A non-government entity
Humana
Plan ID: S5884-197-0
Plan Summary PageHumana Value Rx Plan (PDP)
2027 Humana Value Rx Plan (PDP) S5884 — 197 — 0 is a Medicare Prescription Drug plan with drug coverage.
Learn more about Humana Value Rx Plan (PDP) S5884 - 197 - 0, including the health and drug services it covers, by reading our easy-to-use guide. Or contact a licensed insurance agent for help now.
$0.00 /mo
Monthly premium
$687.00
Drug deductible
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1-877-649-2073 / TTY 711. Call-center hours (ET): Mon-Fri 8am-10pm; Sat 9am-8pm; Sun closed.
Plan Overview
2027 Humana Value Rx Plan (PDP) S5884 — 197 — 0 is a PDP offered in State of Missouri by Humana Insurance Co. & Humana Insurance Co. of NY. It has a monthly premium of $49.30.
Premium Breakdown
Monthly plan premium
$49.30
Plan Organization:
Humana Insurance Co. & Humana Insurance Co. of NY
Parent Company:
Humana Inc.
Plan Type:
PDP
Location:
State of Missouri
Drugs Covered:
Yes
Drug Formulary:
Pharmacies:
Doctors Link:
Not yet released
Deductibles
The amount you must pay each year before your plan starts to pay for covered services or drugs.
Drug deductible
$687
Note:
This plan does not charge an annual deductible for all drugs. The $687.00 annual deductible only applies to drugs in certain tiers.
Sign up for Humana Value Rx Plan (PDP)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. Call-center hours (ET): Mon-Fri 8am-10pm; Sat 9am-8pm; Sun closed.
Drug Coverage
Humana Value Rx Plan (PDP) provides the following cost-sharing on drugs. Please check the plan’s formulary for specific drugs covered.
Drug Benefit Type
Enhanced Alternative
Prescription drug deductible
$687.00
Part D Premium Reduction
This plan's premium may be reduced for you if you qualify for the low-income subsidy (also known as LIS or "Extra help"). The following is what you'll pay for with LIS.
Part D | LIS Full |
|---|---|
$49.30 | $30.90 |
Initial Coverage Phase
After you meet any applicable drug deductible ($687.00 for this plan), you pay the plan's cost sharing until your out-of-pocket costs for covered Part D drugs, including certain payments made on your behalf, reach $2,400 in 2027. You then enter catastrophic coverage and pay nothing for covered Part D drugs for the rest of the calendar year.
Tier | Preferred Pharmacy | Standard Pharmacy | Preferred Mail | Standard Mail |
|---|---|---|---|---|
1. Preferred Generic | $0.00 copay | $1.00 copay | $0.00 copay | $1.00 copay |
2. Generic | $0.00 copay | $4.00 copay | $0.00 copay | $4.00 copay |
3. Preferred Brand | 20% coinsurance | 20% coinsurance | 20% coinsurance | 20% coinsurance |
4. Non-Preferred Drug | 30% coinsurance | 30% coinsurance | 30% coinsurance | 30% coinsurance |
5. Specialty Tier | 26% coinsurance | 26% coinsurance | 26% coinsurance | 26% coinsurance |
Catastrophic Coverage Phase
After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $2,400, you pay nothing for Medicare Part D covered drugs. However, you may still pay a share of the costs for excluded drugs covered under any enhanced benefit.
Plan Providers
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, Health Care Service Corporation, HealthSpringSM, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. Call-center hours (ET): Mon-Fri 8am-10pm; Sat 9am-8pm; Sun closed.
SMID: MULTIPLAN_HCIHNMEDADVRX27_M
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