Inflation Reduction Act: New Medicare Drug Pricing Bill Enhances Benefits

Insulin & vaccine benefits on Humana’s Medicare Advantage plans are getting even better in 2023

At Humana, we strive to help our members achieve total health so that they may live their best lives. This includes efforts to provide our members with access to more affordable prescription drugs.

With the passing of a new law, known as the Inflation Reduction Act, all Medicare Advantage plans with prescription drug coverage will have enhanced benefits beginning 1/1/2023.

Because of the recency of the legislation, these enhanced benefits may not be described in plan documents or website information.

$0 for shingles and other vaccines

All Medicare Advantage plans with prescription drug coverage will 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 and you haven't paid it. If it is covered on your plan’s Part D drug list (Humana Prescription Drug Guide), then it is $0.

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, $35 or less

Monthly copays no more than $35 for all Humana covered Part D insulins. Benefit applies for all members in Medicare plans with prescription drug coverage and is all year long.

You won’t pay more than $35 for a one-month (up to 30-day) supply of Part D insulin covered by the plan.

This benefit applies no matter which drug tier it’s in and even if you haven’t paid your plan deductible.

This applies to all covered Part D insulins through the entire plan year and through all stages of your prescription drug benefit.

All members are eligible, including those who receive “Extra Help”.

Members in Part D

Members in the Part D Senior Savings Model, which Humana calls the Insulin Savings Program, will continue to receive affordable, predictable costs on Select Insulins. The amount is shown in your Humana plan materials. Plus, you will receive all additional insulin benefits included in the Inflation Reduction Act.

All members

If you are currently a Humana member, you will receive the Evidence of Coverage, which will be available online October 15th 2022, at www.humana.com/plandocuments. Also, you will receive a letter in the mail by November 15th, 2022. Both documents will give more details about the enhanced benefits provided through the Inflation Reduction Act.

This page will be updated as additional details become available.

*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. For more information regarding the Centers for Disease Control and Prevention’s ACIP vaccine recommendations, please go to www.cdc.gov/vaccines/hcp/acip-recs/vacc-specific/index.html.