2010 Medicare Prescription Drug Plan Details | |||||
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Medicare Plan Name: | Humana Value S5884-106 (PDP) by Humana Insurance Company | ||||
State: | Tennessee | ||||
Plan ID: | S5884 - 106 - 0 Click to see other plans | ||||
Member Services: | 1-800-281-6918 TTY users 1-800-833-3301 | ||||
— This plan information is for research purposes only. — Click here to see plans for the current plan year | |||||
Medicare Contact Information: | Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options. TTY users 1-877-486-2048 or contact your local SHIP for assistance |
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Email a copy of the Humana Value S5884-106 (PDP) benefit details | |||||
— Medicare Plan Features — | |||||
Monthly Premium: | $27.80 | ||||
Annual Deductible: | $150 | ||||
$0 Premium if LIS Benefits? | No, this plan does NOT qualify for the $0 Premium. | ||||
Annual Initial Coverage Limit (ICL): | $2,830 | ||||
Gap Coverage? | No Gap Coverage | ||||
Total Number of Formulary Drugs: | 3,041 drugs | Browse the Humana Value S5884-106 (PDP) Formulary | |||
This plan has 3 drug tiers. See cost-sharing highlights below. | |||||
Formulary Drug Details: | Tier 1 | Tier 2 | Tier 3 | Tier 4 | Tier 5 |
• Preferred Pharmacy Cost-Sharing during initial coverage phase: | $5.00 | $35.00 | 33% | ||
• Number of Drugs per Tier: | 1450 | 705 | 886 | ||
Plan Offers Mail Order? | Yes | ||||
Plan Type (Reach): | National Plan | ||||
Number of Members enrolled in this plan in your CMS Region: | 3,701 members (CMS Region 12) | ||||
Number of Members enrolled in this plan nationally: | 43,991 members |