Humana Premier Rx Plan New York Part D Plan S5552-005 by Humana
Humana Premier Rx Plan is a 2024 Enhanced Medicare Part D plan from Humana that's available to individuals enrolled in a Medicare Advantage plan without prescription drug plan benefits or Medicare Part A and/or Part B.
This plan has a monthly premium of $135.40, an initial coverage limit of $5,030, an out-of-pocket threshold of $8,000, and a $0.00 deductible that must be paid before cost-sharing begins. CMS rated this plan 3.0 (Average) out of 5 stars.
See more 2024 Medicare Part D Plans in New York.
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 |
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 $0.00. This is the amount you must pay 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 |
A Brief Review and CMS 5-Star 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 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 |
Most Part D plans get average marks, including this one. Humana Premier 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.
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. With no annual deductible, this plan offers first-dollar coverage.
Additional Enhanced Medicare Part D Plan Options in New York
Here are some additional plans in your area that might be worth reviewing:
- SilverScript SmartSaver (S5601-178)
- Cigna Extra Rx (S5617-248)
- Cigna Saver Rx (S5617-353)
- Wellcare Value Script (S4802-138)
- Wellcare Medicare Rx Value Plus (S4802-206)
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 on www.medicare.gov.
Plans Offered
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 March 11, 2024
- Medicare.gov, "Drug coverage (part D)", Last Accessed March 2, 2024
- Benefits.gov, "Medicare Prescription Drug Plans", Last Accessed March 1, 2024
- Medicare.gov, "Catastrophic coverage", Last Accessed March 13, 2024
- SSA.gov, "Understanding the Extra Help With Your Medicare", 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