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What it is

The Part D Senior Savings Model—which Humana calls the Insulin Savings Program—is designed to address the needs of the more than 3.3 million people with Medicare who use insulin.1 The program is available with certain Medicare Advantage Prescription Drug (MAPD) plans and all Humana Premier Rx Plan prescription drug plans.

How it works

The program offers low-cost, predictable copayments on select insulins, opens new window through the first three stages of the Part D prescription drug benefit (deductible, initial coverage and coverage gap).* Under this program, in 2021 eligible members† will pay a maximum copay of just $35 per month for each select insulin. Covered insulin prescriptions will not be subject to a deductible or any coverage gap cost increases throughout the plan year.

While the maximum copay for each select insulin is $35 per month, some plans feature copays as low as $0 per month. See the Summary of Benefits and Evidence of Coverage for each plan for specific copays.

To learn more about the Part D Senior Savings Model—which Humana calls the Insulin Savings Program—view this brief video from the Centers for Medicare and Medicaid Services (CMS), opens new window.

*The Insulin Savings Program does not apply during the catastrophic coverage stage of the Part D benefit.

†Not all Humana plans are participating in the Insulin Savings Program. Members who receive prescription drug assistance through Medicare’s Extra Help program are not eligible. Dual Special Needs Plans (DSNPs) and group Medicare plans are not eligible.

Need help finding a participating plan?

See if your insulin is included

View a list of covered select insulins, PDF opens new window. Or use our Rx Calculator to see if the drugs you’re currently taking are covered and what they’ll cost based on your plan choice.

Find a participating plan

View a list of participating plans, PDF opens new window, or enter your ZIP code to see all plans available in your area.

ZIP code Enter a valid ZIP code

Call or schedule an appointment

Our licensed Humana sales agents are available to help you select the coverage that best meets your needs.

Call 800-792-7485 (TTY:711), Monday - Friday, 8 a.m. to 8 p.m., local time

Source:

  1. “Part D Senior Savings Model,” Centers for Medicare and Medicaid Services, last accessed 10/19/2020, https://www.cms.gov/newsroom/fact-sheets/part-d-senior-savings-model, opens new window.