PARTD

Plan Summary

Insurance Type
Medicare Advantage Perscription Drug Plan (Part D)
Insurance Provider
Humana
CMS Rating
Plan Type
PDP
Annual Deductible
$310.00

What To Know About This Plan

  • This is a drug coverage only plan

Cost Sharing Information

Prescription Drug Copay/Coninsurance Details - Initial Coverage Limit

30 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred Generic$1 copay$10 copay$1 copay
Tier 2: Non-Preferred Generic$4 copay$33 copay$4 copay
Tier 3: Preferred Brand Name20% coinsurance25% coinsurance20% coinsurance
Tier 4: Non-Preferred Brand Name39% coinsurance50% coinsurance39% coinsurance
Tier 5: Specialty Tier25% coinsurance25% coinsurance25% coinsurance
90 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred Generic$3 copay$30 copay$0 copay
Tier 2: Non-Preferred Generic$12 copay$99 copay$0 copay
Tier 3: Preferred Brand Name20% coinsurance25% coinsurance20% coinsurance
Tier 4: Non-Preferred Brand Name39% coinsurance50% coinsurance39% coinsurance
Tier 5: Specialty Tier

CMS Ratings

Drug Plan Customer Service

Call center – pharmacy hold time
Call center – foreign language interpreter and TTY/TDD availability
Appeals auto-forward
Appeals upheld
Enrollment timeliness

Member Complaints, Problems Getting Services, and Choosing to Leave the Plan

Complaints about the drug plan
Beneficiary access and performance problems
Members choosing to leave the plan

Member Experience with Drug Plan

Getting information from drug plan
Rating of drug plan
Getting needed prescription drugs

Drug Pricing and Patient Safety

High risk medication
Diabetes treatment
Part D medication adherence for oral diabetes medications
Part D medication adherence for hypertension
Part D medication adherence for cholesterol
Not Rated

Pharmacy Finder

Pharmacies that accept Humana Walmart Rx (PDP) Prescription Drug Plan

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Community Q&A

Do you have questions about this plan?

Get answers from the HealthPocket community.
3 question| 1 answer
Preferred Pharmacy List
Q:How do I know who is a Preferred Pharmacy ?
Asked by Anonymous 
Know the Answer? Answer this Question
Do I have to reapply each year if I don't want to change plans?
Q:
Asked by Anonymous 

1 answer

Know the Answer? Answer this Question
A: If such plan is still provided by the carrier in the following year, then you do not need to take any action if you don't want to change plans.
Answered on 1/29/2014 by davina
medicine
Q:how much for generic for 1 month and 3 months
Asked by Anonymous 

1 answer

Know the Answer? Answer this Question
A: HealthPocket is an source of information and not a health plan or an insurance agent. For your specific benefits inquiry, it is best to speak with a licensed agent. The phone number and hours of operation is available when you click on 'Select'.
Answered on 1/28/2014 by davina 

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