Humana Premier Rx Plan (PDP)

PDP
Humana
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Basic Costs and Coverage

Monthly premiums, deductibles, and core cost-sharing amounts.

CoverageCost
Monthly plan premium Not Applicable
Vision coverage false
Dental coverage false
Hearing coverage false
Prescription drug coverage true
Medical deductible
Out-of-pocket maximum
InNot Applicable
CombinedNot Applicable
Initial drug coverage limit $0.00
Catastrophic drug coverage limit $2,100.00
Primary care doctor visit Included
Specialty doctor visit Included
Inpatient hospital care Included
Urgent care Included
Emergency room visit Included
Ambulance transportation Included

Health Care Services and Medical Supplies

Specialist services, therapies, and equipment.

ServiceCost
Chiropractic services Included
Diabetes supplies, training, nutrition therapy Included
Durable medical equipment (DME) Included
Diagnostic tests, lab, radiology, X-rays Included
Home health care BIncluded
Mental health inpatient care Included
Mental health outpatient care Included
Outpatient services / surgery Included
Outpatient substance abuse care Included
Over-the-counter items Not covered Not specified
Podiatry services Included
Skilled Nursing Facility (SNF) care Included

Dental Benefits

Preventive and comprehensive dental coverage.

CoverageCost & limits
Preventive dental Included
Comprehensive dental — covered? No
Annual dental maximum Not covered
Comprehensive dental — annual max Not covered

Vision Benefits

Routine Eye Exams and Eyewear.

CoverageCost & limits
Routine eye exam
InIncluded Included
Out$75 copay · 1 per year
Eyeglass frames & lenses Included
Eyewear allowance Not covered
Eye exam — covered? No
Eye exam supplement — max coverage Not covered

Hearing Benefits

Hearing exams, fittings, and aids.

CoverageCost & limits
Hearing exam
InIncluded
OutIncluded
Hearing exam — covered? No
Hearing aid fitting — covered? No
Hearing aid fitting cost Not covered
Hearing aids — covered? No
Hearing aids — max coverage Not covered

Preventive Services

All Medicare-covered preventive services at $0 in-network.

In-Network: $0.00 copay for all Medicare-covered preventive services.
  • Abdominal aortic aneurysm screening
  • Alcohol misuse screenings & counseling
  • Bone mass measurements (bone density)
  • Cardiovascular disease screenings
  • Cardiovascular disease (behavioral therapy)
  • Cervical & vaginal cancer screening
  • Colorectal cancer screenings
  • Depression screenings
  • Diabetes screenings
  • Diabetes self-management training
  • Glaucoma tests
  • Hepatitis B (HBV) infection screening
  • Hepatitis C screening test
  • HIV screening
  • Lung cancer screening
  • Mammograms (screening)
  • Nutrition therapy services
  • Obesity screenings & counseling
  • One-time Welcome to Medicare preventive visit
  • Prostate cancer screenings (PSA)
  • Sexually transmitted infections screening & counseling
  • Shots: COVID-19 · Flu · Hepatitis B · Pneumococcal
  • Tobacco use cessation
  • Yearly "Wellness" visit
Fitness / Wellness program: Not specified

Prescription Drug Costs and Coverage

Part D formulary tiers and supply length pricing.

Annual drug deductible: $0.00
Tier Drug type 30-day retail 30-day mail 90-day mail
1 Preferred generic Lowest-cost generic drugs $0.00 $0.00 $0.00
2 Generic Standard generic drugs $4.00 $0.00 $4.00
3 Preferred brand Preferred brand-name drugs $45.00 $125.00 $125.00
4 Non-preferred brand Non-preferred brand drugs 50% 50% 50%
5 Specialty tier Specialty medications 33% 33% 33%

Not sure if this plan is right for you?

Peter Abilla is a licensed Medicare agent. He can walk you through this plan's costs, coverage, and whether your doctors are in-network.

Independent agent. Not affiliated with any insurance carrier.
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Smiling elderly man sees urologist paid for by medicare and young boy in a garden surrounded by blooming yellow and pink roses, the boy holding a gardening tool.Older couple have no medicare benefits because they were late to enroll, standing outdoors hugging near snow-covered evergreen trees in winter.Smiling elderly couple both under 65 and wish they had medicare sitting outdoors wrapped in warm clothing with a child standing behind them, hugging and laughing.
Overall Rating
Part C Rating
Part D Rating

Where Is This Plan Available?

See Interactive Medicare Tools

Decision area Tool What it answers
Enrollment Initial Enrollment Period Calculator When your 7-month Medicare eligibility window begins and ends based on your 65th birthday
Enrollment When Should I Sign Up for Medicare? The best time to enroll based on your work status, other coverage, and age
Enrollment Special Enrollment Period Checker Whether a life event qualifies you for enrollment outside the standard windows
Enrollment Late Enrollment Penalty Checker How much extra you'll pay monthly if you missed your enrollment window
Enrollment Part B Penalty Calculator The exact 10%-per-year premium increase for delayed Part B enrollment
Enrollment Part D Penalty Calculator The 1%-per-month premium increase for gaps in creditable drug coverage
Costs Cost Scenario Planner Estimated annual spending across plan types at different health utilization levels
Costs Advantage vs. Medigap Cost Comparison True cost difference between Medicare Advantage and Original Medicare with Medigap
Costs IRMAA Calculator Whether your income triggers higher Part B and Part D premiums
Costs Part A Premium Estimator Your monthly Part A premium based on work history and quarters of coverage
Costs M3P Calculator How the Medicare Prescription Payment Plan smooths your drug costs into monthly payments
Coverage Doctor & Drug Assessment Whether your providers and prescriptions are covered by a specific plan
Coverage Part D Shopping Tool Which Part D plan has the lowest total annual cost for your specific medications
Coverage Travel & Network Risk Assessment How your coverage works outside your home area and which plan types travel best
Employer/COBRA COBRA vs. Medicare Why COBRA can trigger permanent Medicare penalties and how costs compare
Employer/COBRA Employer Coverage vs. Medicare Whether your employer plan or Medicare is primary and when to transition
Employer/COBRA HSA & Medicare Compatibility How Medicare enrollment affects HSA eligibility and what to do before enrolling
Planning Caregiver Readiness Checklist Whether you have everything in place to help a loved one with Medicare decisions
Planning Document Gatherer Which documents you need to have ready before enrolling or changing plans
Planning Medigap Fit Assessment Whether Medigap or Medicare Advantage is the better fit for how you use healthcare
Planning Medigap Open Enrollment Window Whether you're inside your one-time guaranteed issue window for Medigap
Planning Medicare Savings Program Eligibility Whether your income qualifies you for help paying Medicare premiums and cost-sharing
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Medicare Questions About 

Part D Prescription Drug Plan

 Plans

Understanding 

Part D Prescription Drug Plan

A Part D Prescription Drug Plan adds drug coverage to Original Medicare (Parts A and B). If you are staying with Original Medicare rather than switching to Medicare Advantage, a standalone Part D plan is how you cover your prescription costs. You enroll in Part D separately, and it runs alongside your Medicare coverage.

Every Part D plan has a formulary — a list of covered drugs organized into tiers. Generic medications are usually in the lowest tiers with the lowest copays. Brand-name and specialty drugs are in higher tiers with higher costs. Before enrolling, run your current medications through the plan's formulary to confirm they're covered and check which tier they're in. Two plans with similar premiums can have dramatically different costs for the same medication.

The late enrollment penalty is worth understanding. If you don't enroll in Part D when you're first eligible and go more than 63 consecutive days without creditable drug coverage, you'll pay a penalty added to your premium permanently — 1% of the national base premium for every month you delayed. If you have employer coverage that counts as creditable, you can delay without penalty. If you don't, enrolling even in a low-cost plan protects you from the penalty.

Part D plans in Utah, Ohio, and Pennsylvania vary widely in premium (typically $5–$80/month), deductible, and formulary. The Medicare Plan Finder at medicare.gov is the best tool for comparing them — enter your exact medications and it calculates your estimated annual total cost across all plans at your zip code. That number, not the premium alone, is the right way to compare Part D plans.

Go to Plan Type
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Not sure if this plan is right for you?

Peter Abilla is a licensed Medicare agent. He can walk you through this plan's costs, coverage, and whether your doctors are in-network.

Independent agent. Not affiliated with any insurance carrier.
Elderly man smiling and showing yellow roses to a young boy in a sunlit garden.