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2025 Medicare Prescription Drug Plan Benefit Details for the Humana Basic Rx Plan (PDP)
2025 Medicare Prescription Drug Plan Details
Medicare Plan Name:Humana Basic Rx Plan (PDP)
   by Humana
State:Washington State
Plan ID:S5884 - 113 - 0     Click to see other plans
Member Services:(800)281-6918 TTY users 711
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
Email a copy of the Humana Basic Rx Plan (PDP) benefit details
— Medicare Plan Features —
Monthly Premium:$7.90 (see Plan Premium Details below)
Annual Deductible:$590 (Tier excluded from the Deductible.)
$0 Premium if LIS Benefits?Yes, this plan does qualify for the $0 Premium. (See premium for LIS subsidy beneficiaries below.)
This plan has 5 drug tiers. See cost-sharing highlights below.
Insulin on a Medicare Part D plan's formulary will have a monthly copay of $35 or less.
Formulary Drug Details:Tier 1Tier 2Tier 3Tier 4Tier 5
• Preferred Pharmacy
  Cost-Sharing during
  initial coverage phase:		$0.00$1.0023%49%25%
Plan's Pharmacy Search:https://www.humana.com/pharmacy/
Plan Offers Mail Order?Yes
Plan Type (Reach):National Plan
Number of Members enrolled in this plan in your CMS Region:13,917 members     (CMS Region 30)
Number of Members enrolled in this plan nationally:517,758 members
Plan’s Summary Star Rating: 3.5 out of 5 Stars.
• Customer Service Rating: 3 out of 5 Stars.
• Member Experience Rating: 5 out of 5 Stars.
• Drug Cost Accuracy Rating: 2 out of 5 Stars.
— Plan Premium Details —
The Monthly Premium is Split as Follows: ❔
Total
Premium		Part D Basic
Premium		Part D Supplemental
Premium
$7.90$7.90$0.00
Monthly Premium with Extra Help Low-Income Subsidy (LIS): ❔ $0.00




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