S5884-102: Humana Basic Rx Plan – 2025 Medicare Part D Plan Available in Connecticut
S5884-102: Humana Basic Rx Plan – 2025 Medicare Part D Plan Available in Connecticut
CMS 5-Star Rating: (3.5 out of 5 stars*)
For 2025, the Humana Basic Rx Plan Part D plan (S5884-102) is listed in the CMS Landscape dataset for Connecticut, including premium, deductible, and rating details.
* The Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system.
| Part D Plan Overview | |
|---|---|
| Part D Plan ID: | S5884-102 |
| Plan Year: | 2025 |
| Total Part D Premium: | $102.50 |
| Annual Deductible: | $590.00 |
| Part D Benefit Type: | Basic |
| No Deductible Drug Tier: | Not Applicable |
| Low Income Subsidy: | Yes |
| Insured By: | Humana |
Plan Costs
Premium Details
| Basic Part D Premium: | $102.50 |
| Supplemental Part D Premium: | $0.00 |
| Total Part D Premium: | $102.50 |
| Low Income Premium Subsidy: | $52.52 |
| Low Income Premium Subsidy CMS Pays: | $52.50 |
| Low Income Subsidy Premium: | $50.00 |
TIP: Extra Help, formally known as the Low-Income Subsidy (LIS), provides financial support to lower prescription drug costs for qualified Medicare beneficiaries in Connecticut. Visit the Social Security Extra Help page for details.
Deductible
The deductible for the 2025 Humana Basic Rx Plan PDP (S5884-102) is $590.00, based on the CMS Landscape dataset.
Out-of-Pocket Costs
| Drug Tier | Retail | Mail Order | |
|---|---|---|---|
| Preferred Generic | $0.00 | $0.00 | |
| Generic | $1.00 | $1.00 | |
| Preferred Brand | 22.00% | 22.00% | |
| Non-Preferred Drug | 48.00% | 48.00% | |
| Specialty Tier | 25.00% | 25.00% | |
| *Deductible does not apply. | |||
CMS 5-Star Rating Data for Plan S5884-102
CMS assigns Medicare Part D plans a 1–5 star rating each year, based on service, satisfaction, and drug safety. Higher stars reflect stronger performance.
| CMS Measure | Star Rating |
|---|---|
| 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 |
Contact Humana
| Website: | Humana Plan Page |
|---|---|
| Formulary: | Humana Formulary Page |
| Pharmacy: | Humana Pharmacy Page |
| Prospective Part D Members: | (800)706-0872 |
| Prospective Part D TTY Users: | 711 |
Last update: .