Humana Walmart-Preferred Rx Plan Prescription Plan for Tennessee Medicare Beneficiaries
|Overall Plan Rating:|
|Coverage Limit (ICL):||$2,970.00|
|Pharmacy Mail Order:||Yes|
|Gap Coverage:||No Gap Coverage|
|Low Income Subsidy:||Yes|
|PDP ID No:||S5884-106|
|Approved by CMS for:||TN Residents|
|Rx Plan Type:||National|
|Est. Regional Members:||52780|
2013 Medicare Prescription Medication Plan Overview
Humana Walmart-Preferred Rx (PDP) is an approved Medicare Prescription Drug Plan (Part D) for Tennessee seniors.
The annual premium is $222.00 ($18.50 monthly), and it carries a $325.00 deductible on all prescribed medications. For 2013, the maximum Part D deductible is $325. It goes up a little each year. It went up $5 from last year.
The Humana Insurance Company formulary ID for this plan is 00012265, and it features 3100 FDA approved medications.
For all Tennessee seniors with Medicare benefits, there are two conditions that can change the amount you pay for your plan. The first is quailfying for the Extra Help program, which lowers your premium. The second is the opposite: if a premium penalty has been imposed on you for not enrolling right away at age 65 open enrollment, then your premium will be marginally higher.
Below are a few plans that are comparable to Humana Walmart-Preferred Rx Plan:
- Medco Medicare Prescription Plan - Value at $34.90 per month for Tennessee Seniors
- Medco Medicare Prescription Plan - Choice at $82.80 per month for Tennessee Seniors
- WellCare Classic at $36.10 per month for Tennessee Seniors
Humana Walmart-Preferred Rx Plan Initial Coverage
In the ICP (Initial Coverage Phase) the cost of your prescriptions is shared with your insurance company. You and the carrier each pay your share (as determined by the plan) until you reach the Initial Coverage Limit (ICL). In 2013, the ICL is $2,970 and this number changes each year. This plan has a deductible that you must pay before ICP cost-sharing ICP begins.
Each prescription medication is put into a tier within each Medicare Part D plan's drug formulary. Different tiers have different levels of cost-sharing. It's important to note that these tiers are not completely standardiszed and your prescriptions may be found in different tiers on differnt plans. This is why we provide access to all Part D plans' drug formularies, so you can compare what the cost is for your prescription drugs for different Part D plasn in your area.
The pharmacy co-pay with the Humana Walmart-Preferred Rx (PDP) plan in Tennessee is tiered as follows:
|Tier||Co-Pay Amount||Medications in Tier|
|1||$1.00||258 Preferred Generics|
|2||$5.00||1044 Non-Preferred Generics|
|3||20%||885 Preferred Brands|
|4||35%||913 Non-Preferred Brands|
|5||0 Specialty Medications|
The Initial Coverage Limit (ICL) is $2,970.00. This drug plan offers the full LIS benefit ($0.00 monthly premium) for seniors with Medicare benefits.
Humana Walmart-Preferred Rx (PDP) 2013 Coverage Gap
The Coverage Gap (aka, "Donut Hole") is the coverage phase where you must pay all of your medication costs. Some plans provide donut hole coverage, and if you think that your drug costs will be high enough to get to this level, you should consider a plan with donut hole coverage. You can learn more about costs in the donut hole by reading What is the Medicare Part D Donut Hole? How long it will take you to reach the donut hole with the Humana Walmart-Preferred Rx (PDP) plan depends on your specific prescriptions.
The Gap Coverage with this policy: You must pay the $3727.50.
Nationwide, the number of seniors using the Humana Walmart-Preferred Rx Plan policy is 1,412,142. In region 12 (your region) there are approximately 52,780 people with this policy (based on 2011 CMS statistics).
More Information About Humana Insurance Company
Humana Inc., headquartered in Louisville, Kentucky, is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.
The summary (overall) rating for this Humana Insurance Company plan is 3.0 out of 5 based on reviews from 52780 user ratings from the previous year. For more information about the review process, visit http://cms.gov.