Humana Basic Rx Plan (Basic PDP) Puerto Rico Medicare Prescription Drug Plan
Humana Basic Rx Plan is a Basic Medicare Part D plan for 2023, from Humana Insurance of Puerto Rico, Inc., available to people with Original Medicare benefits in Puerto Rico.
| Medicare Part D Plan Basics | |
|---|---|
| Plan ID: | S2874-004 |
| Plan Type: | PDP |
| Plan Year: | 2023 |
| Premium: | $42.50/mo |
| Deductible: | $505.00/yr |
| Benefit Type: | Basic |
| Rx Gap Coverage: | No |
| Low Income Subsidy: | No |
| Senior Savings Plan: | {ssm_plan} |
| Availability: | Puerto Rico |
| Insured By: | Humana Insurance of Puerto Rico, Inc. |
IMPORTANT: Before joining a Part D plan like Humana Basic Rx Plan, take the time to research the cost of your regular prescriptions. Each plan chooses the tier level and copayments for the medications it approves.
The Monthly Premium
Some Part D plans have supplemental costs. Others offer low-income subsidy (LIS) assistance. Here are the premium details for this Humana Insurance of Puerto Rico, Inc. plan:
| Basic Part D Premium: | $42.50 |
| Supplemental Part D Premium: | $0.00 |
| Total Part D Premium: | $42.50 |
| Part D Premium with Full LIS Assistance: | $42.50 |
| Part D Premium with 75% LIS Assistance: | $42.50 |
| Part D Premium with 50% LIS Assistance: | $42.50 |
| Part D Premium with 25% LIS Assistance: | $42.50 |
To learn more about the Medicare Part D Low-Income Subsidy (aka, "Extra Help") program, visit the Social Security Extra Help page.
The Annual Deductible
Most Medicare Part D plans have a deductible that must be paid before cost-sharing begins. This plan's deductible is $505.00. You will pay this amount at the pharmacy before Humana Insurance of Puerto Rico, Inc. begins paying its share on the initial coverage limit (ICL).
Initial Coverage Limit Copayments
In addition to the plan's monthly premium and deductible, Humana Basic Rx Plan has copayments (a fixed dollar amount) and/or coinsurances (a percentage amount) that you must pay when you pick up your prescriptions. The following table shows you those costs.
| Tier | Preferred | Standard |
|---|---|---|
| 1 (Preferred Generic) | $0.00 copay | $1.00 copay |
| 2 (Generic) | $1.00 copay | $2.00 copay |
| 3 (Preferred Brand) | 19% | 23% |
| 4 (Non-Preferred Drug) | 45% | 47% |
| 5 (Specialty Tier) | 25% | 25% |
Humana Basic Rx Plan's CMS Rating Marks
Each year the Centers for Medicare & Medicaid Services (CMS) rates drug plans using four broad categories. Here are the most recent ratings for Humana Basic Rx Plan in Puerto Rico:
| CMS Measure | Star Rating |
|---|---|
| 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 |
| Plan Website: | Humana Insurance of Puerto Rico, Inc. Plan Information |
|---|---|
| Formulay Information: | Humana Insurance of Puerto Rico, Inc. Formulary Information |
| Pharmacy Information: | Humana Insurance of Puerto Rico, Inc. Pharmacy Information |
| Prospective Members: | (800)681-3625 |
| TTY Users: | (711)- |
If you not yet enrolled or verified your Medicare enrollment status, you can do so on the Social Security Administration website.
Additional Basic Medicare Part D Plan Options in Puerto Rico
Here are some additional plans in your area that might be worth reviewing:
The 2023 Medicare Part D Plans for Puerto Rico information on this page is maintained by the All Medicare crew and was last updated on .