Inflation Reduction Act: New Medicare drug pricing enhances benefits

With the passing of the Inflation Reduction Act, Rx benefits on Humana’s Medicare plans are getting even better in 2023

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.

This page will be updated as more information becomes available. Learn more below.

Good news—beginning April 1, 2023!

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.

If you receive eligible Part B drugs at a location other than a pharmacy, such as a doctor’s office or outpatient hospital setting, Humana will mail you a refund. (We are working on updating our systems to allow for automatic reductions for all members at the time they receive any eligible Part B drugs.)

View the current list of eligible drugs. This list will be updated every 3 months.

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

More potential savings beginning July 1, 2023

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. And you will continue to pay no more than $35 for a 1 month (up to 30 days) supply of Part B-covered insulin. This cost limit applies to insulin dispensed through a pump or Medicare-covered durable medical equipment.

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 covered insulins. This benefit applies for all members in Medicare plans with prescription drug coverage—including those who receive “Extra Help”—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.

Humana Part D plan members

In addition to all the insulin benefits included in the Inflation Reduction Act, Humana members in the Part D Senior Savings Model, which Humana calls the Insulin Savings Program, will continue to enjoy affordable, predictable costs on Select Insulins. You can find your cost in your Humana plan documents.

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.