Humana Value Rx Plan Part D Plan S5884-186 Details for Virginia
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Humana Value Rx Plan is a 2025 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 $16.00, an initial coverage limit of $5,030, an out-of-pocket threshold of $8,000, and a $573.00 deductible that must be paid before cost-sharing begins. *This plan is rated 3.5 (Above Average) stars out of 5 stars by CMS.
See more Medicare Part D Plans in Virginia.
| Part D Plan Basics | |
|---|---|
| Plan ID: | S5884-186 |
| Plan Type: | PDP |
| Plan Year: | 2025 |
| Premium: | $16.00/mo |
| Deductible: | $573.00/yr |
| Benefit Type: | Enhanced |
| Low Income Subsidy: | Yes |
| Availability: | Virginia |
| Insured By: | Humana |
Prescription Drug Premium with Extra Help
Although Humana Value 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: | $30.70 |
| Low Income Premium Subsidy CMS Pays: | $0.00 |
| Low Income Subsidy Premium: | $16.00 |
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 $573.00. 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 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.
| Drug Tier | Retail | Mail Order | |
|---|---|---|---|
| Preferred Generic* | $0.00 | $1.00 | |
| Generic* | $0.00 | $3.00 | |
| Preferred Brand | 20.00% | 20.00% | |
| Non-Preferred Drug | 34.00% | 34.00% | |
| Specialty Tier | 26.00% | 26.00% | |
| *Deductible does not apply. | |||
CMS 5-Star Rating Marks
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.
| 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 |
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 October 13, 2024
- Medicare.gov, "How to get prescription drug coverage", Last Accessed March 2, 2024
- Medicare.gov, "What Medicare Part D drug plans cover", Last Accessed March 1, 2024
- Medicare.gov, "Catastrophic coverage", Last Accessed March 13, 2024
- SSA.gov, "Apply for Medicare Part D Extra Help program", Last Accessed March 9, 2024
- CMS.gov, "Landscape Source Files", Last Accessed October 3, 2024
- CMS.gov, "Medicare Part C & D Performance", Last Accessed October 11, 2024
- CMS.gov, "Benefits Data", Last Accessed October 9, 2024
Plans Offered
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, 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.