Generated at Tue, 21 May 2019 11:47:49 GMT
Electrode, Comp-351027464, DC-prod-dfw1, ENV-prod-a, PROF-PROD, VER-19.1.1, SHA-dcc2d1bc13aca0beb170d003517affe741b47a8c, CID-798842c6-5d5-16ada3812972fe, Generated: Tue, 21 May 2019 11:47:49 GMT

We accept the following insurance plans:*

AARP Medicare Rx Plans

Aetna

Anthem BCBS

Blue Cross Blue Shield of Georgia

Blue Cross Blue Shield of North Carolina

Cigna

First Health Part D

Empire BCBS

Humana

United Healthcare

Symphonix

View and compare Medicare Part D plans

with Walmart as the preferred cost-sharing pharmacy

The Humana Walmart Rx Plan (PDP)

has a monthly plan premium and no deductible* for most covered generic drugs. You may be able to save on prescription drug costs with a monthly premium of $20.40**.

*$405 deductible applies to medications in Tiers 3 thru 5. **$18.40 in IN, KY and OH. You must continue to pay your Medicare Part B premium.

Humana is a stand-alone prescription drug plan with a Medicare contract. Enrollment in a Humana plan depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments and restrictions may apply. Benefits, premium and member cost share may change on January 1 of each year. If you have Medicare Part B, you must continue to pay your Medicare Part B premium. Other pharmacies are available in our network. The pharmacy network may change at any time. You will receive notice when necessary.

Humana’s pharmacy network offers limited access to pharmacies with preferred cost sharing in urban areas of AL, CA, CT, DC, DE, IA, IL, IN, KY, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NH, NJ, NY, OH, OR, PA, RI, SC, SD, TN, VA, VT, WA, WI, WV; suburban areas of AZ, CA, CT, DE, HI, IL, MA, MD, ME, MI, MN, MT, ND, NH, NJ, NY, OH, OR, PA, PR, RI, VT, WA, 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, MD, ME, MI, MN, MS, ND, NY, OH, SC, and VT; 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 pharmacies with preferred cost-sharing, please call Customer Care at 1-800-281-6918 (TTY: 711) or consult the online pharmacy directory at Humana.com.

Humana Inc. and its subsidiaries (“Humana”) do not discriminate on the basis of race, color, national origin, age, disability, or sex.

English: ATTENTION: If you do not speak English, language assistance services, free of charge, are available to you. Call 1-800-281-6918 (TTY: 711). Español (Spanish): ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-281-6918 (TTY: 711). 繁體中文 (Chinese): 注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電 1-800-281-6918 (TTY:711)。

Y0040_MULTIPLAN_GHHH5UDHH_H Pending

Last Updated: 10/10/17

Electrode, App-category-page, Comp-147366615, DC-prod-dfw1, ENV-prod-a, PROF-PROD, VER-9.0.1, SHA-78242161ef630c1ecaf7bf6da03a7524d6fe01b3, CID-
Electrode, Comp-147366615, DC-prod-dfw1, ENV-prod-a, PROF-PROD, VER-9.0.1, SHA-78242161ef630c1ecaf7bf6da03a7524d6fe01b3, CID-2d96c146-e0f-16ada38127b651, Generated: Tue, 21 May 2019 11:47:49 GMT