Humana Walmart Value Rx Plan A 2025 Medicare Part D Plan for New York
Humana Walmart Value Rx Plan A 2025 Medicare Part D Plan for New York
This guide provides an overview of the Humana Walmart Value Rx Plan Medicare Part D plan for 2025. You’ll find important information about the plan's benefits, costs, and star rating, along with details on how to enroll in New York. Use the sections below to explore your prescription drug coverage options.
Humana Walmart Value Rx Plan helps lower your prescription drug expenses, whether you’re enrolled in Medicare Part A and/or Part B, or a Medicare Advantage plan without drug coverage in New York.
Humana Walmart Value Rx Plan: Part D Plan Overview | |
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Part D Plan ID: | S5552-006 |
Part D Plan Type: | PDP |
Part D Plan Year: | 2024 |
Monthly Premium: | $73.90 |
Annual Deductible: | $545.00 |
Part D Benefit Type: | Enhanced |
Gap Coverage: | Yes |
Low Income Subsidy: | No |
Availability: | |
Insured By: | Humana |
Breaking Down Medicare Part D Plan Costs
Humana Walmart Value Rx Plan has various costs beyond just the monthly premium. From deductibles to copayments and coinsurance, it's essential to understand how these expenses work so you can effectively manage your prescription drug costs. The sections below break down each cost component to help you navigate these financial details with ease.
Plan Premium Details
The Humana Walmart Value Rx Plan plan's monthly premium is an important factor in your total costs. Some plans include extra fees or offer financial aid through the Low-Income Subsidy (LIS) program. The following table details the premium costs for this 2024 plan by Humana.
Basic Part D Premium: | $70.60 |
Supplemental Part D Premium: | $3.30 |
Total Part D Premium: | $73.90 |
Part D Premium with Full LIS Assistance: | $25.20 |
To learn more about the Low-Income Subsidy (LIS) program, also known as "Extra Help," and how it can assist with your prescription drug costs, visit the Social Security Extra Help page.
Annual Deductible Information
This plan has a Medicare Part D annual deductible of $545.00. You must pay this amount upfront at the pharmacy before Humana begins contributing to your prescription costs.
NOTE: The deductible does not apply to one or more drug tiers in this plan (see "Prescription Drug Plan Out-of-Pocket Costs" below).
Out-of-Pocket Expenses with this Part D Plan
In addition to the monthly premium and deductible, you'll also be responsible for copayments (fixed amounts) and/or coinsurance (a percentage of the drug cost) under the Humana Walmart Value Rx Plan plan. The following table details these out-of-pocket costs.
Tier | Preferred | Standard |
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1 (Preferred Generic) | $0.00 copay (deductible does not apply) | $10.00 copay (deductible does not apply) |
2 (Generic) | $1.00 copay | $20.00 copay |
3 (Preferred Brand) | 13% | 18% |
4 (Non-Preferred Drug) | 44% | 44% |
5 (Specialty Tier) | 25% | 25% |
How the CMS 5-Star Rating Works
The CMS assigns Medicare Part D plans a star rating, ranging from 1 to 5 stars, based on several factors, including customer service, member satisfaction, and prescription drug safety. This annual rating helps you evaluate the quality of a plan before enrolling. A 5-star rating indicates top-tier performance. Below, you’ll find the CMS rating for the Humana Walmart Value Rx Plan plan.
CMS Measure | Star Rating |
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Overall Plan Rating | |
Drug Plan Customer Service | |
Complaints and Changes in the Drug Plan | |
Member Experience with the Drug Plan | |
Drug Safety and Accuracy of Drug Pricing |
Important Medicare Part D Enrollment Periods
It's important to enroll in a Medicare Part D plan during specific periods to avoid penalties and ensure continuous coverage. Here are the key times to sign up:
- Initial Enrollment Period (IEP): Your first opportunity to join Medicare Part D typically begins three months before you turn 65 and continues for seven months. Find out more about the Initial Enrollment Period.
- Annual Enrollment Period (AEP): From October 15 to December 7 each year, you can change your Medicare Part D plan. Get details on the Medicare Annual Enrollment Period.
- Medicare Advantage Open Enrollment Period (MA-OEP): Between January 1 and March 31, you can change your Medicare Advantage plan or return to Original Medicare (with or without Part D). Learn more about the Medicare Advantage Open Enrollment Period.
- Special Enrollment Period (SEP): Specific situations, like moving or losing other coverage, may allow you to use a Special Enrollment Period to enroll or switch plans.
How to Sign Up for Humana Walmart Value Rx Plan
There are several ways to enroll in Humana Walmart Value Rx Plan or another Medicare Part D plan, allowing you to choose the method that works best for you:
- Call HealthCompare: Speak with a licensed agent by calling HealthCompare at 877-388-0596 (TTY 711) for personalized assistance.
- Online via MedicareEnrollment.com: Compare and enroll in plans online by visiting MedicareEnrollment.com.
- Call 1-800-MEDICARE: You can also call 1-800-MEDICARE (1-800-633-4227) for help with enrollment. TTY users should dial 1-877-486-2048.
- Call the Plan Directly: Contact the plan directly using the information provided below to enroll by phone.
Contact Humana
Plan Website: | Humana Plan Information |
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Formulay Information: | Humana Formulary Information |
Pharmacy Information: | Humana Pharmacy Information |
Prospective Members: | (800)706-0872 |
TTY Users: | (711)- |
Plans Offered
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, GlobalHealth, Health Care Service Corporation, Cigna Healthcare, Humana, Molina Healthcare, Mutual of Omaha, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Scott and White Health Plan now part of Baylor Scott & White Health, UnitedHealthcare(R), and Wellcare.
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