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Humana Premier Rx Plan A 2025 Medicare Part D Plan Available in Puerto Rico
Humana Premier Rx Plan A 2025 Medicare Part D Plan Available in Puerto Rico
Welcome to the 2025 Humana Premier Rx Plan Medicare Part D plan guide for Puerto Rico. Here, you’ll find all the information you need, including plan benefits, costs, and star ratings. We’ve also included enrollment options to assist you in securing the right prescription drug coverage for you in Puerto Rico.
The Humana Premier Rx Plan plan provides valuable coverage for reducing 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 Puerto Rico.
Humana Premier Rx Plan : Part D Plan Overview | |
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Part D Plan ID: | S5884-215 |
Plan Year: | 2025 |
Total Part D Premium: | $104.20 |
Annual Deductible: | $0.00 |
Part D Benefit Type: | Enhanced |
No Deductible Drug Tier: | Not Applicable |
Low Income Subsidy: | Yes |
Insured By: | Humana |
We're Here to Help You Enroll |
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Understanding Medicare Part D Plan Costs
Humana Premier 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.
Premium Breakdown
Your monthly premium for the Humana Premier 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: | $53.00 |
Supplemental Part D Premium: | $51.20 |
Total Part D Premium: | $104.20 |
Low Income Premium Subsidy: | $Not Applicable |
Low Income Premium Subsidy CMS Pays: | $0.00 |
Low Income Subsidy Premium: | $104.20 |
IMPORTANT: If you qualify for the Low-Income Subsidy (LIS) program, known as "Extra Help," you could receive assistance with your prescription drug plan costs in Puerto Rico. For more details, visit the Social Security Extra Help page.
Understanding the Plan’s Deductible
This plan's Medicare Part D annual deductible is $0.00. You will need to pay this deductible amount before Humana begins covering your prescription drug costs at the pharmacy.
Out-of-Pocket Costs in this Drug 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 Premier Rx Plan plan. The following table details these out-of-pocket costs.
Drug Tier | Retail | Mail Order | |
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Preferred Generic | $0.00 | $2.00 | |
Generic | $2.00 | $4.00 | |
Preferred Brand | $45.00 | $47.00 | |
Non-Preferred Drug | 50.00% | 50.00% | |
Specialty Tier | 33.00% | 33.00% | |
*Deductible does not apply. |
What the CMS 5-Star Rating Means
Every year, the Centers for Medicare & Medicaid Services (CMS) rates Medicare Part D plans on a 5-star scale, with 5 stars representing excellent quality and performance. These ratings consider factors like customer service, member experience, and the safety of prescription drugs. A higher rating reflects better overall quality, helping you choose the best plan for your needs. The table below shows the CMS rating for the Humana Premier 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
Timing your enrollment in Medicare Part D is critical. Here are the key periods when you can sign up for or make changes to your plan:
- Initial Enrollment Period (IEP): Your first chance to enroll in Medicare Part D typically starts three months before the month you turn 65 and lasts for seven months. Learn more about when your Initial Enrollment Period begins.
- Annual Enrollment Period (AEP): Every year from October 15 to December 7, you can join, switch, or drop your Medicare Part D plan. Get details about the Medicare Annual Enrollment Period.
- Medicare Advantage Open Enrollment Period (MA-OEP): From January 1 to March 31, you can change your Medicare Advantage plan or switch back to Original Medicare (with or without Part D), so long as you are currently enrolled in a Medicare Advantage plan. Explore the Medicare Advantage Open Enrollment Period.
- Special Enrollment Period (SEP): Certain events, like moving or losing other coverage, may qualify you for a Special Enrollment Period, allowing you to enroll or change plans outside the usual periods.
How to Enroll in Medicare Part D
Ready to enroll in Humana Premier Rx Plan or another Medicare Part D plan? Here are your options:
- Online via MedicareEnrollment.com: Easily compare and enroll in plans by visiting MedicareEnrollment.com.
- Call HealthCompare: Get expert help from HealthCompare by calling 833-748-3201 (TTY 711). They can assist you in finding the right plan for your needs (Mon-Fri 5am-6pm, Sat 6am-5pm PST).
- Call 1-800-MEDICARE: For additional guidance, contact Medicare at 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048.
- Call the Plan Directly: Alternatively, reach out to the plan directly using the contact information provided below.
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
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