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Humana Value Rx Plan A 2025 Medicare Part D Plan Available in New Jersey
Humana Value Rx Plan A 2025 Medicare Part D Plan Available in New Jersey
Welcome to your guide to the Humana Value Rx Plan Medicare Part D plan for 2025. This page covers key details about the plan, including its benefits, costs, and CMS star rating. We’ve also provided enrollment options to help you secure prescription drug coverage in New Jersey.
The Humana Value Rx Plan plan offers valuable coverage to help reduce your prescription drug costs, whether you're enrolled in Medicare Part A and/or Part B, or a Medicare Advantage plan without drug coverage in New Jersey.
Humana Value Rx Plan : Part D Plan Overview | |
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Part D Plan ID: | S5884-183 |
Plan Year: | 2025 |
Total Part D Premium: | $28.80 |
Annual Deductible: | $573.00 |
Part D Benefit Type: | Enhanced |
No Deductible Drug Tier: | Yes |
Low Income Subsidy: | Yes |
Insured By: | Humana |
We're Here to Help You Enroll |
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An Overview of Medicare Part D Plan Costs
Humana Value Rx Plan has a range of costs, including monthly premiums, deductibles, copayments, and coinsurance. Understanding how each of these components impacts your overall expenses is key to managing your prescription drug costs effectively. The sections below will guide you through each cost factor.
Plan Premium Details
Your monthly premium for the Humana Value Rx Plan plan is bundled into the total plan cost. Depending on the plan, you may face additional expenses or qualify for Low-Income Subsidy (LIS) support. The table below outlines the premium structure for this 2025 Humana plan.
Basic Part D Premium: | $13.10 |
Supplemental Part D Premium: | $15.70 |
Total Part D Premium: | $28.80 |
Low Income Premium Subsidy: | $56.86 |
Low Income Premium Subsidy CMS Pays: | $13.10 |
Low Income Subsidy Premium: | $15.70 |
NOTE: Want to know more about the Low-Income Subsidy (LIS) or "Extra Help" program? This benefit can lower your prescription drug costs in New Jersey. Visit the Social Security Extra Help page to learn more.
Part D Prescription Drug Plan Deductible
The annual Medicare Part D deductible for this plan is $573.00. You are responsible for paying this amount before Humana starts sharing the cost of your prescriptions.
Prescription Drug Plan Out-of-Pocket Costs
Beyond the monthly premium and deductible, Humana Value Rx Plan includes copayments (fixed amounts) and/or coinsurance (a percentage of the cost) that you'll need to pay when filling your prescriptions. The table below outlines these costs in detail.
Drug Tier | Retail | Mail Order | |
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Preferred Generic* | $0.00 | $1.00 | |
Generic* | $0.00 | $2.00 | |
Preferred Brand | 19.00% | 19.00% | |
Non-Preferred Drug | 35.00% | 35.00% | |
Specialty Tier | 26.00% | 26.00% | |
*Deductible does not apply. |
CMS 5-Star Rating Overview
The CMS evaluates Medicare Part D plans each year and assigns a star rating from 1 to 5 based on their overall quality and performance. These ratings are determined by factors like member experiences, customer service, and how well the plan ensures prescription drug safety. Higher ratings indicate better quality, making it easier for you to choose the right plan. Below is the star rating for the Humana 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
Knowing when to enroll in a Medicare Part D plan is crucial to ensuring you have the coverage you need. Below are the main enrollment periods:
- 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), so long as you are currently enrolled in a Medicare Advantage plan. 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 Enroll in Humana Value Rx Plan
Here are a few ways to enroll in Humana Value Rx Plan or a different Medicare Part D plan:
- Online via MedicareEnrollment.com: Compare and get enrolled online by visiting MedicareEnrollment.com.
- Call HealthCompare: Speak with a licensed insurance agent by calling HealthCompare at 833-748-3201 (TTY 711) for personalized assistance (Mon-Fri 5am-6pm, Sat 6am-5pm PST).
- 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
Website: | Humana Plan Page |
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Formulary: | Humana Formulary Page |
Pharmacy: | Humana Pharmacy Page |
Prospective Part D Members: | (800)706-0872 |
Prospective Part D TTY Users: | 711 |
Plans Offered Through Medicare.org
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Baylor Scott & White Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, GlobalHealth, Health Care Service Corporation, Healthy Blue, HealthSun, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.
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