|Medicare rating: 4 stars||A.M. Best financial strength rating: A-||BBB rating: A+||NCQA rating: 2.5 to 4 stars||Consumer Affairs rating: 3.8 stars||J.D. Power ranking: 4th out of 10|
Quick Humana Medicare Prescription Drug Plans (PDPs) review: Humana has offered Medicare Part D prescription drug coverage through standalone Part D plans and Medicare Advantage Plans since 2006. There are more than 60,000 pharmacies in the Humana network across the country, including popular national chains, grocers, and local independently-run pharmacies. PDPs are available in all 50 states and Puerto Rico.
Humana is the brand name for Medicare Advantage and Part D prescription drug plans. Humana Inc is the parent company of all subsidiaries and affiliates, known as “Humana Entities.” This article focuses on Humana’s PDPs, but some ratings and reviews are based on Humana Inc or Humana’s Medicare Advantage Plans.
If you have Original Medicare Part A and/or B or a Private Fee-for-Service (PFFS) Medicare Advantage Plan, you can purchase one of Humana’s standalone Part D plans. If you have a Humana Preferred Provider Organization (PPO) or Health Maintenance Organization (HMO) Medicare Advantage Plan, your plan should include drug coverage.
Monthly premium prices vary depending on where you live and which type of plan you choose. You can find Centers for Medicare and Medicaid Services (CMS) quality rating information for each plan by searching Medicare.gov.
Pros and Cons of Humana Medicare Part D Plans
|What we like about Humana Medicare Part D Plans:||The drawbacks of Humana Medicare Part D Plans:|
What Do Humana Medicare Part D Plans Cover?
Humana’s Medicare Part D plans are regulated by CMS and must cover a wide range of prescription drugs that people with Medicare take. Plans include a coverage gap that begins when you and your plan have spent a certain amount ($4,600 in 2023) on prescription drugs and ends when you’ve spent $7,400 and entered the catastrophic coverage period. You then will pay a small coinsurance percentage or copay amount for drugs you need until the end of the year. When you are in the coverage gap, you will pay up to 25% of drug costs.
Humana has a formulary (list of drugs) and separates drugs into tiers that correspond to costs. Lower tiers include generic, lower-cost medications, and higher tiers include higher-cost, brand name, or specialty drugs.
Your share of costs for each prescription drug may change depending on which pharmacy you choose, the tier of the drug, and when you enter each coverage phase. You must meet your annual deductible before your plan pays unless you choose a plan that covers tiers one and two without the deductible requirement.
Humana’s Premier plan is the only one that participates in the Senior Savings Program for select insulins to keep your costs below $35/month. Generic drugs and those obtained from in-network, preferred pharmacies are the least expensive.
What Are Humana’s Medicare Part D Plan Options?
Humana offers three different Part D Plan options, including a value plan with lower monthly premiums, a medium-range plan, and a premier plan. Initial coverage limits and annual out-of-pocket threshold amounts are the same for all three plans. These options and coverage limits are similar to other carriers of Part D prescription drug coverage. The differences lie in the monthly premiums, formularies, and preferred pharmacies. All plans include generic options to help you save money.
Humana’s Value Walmart plan has the lowest monthly premium and no deductible for drugs in tiers one and two. It may be best for you if you don’t need prescription drugs but need prescription drug coverage to avoid paying late penalties. The Basic plan has a slightly higher monthly premium than the value plan. It is geared toward enrollees who are eligible for Extra Help to pay the monthly premium and includes access to Humana’s preferred pharmacies. The Premier plan is the most comprehensive and has the highest monthly premium. Benefits of the Premier plan include a zero deductible for lower-tiered drugs and access to the Senior Savings Model for insulin.
Compare these 2022 Humana Medicare Part D Plans in Cook County, Illinois:
|Plan name||Monthly premium*||Annual deductible||Initial coverage limit||Annual out-of-pocket threshold amount|
|Humana Value Walmart RX Plan (PDP)||$30.60||$505||$4,430||$7,050|
|Humana Basic RX (PDP)||$28.80||$505||$4,430||$7,050|
|Humana Premier RX Plan (PDP)||$77.30||$300||$4,430||$7,050|
*Based on pricing in Cook County, Illinois
Humana Medicare Part D Plans Reviews and Ratings
The Centers for Medicare and Medicaid Services (CMS) provide separate ratings for Humana’s Medicare Part D and Medicare Advantage plans. A.M. Best and the Better Business Bureau (BBB) rate Humana’s parent company, Humana Inc. Consumer Affairs, NCQA, and J.D. Power don’t rank Humana’s Part D plans separately but provide insight into Humana’s health and Medicare Advantage Plans.
|Medicare rating: 4 stars||Humana’s Medicare Part D Plans have an overall average quality rating of 4 stars from the Centers for Medicare & Medicaid Services (CMS).|
|A.M. Best financial strength rating: A-||A.M. Best sets credit ratings for insurers. In October 2021, A.M. Best affirmed its A- Financial Strength Rating (FSR) for Humana, Inc. and its health subsidiaries. An A- rating indicates Humana has an excellent ability to meet financial obligations.|
|BBB rating: A+||Humana, Inc., the parent company for Humana’s Part D plans, has an A+ rating from the Better Business Bureau. The company has closed 210 complaints in the last three years.|
|NCQA rating: 2.5 to 4 stars||According to the National Committee for Quality Assurance, a leading accreditation agency, satisfaction ratings for Humana’s Medicare Advantage PPO and HMO plans range from 2.5 to 4.0 stars. Standalone drug plans are not rated separately, but HMO and PPO Medicare Advantage Plans usually include prescription drug coverage.|
|Consumer Affairs rating: 3.8 stars||Consumer Affairs gave Humana health insurance 3.8 out of 5 stars based on 664 ratings within the last year. Positive and negative reviews focus on Humana’s Medicare Advantage Plan’s extra benefits, such as dental coverage. Humana’s Part D plans do not have a separate rating by Consumer Affairs, but many of their Medicare Advantage Plans include drug coverage.|
|J.D. Power ranking: 4th out of 10||In its 2021 Medicare Advantage Study, J.D. Power measured Medicare Advantage Plan satisfaction based on these important factors: coverage, benefits, provider choice, cost, customer service, information, communication, billing, and payment. Humana scored 822 points out of 1,000, coming in fourth out of the top 10 Medicare Advantage providers.|
Learn More From Our Sources
- A.M. Best | Financial Strength Rating for Humana Inc | Last accessed March 2023
- Better Business Bureau | Humana Inc. | Last accessed March 2023
- Consumer Affairs | Humana Health Insurance | Last accessed March 2023
- Humana | About Us | Last accessed March 2023
- Humana | Part D Prescription Drug Plans and Coverage | Last accessed March 2023
- J.D. Power | 2021 Medicare Advantage Study | Last accessed March 2023
- Medicare | How To Get Prescription Drug Coverage | Last accessed March 2023
- NCQA | NCQA Health Insurance Plan Ratings 2021 – Report Cards | Last accessed March 2023