Inflation Reduction Act and Medicare: Lower drug costs and expanded benefits

Drug pricing reforms will improve Rx benefits for Humana’s Medicare plans now and in the long run

We want to help our members achieve their best health. Part of that effort includes making sure medicines are accessible and affordable.

Here at Humana, we call that human care.

Lower costs for eligible Part B drugs

Humana members may pay less for certain rebatable drugs covered by Medicare Part B, based on a new and lower “coinsurance” amount (your share of the Rx cost after you meet your deductible). Any decrease in your out-of-pocket cost for eligible Part B drugs will be made when you pay at the pharmacy.

Here’s the current list of eligible drugs. This list will be updated every 3 months:

Part B Drug Inflation Rebates—October 2023—English, PDF

Part B Drug Inflation Rebates—October 2023—Spanish, PDF

Previous rebate lists:

Part B Drug Inflation Rebates—July 2023—English, PDF

Part B Drug Inflation Rebates—July 2023—Spanish, PDF

Part B Drug Inflation Rebates—April 2023—English, PDF

Part B Drug Inflation Rebates—April 2023—Spanish, PDF

(Please note that these changes don’t apply to Medicare Part D prescription drug coverage.)

Lower costs for Part B-covered insulin

If you take insulin that’s covered by your Medicare Part B benefits, we have good news! Effective July 1, 2023, if you pay a deductible for your plan, it will no longer apply to your Part B insulin prescription. Also, the cost for a month’s supply (up to 30 days) of Part B-covered insulin is fixed at $35/month. This cost limit applies to insulin dispensed through a pump or Medicare-covered durable medical equipment. The cost limit does not apply to the cost of insulin pumps.

To learn more, sign in to your MyHumana account to view your Evidence of Coverage.

$0 for shingles and other vaccines

All Medicare Advantage plans with prescription drug coverage now cover most Part D vaccines* at no cost to you. This includes the shingles vaccine. This coverage applies regardless of the vaccine’s drug tier and even if your plan has a deductible you haven’t yet met. Check your plan’s Part D drug list to learn more.

If your Medicare Advantage plan includes medical coverage (Medicare Part B), common vaccines such as COVID-19, flu and pneumonia will continue to be covered at no cost to you through your Part B medical benefit.

Monthly insulin prescriptions for $35 or less

Enjoy monthly copays of no more than $35 for all Humana Part D plan-covered insulins. This benefit applies for all members in Medicare plans with prescription drug coverage and lasts throughout the plan year.

This insulin benefit applies no matter which drug tier it’s in and through all stages of your prescription drug benefit, even if you haven’t met your plan deductible.

All Humana members

Learn more about the enhanced benefits provided through the Inflation Reduction Act by viewing your Humana plan documents.

*Applies to Humana-covered Part D vaccines listed on the Advisory Committee on Immunization Practices (ACIP) list. Restrictions based on age and vaccine availability may apply. Learn more about the Centers for Disease Control and Prevention’s (CDC) ACIP vaccine recommendations.