Other Humana Sites Help Español Shop for Plans Member Resources Sign in Home Medicare Part D 2022 2022 Humana Medicare prescription drug plans (PDPs) Our PDPs support a variety of health needs and budgets Adding a PDP to Original Medicare to help with prescription drug costs offers an added layer of protection against high healthcare costs. If you currently take prescription medication, you can use our Drug List to see which plans cover the medication you take. Do you need coverage that begins before January 1, 2022? View our 2021 plans here. PDP plan highlights New in 2022 – Albertsons Companies family of pharmacies has joined the preferred cost-sharing retail pharmacy network on all PDP products More than 60,000 pharmacies in the network across the country, including popular national chains, grocers and local independents Humana has consistently offered Stand Alone Prescription Drug coverage since January 2006 Plans available in all 50 states and Puerto Rico *The Insulin Savings Program is not available to members who receive Extra Help. *Premium varies by state or region. Please refer to the Summary of Benefits for additional information. **If you don't live in an area where preferred cost-sharing pharmacies are close to you, your ability to take advantage of this benefit will be limited. In some areas, preferred cost-sharing pharmacies may be extremely limited. See plans in your area See plans with their premiums, copays and participating pharmacies ZIP code * Shop plans Things to know before you shop Original Medicare and PDP If you opt for Original Medicare, a PDP could be a great addition, as Original Medicare doesn’t provide prescription drug coverage. For even more protection against high healthcare costs on Original Medicare, you can pair a PDP with a Medicare Supplement insurance plan. Late enrollment penalty If you don’t sign up for prescription drug coverage when you’re first eligible, and you don’t have other creditable drug coverage, you’ll likely pay a late enrollment penalty if you join later. You’ll generally continue to pay that penalty each month for as long as you have your plan. Consider your options Already taking 1 or more prescription drugs? Resist the urge to shop based on premium alone. Consider the deductibles (the amount you pay for prescription drugs before your plan begins to pay) and the copays (a set dollar amount you pay for each prescription you fill). Some plans have a $0 deductible and $0 copays on certain drug tiers, and our Humana Premier Rx Plan (PDP) participates in the Part D Senior Savings Model, which Humana calls the Insulin Savings Program. This program provides affordable, predictable copayments on Select Insulins for eligible members. How drug tiers work Some plans group their formulary, or Drug List, into tiers. Tiers help determine the amount you’ll pay for your prescription. Typically, drugs in lower tiers cost less than those in higher tiers. Tier 1: Preferred generics—usually includes more common, lower-cost, generic prescription drugs Tier 2: Generics—usually includes higher cost generic prescription drugs and some lower-cost brand prescription drugs Tier 3: Preferred brand—brand-name drugs that don't have a generic equivalent Tier 4: Non-preferred drug—higher-priced brand and generic drugs with no preferred cost share Tier 5: Specialty tier—the most expensive drugs, usually used to treat complex conditions such as cancer, multiple sclerosis or rheumatoid arthritis If you're currently taking prescription medication, you can use our search tool to look up a specific drug. It will tell you if the drug is covered by Humana and which tier it's listed under. It may also offer alternatives and generics that might save you money. Go to printable drug list Get help managing your medications If you’re taking a number of medications prescribed by more than 1 doctor, you may be eligible to take advantage of Medication Therapy Management (MTM). Through this program, you can meet 1-on-1 with a doctor or pharmacist to learn more about your medicines and how they work, ask questions about side effects or interactions with other medications and look for opportunities to lower your costs. Back to top Medicare Dental Vision Medicaid Pharmacy Member Resources Find a Doctor Health & Well-being Library Sign in to MyHumana Sign in to Go365.com Employers Agents & Brokers Providers Caregivers About Humana Contact Us Careers Investor Relations Corporate Responsibility © Humana 2021 Legal Privacy Policies Internet Privacy Statement Site Map Disclaimers & Licensure Fraud, Waste & Abuse Accessibility System Requirements Other pharmacies are available in our network. Provider may also contract with other Plan Sponsors. Some links on this page may take you to Humana non-Medicare product or service pages or to a different website. For 2021 PDP plans: The Humana Prescription Drug Plan (PDP) pharmacy network includes limited lower-cost, preferred pharmacies in urban areas of CT, DE, IA, MA, MD, ME, MI, MN, MO, MS, MT, ND, NH, NJ, NY, PA, RI, SD, WY; suburban areas of CA, CT, DE, HI, IL, MA, MD, ME, MN, MT, ND, NH, NJ, NY, PA, PR, RI, VT, WV; and rural areas of AK, IA, MN, MT, ND, NE, SD, VT, WY. There are an extremely limited number of preferred cost share pharmacies in urban areas in the following states: DE, MA, ME, MN, MS, ND, NY; suburban areas of: MT and ND; and rural areas of: ND. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, please call Customer Care at 800-281-6918 (TTY: 711) or consult the online pharmacy directory at Humana.com. For 2022 PDP plans: The Humana Prescription Drug Plan (PDP) pharmacy network includes limited lower-cost, preferred pharmacies in urban areas of CT, DE, IA, MA, ME, MN, MO, MS, ND, NJ, NY, RI, SD; suburban areas of CT, DE, MA, ME, MN, MT, ND, NJ, NY, PA, PR, RI; and rural areas of IA, MN, MT, ND, NE, SD, VT, WY. There are an extremely limited number of preferred cost share pharmacies in urban areas in the following states: DE, ME, MN, MS, ND; suburban areas of: MT and ND; and rural areas of: ND. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. For up-todate information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, please call Customer Care at 800-281-6918 (TTY: 711) or consult the online pharmacy directory at Humana.com. To take full advantage of the savings available with your benefits, choose a doctor within your network for routine care. With the exception of emergencies and urgent care situations, it may cost more for covered services received outside the network. Out-of-network/non-contracted providers are under no obligation to treat Humana plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. Y0040_GNHKXKCEN_2021_B Last Updated: 10/01/2021