Humana Premier Rx Plan Part D Plan S5552-005 Details for New York
Humana Premier Rx Plan is a Enhanced prescription drug plan from Humana that's available to people enrolled in Original Medicare or a Medicare Advantage plan without Part D benefits.
This 2024 Medicare Part D plan has a $135.40 monthly premium, $0.00 annual deductible, $5,030 initial coverage limit, and a $8,000 out-of-pocket threshold. This plan is rated 3.0 (Average) stars by CMS.
See more Top Medicare Part D Plans in New York.
2025 Humana Premier Rx Plan Cost and Coverage
The 2025 cost and coverage information for Humana Premier Rx Plan will not be available until early October. We'll notify you when it is available from CMS.
Sign-Up for 2025 Medicare Part D Plan Notification. The 2025 Annual Enrollment Period starts October 15.
Part D Plan Basics | |
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Plan ID: | S5552-005 |
Plan Type: | PDP |
Plan Year: | 2024 |
Premium: | $135.40/mo |
Deductible: | $0.00/yr |
Benefit Type: | Enhanced |
Rx Gap Coverage: | Yes |
Low Income Subsidy: | No |
Availability: | New York |
Insured By: | Humana |
Prescription Drug Plan Premium
Although Humana Premier 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: | $105.00 |
Supplemental Part D Premium: | $30.40 |
Total Part D Premium: | $135.40 |
Part D Premium with Full LIS Assistance: | $86.70 |
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 $0.00. 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 Premier 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.
Tier | Preferred | Standard |
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1 (Preferred Generic) | $1.00 copay | $5.00 copay |
2 (Generic) | $4.00 copay | $10.00 copay |
3 (Preferred Brand) | $45.00 copay | $47.00 copay |
4 (Non-Preferred Drug) | 39% | 47% |
5 (Specialty Tier) | 33% | 33% |
6 (Select Care Drugs) | $0.00 copay | $11.00 copay |
CMS Rating Marks for Plan Year 2024
Each year Medicare rates drug plans (Part D) in several major categories. These ratings are designed to help you understand the quality of care and service you can expect if you join this plan.
Overall, this Medicare Part D plan gets 3.0 out of 5 stars from CMS. Here's a quick summary of how well Humana Premier Rx Plan performs.
CMS Measure | Star Rating |
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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 |
You can't judge a Part D plan on its monthly premium or annual deductible. You have to look at the overall cost of your prescriptions. You'll find enhanced benefit plans with a lower monthly fee than this one. This is acceptable if your prescriptions are covered at a lower overall price. This plan comes with a zero-dollar deductible, so you have first-dollar coverage.
Contact Humana
Plan Website: | Humana Plan Information |
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Formulay Information: | Humana Formulary Information |
Pharmacy Information: | Humana Pharmacy Information |
Prospective Members: | (800)706-0872 |
TTY Users: | (711)- |
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 at www.medicare.gov.
Citations & References
- Humana, "http://www.humana.com/medicare", Last Accessed March 11, 2024
- Medicare.gov, "How to get prescription drug coverage", Last Accessed March 2, 2024
- Benefits.gov, "Medicare Prescription Drug Plans", Last Accessed March 1, 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 January 3, 2024
- CMS.gov, "Medicare Part C & D Performance", Last Accessed January 3, 2024
Plans Offered
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Anthem Blue Cross, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Baylor Scott & White Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, GlobalHealth, Health Care Service Corporation, Healthy Blue, HealthSun, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.