Humana Premier Rx Plan: Part D Plan S5884-162 Details for Wisconsin

Humana Premier Rx Plan is a 2025 Medicare Part D plan from Humana that's available to people with Medicare Part A and/or Part B or a Medicare Advantage plan that does not include prescription drug plan benefits
Humana Premier Rx Plan is a cost-sharing plan that has a $130.80 monthly premium, an initial coverage limit (ICL) of $2,000, and a $0.00 annual deductible. The ICL adjusts annually with inflation. *CMS rated this plan 3.5 (Above Average) out of 5 stars.
See more Medicare Part D Plans in Wisconsin.
Part D Plan Basics | |
---|---|
Plan ID: | S5884-162 |
Plan Type: | PDP |
Plan Year: | 2025 |
Premium: | $130.80/mo |
Deductible: | $0.00/yr |
Benefit Type: | Enhanced |
Low Income Subsidy: | Yes |
Availability: | Wisconsin |
Insured By: | Humana |
Prescription Drug Premium with Extra Help
Although Humana Premier 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: | $43.51 |
Low Income Premium Subsidy CMS Pays: | $43.50 |
Low Income Subsidy Premium: | $87.30 |
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.
Drug Tier | Retail | Mail Order | |
---|---|---|---|
Preferred Generic | $0.00 | $5.00 | |
Generic | $4.00 | $10.00 | |
Preferred Brand | $45.00 | $47.00 | |
Non-Preferred Drug | 50.00% | 50.00% | |
Specialty Tier | 33.00% | 33.00% | |
*Deductible does not apply. |
2025 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.
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, "Drug coverage (part D)", Last Accessed March 2, 2024
- Medicare.gov, "How Part D works with other insurance", Last Accessed March 14, 2024
- Medicare.gov, "Costs for Medicare drug coverage", Last Accessed March 3, 2024
- SSA.gov, "Understanding the Extra Help With Your Medicare", 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