Part D Insurance

 

 

Humana Part D

Licensed Medicare Part D agents represent virtually every insurer in the United States. No one knows the rules and regulations of the Medicare industry better than the local insurance agent.

Choosing The Right Medicare Part D Insurance Coverage

Your Medicare Part D insurance should be tailored to fit your specific drug expenses.


These government plans are confusing, even for educated professionals, so consulting a Part D specialist is valuable.

No matter which company for Medicare Part D insurance you choose, you want it to be the most suitable Part D plan for your specific needs.

The lower cost plans will lower your overall costs and give you suitable coverage rates when full retail prescription expenses are less than $2,250 per year, as long as they cover the specific prescriptions that you take.

 

 


Calculate
your local drugstore costs as if you have no supplement insurance.When the full retail annual price exceeds $2,250 your basic insurance ends and you are then officially in the "Donut Hole".

Help that is available to fill in the Part D gaps.
Considerations to make when choosing Part D plans.

NAMI - National Association of Medicare Insurers

NAMI helps millions of Medicare recipients to have high quality benefits for the various Medicare insurances: Medicare Part D and Advantage plans.

 

medicare-part-d-plans

Medicare Part D Service Log

Which Part D plan is best for you?

Medicare D Coverage  

Talking to a qualified Medicare insurance agent will help you choose the right plan.

You can take advantage of the correct Medicare Part D drug plan if you do your homework.

It is possible to save 60% or more with a Medicare drug plan, but that depends on how much you spend each year.

Find out more for Medicare Part D Plans in 2012.

Medicare Part D Options

Most basic plans are sufficient if your annual costs are close to $2,250.

Medicare Part D insurance premiums are reasonable with basic plans and range from a low of $12 or so, up to about $30 per month.

If your annual retail prescription drug expenses are beyond $2,250 then you need to consider a more expensive Medicare part D supplemental plan.

Consider This:

  • Discuss your annual prescription costs with a pharmacist to find out what you would pay retail if you had "No Insurance". This is important because basic Medicare part d insurance is only good up to $2,250 for most medical insurance plans.
  • Once you spend beyond $2,250 you are into the "Donut Hole" with most Medicare part d plans and it is at that point your coverage ends.
  • You continue paying monthly premiums when in the "Donut Hole" with Medicare part d, but there is "No More Coverage" until you reach the catastrophic area which is pegged at $5,100.

A large number of seniors will not reach the catastrophic area in Medicare part d and will be stuck paying 100% when they go beyond $2,250 if you choose the wrong plan.

Medicare insurance policies should be chosen based on rates. Coverage on Medicare insurances are standardized, rates are varied. Medicare policies that you choose during the open enrollment period may be the most important decision you make for your retirement years.

What is Medicare Part D?

Medicare Part D plans have been growing steadily more popular with seniors since their introduction in 2004. Part D plans provide assistance to those who are over 65 years of age and don’t have supplemental health insurance by providing coverage towards the cost of prescription drugs, or even by paying the whole fee.

The Benefits of Medicare Part D


If a prescription drug meets the criteria which class it as a generally prescribed medication, then Medicare Part D will cover you. All you need to do is pay a certain amount from your own pocket and your prescription medications will be covered in part or in their entirety for brand name or generic drugs.

How does it work? Medicare Part D beneficiaries are covered for a substantial 75% of their prescription fees, provided they are over the relatively low threshold of $250 per year, after first paying a $250 yearly deductible. Once the costs reach a threshold of $2250, beneficiaries have to cover all prescription drug costs themselves, but after $5100 all costs are covered by your Medicare Part D plan, ensuring expensive treatments for serious conditions are paid for.

Medicare Part D was introduced in order to provide compensation for out of pocket costs, alongside the other Medicare plans. Although regulated by the government, Medicare is not provided by them directly, it is offered by a number of independently run companies, so it is wise to investigate different Part D plans to ensure that your particular medication is covered before you buy.

Failing to choose the correct Medicare Part D plan could leave you facing a penalty for changing your policy later on. Do some research into what each provider offers and make sure you have a good knowledge of how Medicare works prior to purchasing your Part D plan. Ask yourself:

  • » Does Medicare consider my coverage to be “creditable”?
  • » How much do my prescriptions cost and what medication do I require?
  • » Does my Part D policy meet my specific medication requirements?
  • » Have I sufficient knowledge of the Medicare scheme prior to purchase?

 

Medicare Part D offers policy holders several options to assist them in their regular prescription drug costs. Although several different privately run companies are involved in the scheme, they all adhere to the standards initiated by the US government, despite variations in their policies. Medicare Part D is entirely optional, as a supplemental offer on a beneficiary’s existing Medicare policy.

2012 Medicare Part D Coverage Statistics

States
Medicare Part D Eligibility
Stand-Alone PDPs
Medicare Advantage Drug Plans
Employer Plans
Other Prescription Coverages
Known Credible Drug Coverage
United States
44,143,464
56,656,542
4,454,334
3,445,330
3,461,907
56,545,459
Alabama
645,236
253,467
415,364
536,576
158,076
491,267
Alaska
35,765
45,356
535
54,351
5,740
47,345
Arizona
475,065
643,356
394,247
440,310
469,359
748,574
Arkansas
753,354
243,334
33,426
30,243
38,541
426,562
California
3,464,654
3,456,345
2,430,341
227,965
511,597
3,834,590
Colorado
464,627
346,142
343,423
34,364
73,633
185,733
Connecticut
657,543
213,323
35,543
411,558
78,286
454,464
Delaware
235,432
42,345
4,534
21,361
86,459
145,549
District of Columbia
37,643
54,456
3,464
433,252
21,306
59,245
Florida
5,646,556
3,66,534
496,546
350,581
542,441
4,712,095
Georgia
3,533,243
545,343
602,463
135,230
346,475
949,519
Hawaii
340,445
44,434
44,579
6,369
45,345
162,440
Idaho
346,544
64,333
35,730
65,345
34,346
145,744
Illinois
2,345,644
346,564
413,729
464,563
345,343
6,455,356
Indiana
646,567
566,434
69,354
394,681
235,754
645,567
Iowa
754,342
433,143
37,413
45,754
43,230
434,346
Kansas
345,643
644,973
37,539
34,346
35,332
355,459
Kentucky
454,356
645,438
42,752
347,640
23,642
635,45
Louisiana
644,543
355,851
349,465
64,355
23,463
556,658
Maine
245,454
325,247
4,543
34,532
36,633
799,230
Maryland
576,456
546,632
64,346
342,321
345,346
634,451
Massachusetts
3,564,345
146,543
436,354
485,232
246,346
338,450
Michigan
5,454,454
754,246
343,247
341,524
743,324
1,612,548
Minnesota
564,457
704,545
643,343
86,132
64,251
445,745
Mississippi
564,344
683,653
18,568
39,590
43,246
442,096
Missouri
744,346
223,454
350,867
318,545
152,205
815,141
Montana
354,456
46,643
54,013
34,305
26,488
131,039
Nebraska
654,345
251,574
20,501
64,212
39,449
246,456
Nevada
543,346
62,423
65,335
40,457
52,437
270,540
New Hampshire
134,543
95,357
3,532
34,635
30,782
135,595
New Jersey
3,453,454
467,554
245,441
280,258
141,519
1,059,478
New Mexico
454,543
988,656
53,133
23,307
44,574
534,466
New York
3,456,644
958,677
420,318
144,441
249,762
5,34,353
North Carolina
5,424,154
535,456
164,255
612,756
366,464
1,146,341
North Dakota
345,532
64,456
9,452
9,407
413,449
94,168
Ohio
2,456,643
645,454
340,378
548,943
162,722
1,463,112
Oklahoma
466,432
467,447
59,512
34,753
93,656
475,735
Oregon
671,545
345,358
353,484
45,460
75,493
440,746
Pennsylvania
4,653,324
754,457
768,342
350,770
342,761
1,345,363
Rhode Island
246,643
65,457
27,565
32,352
23,717
123,253
South Carolina
354,467
744,454
84,468
218,744
108,435
731,232
South Dakota
643,456
65,4533
4,346
2,655
24,621
135,332
Tennessee
455,456
244,543
453,234
462,448
420,693
834,363
Texas
5,457,566
3,453,432
644,345
423,751
389,432
2,334,243
Utah
765,456
64,343
43,456
31,355
26,132
614,400
Vermont
234,466
64,345
765
78,251
13,448
87,388
Virginia
3,567,454
633,331
345,567
149,159
322,553
875,556
Washington
454,242
564,531
435,356
117,494
413,333
74,550
West Virginia
675,456
145,438
764,021
35,886
33,231
459,376
Wisconsin
544,567
323,564
314,550
134,663
322,345
654,845
Wyoming
54,467
54,343
5,370
3,764
64,332
61,745

 

How did Humana become #1?

As Part D of Medicare was beginning, Humana's strategy was to use their Part D insurance coverage as a loss-leader. Humana has been America's leading Medicare Advantage insurance company since the early 1970s.

Humana's HMOs (Advantage plans) have had high market share in Texas and Florida since the Medicare HMO inception. Humana knows the value of getting "out of the box" early even if this means every additional Medicare Part D client causes a financial loss.

There are currently fifteen nationwide insurers offering Medicare Part D coverage and hundreds of regional actors in this nationwide drama as to who will actually stay in this industry. For the Part D insurer, the initial administrative and marketing expenses are staggering. As the insurer gets it foot in the door and survives the initial stage, the market becomes a printing press for profits.

Humana Part D insurance lost $187 for every member that signed up for their plan at Part D's inception on January, 2012. These losses were caused by Humana Part D having rates that were substantially lower than their competitors. This aggressive pricing caused Medicare Part D by Humana to capture 23.6% of the stand-alone nationwide market, as opposed to Medicare Part D market share of 11.5%.

As one would expect, Humana's Part D insurance coverage had record price increases for calendar year 2012. Humana's Part D mean premium rose from $21.75 to $38.65 for 2012. For calendar year 2012, their Medicare Part D is $41.56. While Part D Medicare coverage is now slightly less costly at an average rate of $38.78 per month. Humana's market share for the stand-alone Part D coverage have fallen to 18.5% while the Medicare Part D plans have risen to 12.8% market share.

 

13 Nationwide Insurers

There are now 13 Part D insurers that are  offering their Part D plans
in all 50 states.

 Here is the list (in order as of January 1, 2012):

   1.  Humana Insurance
   2.  United Insurance
   3.  Blue Cross/Unicare
   4.  Aetna Medicare
   5.  Coventry AdvantraRx
   6.  CIGNA Medicare Rx
   7.  SilverScript Insurance
   8.  WellCare Coverage
   9.  Sterling Life
   10. EnvisionRx Plus
   11. United American
   12. HealthSpring
   13. Health Net