare coverage options", Last Accessed September 19, 2023
- Medicare.gov, "How Part D works with other insurance", Last Accessed August 14, 2023
- Medicare.gov, "Costs for Medicare drug coverage", Last Accessed June 3, 2023
- SSA.gov, "Understanding the Extra Help With Your Medicare", Last Accessed February 9, 2023
- CMS.gov, "Landscape Source Files", Last Accessed January 15, 2023
- CMS.gov, "Medicare Part C & D Performance", Last Accessed January 15, 2023