S5884-194: Humana Value Rx Plan – 2025 Medicare Part D Plan Available in Indiana

CMS 5-Star Rating: ☆☆☆☆☆ (3.5 out of 5 stars^*)

For 2025, the Humana Value Rx Plan Part D plan (S5884-194) is listed in the CMS Landscape dataset for Indiana, 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:	S5884-194
Plan Year:	2025
Total Part D Premium:	$30.30
Annual Deductible:	$573.00
Part D Benefit Type:	Enhanced
No Deductible Drug Tier:	Yes
Low Income Subsidy:	Yes
Insured By:	Humana

Plan Costs

Premium Details

Basic Part D Premium:	$12.50
Supplemental Part D Premium:	$17.80
Total Part D Premium:	$30.30
Low Income Premium Subsidy:	$49.58
Low Income Premium Subsidy CMS Pays:	$12.50
Low Income Subsidy Premium:	$17.80

IMPORTANT: If you qualify for the Low-Income Subsidy (LIS) program, also called "Extra Help," you may get help paying your Medicare Part D plan costs in Indiana. Learn more at the Social Security Extra Help page.

Deductible

CMS data lists the deductible for the 2025 Humana Value Rx Plan PDP (S5884-194) as $573.00.

Out-of-Pocket Costs

Drug Tier	Retail	Mail Order
Preferred Generic^*	$0.00	$1.00
Generic^*	$0.00	$2.00
Preferred Brand	20.00%	20.00%
Non-Preferred Drug	34.00%	34.00%
Specialty Tier	26.00%	26.00%
^*Deductible does not apply.

CMS 5-Star Rating Data for Plan S5884-194

The CMS 5-star system measures Medicare Part D plan quality, including service, member experience, and drug safety. A 5-star rating is the highest score.

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: October 21, 2024.