Humana Medicare Part D 2022 Review
Humana is the fourth-largest firm providing Medicare Half D plans. About 3.5 million Medicare beneficiaries have Humana Half D plans as of April 2022.
Humana’s total star score from the Facilities for Medicare & Medicaid Companies is near common, however its plans fall brief on eight out of 12 Medicare Half D high quality measures.
Whereas Humana Medicare Half D plans usually make generic medication reasonably priced with low copay and deductible necessities, coinsurance for brand-name medication may result in increased out-of-pocket prices.
Right here’s what you must find out about Humana Medicare Half D prescription drug plans.
Humana Medicare Half D professionals and cons
Medicare prescription drug plans from Humana have benefits and drawbacks.
|
|
Obtainable Medicare Half D prescription drug plans
Medicare beneficiaries with Unique Medicare (Half A and/or Half B) should buy a Medicare Half D plan for prescription drug protection. Half D plans are bought by personal insurance coverage firms. The prices and protection can differ considerably, so it’s vital to check choices.
Humana provides three stand-alone Medicare prescription drug plans for 2022:
-
Humana Walmart Worth Rx: In accordance with Humana, this plan is greatest for “members in search of a plan with an reasonably priced premium that additionally gives priceless advantages similar to copays as little as $0 (relying on area) and a $0 deductible on Tier 1 and Tier 2 medication.”
-
Humana Primary Rx: In accordance with Humana, this plan is greatest for “members who qualify for Additional Assist, which can cowl all the value of the premium on this plan, and for individuals who need reasonably priced fundamental protection with entry to a most popular cost-sharing community.”
-
Humana Premier Rx: In accordance with Humana, this plan is greatest for “members who need the safety of our most complete prescription drug plan, with copays as little as $0 and $0 deductibles on over 900 Tier 1 and Tier 2 medication.”
Humana Medicare Half D service space
Stand-alone Medicare prescription drug plans from Humana can be found in all 50 states, Washington, D.C., and Puerto Rico.
Humana provides all three of its Medicare Half D plan choices in all U.S. states and Washington, D.C. Puerto Rico has two choices: Humana Primary Rx and Humana Premier Rx (Humana Walmart Worth Rx is unavailable).
Humana Medicare Half D premiums and deductibles
Listed here are the 2022 premiums and deductibles for Humana’s stand-alone Medicare prescription drug plans:
Humana Medicare Half D drug formulary tiers
A formulary is a listing of the prescribed drugs lined by an insurance coverage plan. The plans usually set up completely different varieties of medication into tiers in line with the price of the medication.
Humana’s prescription drug plans use a five-tier formulary:
Tier 1: Most popular generics |
Extra frequent, lower-cost generic prescribed drugs. |
Increased-cost generic prescribed drugs and a few lower-cost brand-name medication. |
|
Model-name medication with no generic drug equal. |
|
Tier 4: Non-preferred drug |
Increased-priced brand-name and generic medication with no most popular value sharing. |
The most costly medication which can be used to deal with complicated medical situations similar to most cancers, a number of sclerosis or rheumatoid arthritis. |
Every tier has copay or coinsurance necessities. You’ll usually pay extra for medication listed in increased tiers as much as Tier 4, however Tier 5 specialty medication have a decrease coinsurance requirement than Tier 4 medication.
The medication included in tiers and what you’ll pay for every tier depends upon your alternative of prescription drug plan and how much pharmacy you utilize. For instance, Humana plans have the bottom copays for prescriptions you fill by means of Humana-preferred mail-order pharmacies. For retail pharmacies, most popular (in-network) pharmacies can have considerably decrease cost-sharing necessities than non-preferred pharmacies.
$0-deductible choices
Deductibles also can apply in another way relying on the formulary tier. For instance, the Humana Walmart Worth Rx and Humana Premier Rx plans haven’t any deductible for Tier 1 and Tier 2 medication. The Humana Primary Rx plan has a deductible for all tiers.
$0-copay choices
The Humana Primary Rx and Humana Premier Rx plans have $0 copays for Tier 1 medication from most popular mail-order pharmacies, whereas the Walmart Worth Rx plan can have copays of as much as $3 from most popular mail-order pharmacies. After Tier 1, cost-sharing necessities can shortly get costlier. Consequently, it’s vital to examine the place your drugs and pharmacies fall on every plan’s formulary.
Coinsurance vs. copay necessities
You will additionally wish to examine whether or not you’ll pay a copay or coinsurance on your drugs. Copays are set greenback quantities, so it’s straightforward to see what you’ll pay. Coinsurance is a proportion of the value on your drugs, so coinsurance necessities will be extra unpredictable and costlier.
Humana begins charging coinsurance moderately than copays at completely different formulary tiers for every of its plans:
-
Humana Walmart Worth Rx: Copays for Tiers 1-2; coinsurance at Tier 3 and above.
-
Humana Primary Rx: Copays for Tiers 1-2 from most popular mail-order pharmacies; coinsurance at Tier 3 and above. Tier 1-2 medication from retail pharmacies might need both copays or coinsurance relying in your area.
-
Humana Premier Rx: Copays for Tiers 1-3; coinsurance for Tiers 4-5.
You’ll be able to enter your drugs and pharmacy info on Humana’s web site to see which medication are lined and evaluate your estimated prices with completely different plan choices.
Humana Medicare Half D star scores
Common Half D star score: 3.67
The Facilities for Medicare & Medicaid Companies charges Medicare Half D plans on 12 high quality measures. (You could find definitions for every of those components within the CMS Star Scores Technical Notes.)
These scores use a 5-point scale the place 5 is the very best and 1 is the worst. The company bases its scores on drug plans’ high quality of service and buyer experiences, and scores are up to date yearly.
Primarily based on the newest yr of knowledge, stand-alone Humana prescription drug plans get an total score of three.67 stars. The 2022 common for all stand-alone Medicare Half D plans from all suppliers, weighted by enrollment, was 3.7 stars.
Examine Humana Half D star scores
Stand-alone Medicare Half D plans from Humana outperformed the nationwide common on 4 Half D measures, however fell behind the nationwide common on eight measures.
Right here’s how stand-alone Humana prescription drug plans in contrast with nationwide averages for every of the 12 Half D measures:
Measures on which Humana plans outperformed
Measures on which Humana fell behind
American Buyer Satisfaction Index: 74 out of 100
The American Buyer Satisfaction Index, or ACSI, charges client satisfaction with services and products based mostly on a scientific mannequin developed on the College of Michigan. Scores are derived from surveys that measure shoppers’ expectations and perceived high quality and worth of services and products.
In 2021, Humana scored 74 out of 100 on the ACSI medical health insurance satisfaction benchmark. ACSI measures satisfaction with the medical health insurance business as an entire — Humana’s rating represents all of its medical health insurance merchandise, not simply Medicare Half D insurance coverage. For comparability, the best rating was 75 and the medical health insurance business common was 73.
AM Greatest Monetary Power Ranking: A-
AM Greatest is a credit standing company that focuses on the insurance coverage business. In October 2021, AM Greatest affirmed its Monetary Power Ranking of A- (Glorious) for almost all of well being and dental subsidiaries of Humana Inc. AM Greatest additionally affirmed an FSR of B++ (Good) for Humana’s Puerto Rico subsidiaries, collectively known as Humana Well being of Puerto Rico Group.
An A- score on this class signifies that AM Greatest believes Humana has a superb capacity to fulfill its ongoing insurance coverage obligations. A B++ score signifies that AM Greatest believes Humana Well being of Puerto Rico Group has an excellent capacity to fulfill ongoing insurance coverage obligations.
Humana is a medical health insurance firm headquartered in Louisville, Kentucky. Its insurance coverage choices embody Medicare Benefit plans, Medicare prescription drug plans, Medicare Complement Insurance coverage, employer-sponsored insurance policies, Medicaid protection and dental and imaginative and prescient plans. As of June 2021, Humana had about 8.6 million members throughout all of its Medicare merchandise. Humana posted annual income of $83.1 billion in 2021.
Discover the best Medicare Half D prescription drug plan
The interactive device on Medicare.gov may also help discover a Medicare Half D plan that covers your prescriptions. It additionally helps you examine prices amongst Medicare Half D and Medicare Benefit plans out there to you.
Listed here are some issues to remember when evaluating plans:
-
Verify the formulary: You’ll wish to be sure the medicines you at the moment take and, importantly, any you suppose you would possibly want sooner or later, are lined below every of the plans you’re contemplating. Speak to your well being care suppliers about what brand-name and generic medicines to search for and any alternate options that will additionally work in case you may’t discover your present medicines on the plans out there in your space.
-
Search for plan adjustments: Formularies change often. Your insurer ought to ship you a Discover of Plan Change when the formulary adjustments. Learn this doc fastidiously.
-
Verify the pharmacy community: Most Medicare Half D plans negotiate with a community of pharmacies for the bottom value. Verify to see in case your pharmacy or an equally handy one is within the plan’s community. Additionally, examine costs for utilizing mail order.
In case your plan does change, and the change impacts the prescribed drugs you want, you may change plans throughout Medicare’s open enrollment interval, Oct. 15 to Dec. 7. Adjustments go into impact on the next Jan. 1.
When you’ve got extra questions on Medicare, go to Medicare.gov or name 800-MEDICARE (800-633-4227, TTY 877-486-2048).