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By Harold Robinson


Humana is one of the companies offering Medicare standalone, PFFS, PPO and HMO prescription plans that have contract with them. These various plans would assist in getting the particular service you require including if you could choose or not any physician. They provide additional benefits and are under the Part C.

When you choose HMO then your physician must be in their network while with PPO you can choose either in or out of them. The PFFS is also open for physicians outside their network but must accept the terms and rates of this insurance company. Here are several important guides in choosing a Humana Medicare Advantage plan that is right for you.

Determine the changes with your overall costs the following year by comparing available plans that includes their fees as well. They may have premiums with zero dollar but they would get the money somewhere else for their business such as increasing drug prices. Have a detailed comparison done in helping you get ideas of your possible expenses.

Check if every prescription drug you have are included still in those covered by that plan through checking their list before choosing one. These are only viewable before by those that were already customers of Medicare and not those that will enroll still. But everybody can view them now which makes deciding easier specially when some are specific to areas.

Find out how does your expensive medications going to be treated which is usually through direct increase or moving them into a more expensive pricing tier. Most of them have five tiers with the last one being those that have very high costs. Though you could still save some money with this because you will have five percent discount when buying these medicines.

Filling prescription drugs on a pharmacy preferred by your plan would save you some money specially those in mail order. Filling in non preferred ones is still possible but they tend to be more expensive when you choose to do this instead. Call the pharmacy where you currently fill up at and make sure they are still included in the preferred pharmacies.

There was a new rule that took effect which denies those prescriptions for Part D which were not written by enrolled Medicare provider. This is applicable as well to those professionals authorized to write a prescription and not only physicians so getting enrolled is a must. Make sure you would check this with them so there will be no surprises when you are not given your medicine.

When you reach a certain amount in your insurance then coverage gap will happen and a different percentage must be paid. That would be 58 percent when buying generic drugs and 45 percent when purchasing brand named ones. Though this will become 25 percent in the year 2020.

Those whose income is low enough, they could qualify for the Extra Help program. This is a financial assistance given by Medicare in buying their medicines. This program could be complicated so ask help from your state counselor.




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