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BlueRx Overview Duplicate 1

BlueRx℠ Plans Include:

  • 55,000 Pharmacies Nationwide >
  • Mail-Order Pharmacy Service >
  • Prescriptions as Low as $0 >
  • $0 Deductible Option >
  • Standard Cost-Sharing Pharmacies
  • Save 33% on prescription drug costs
  • 2 plan options
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55,000 Pharmacies Nationwide

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55,000 Pharmacies Nationwide

 

Includes a retail pharmacy network, with cost-sharing available at many national retail pharmacies and hundreds of local independent neighborhood pharmacies. At retail and home delivery pharmacies, you can get up to a 100-day supply of routine medication, but pay only the copay for a 60-day supply!

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Mail-Order Pharmacy Service

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Mail-Order Pharmacy Service

 

Home Delivery Pharmacy Service is also available. Get your routine medication without leaving your home! When you use our Home Delivery Pharmacy Service you can get up to a 100-day supply by mail but pay only the copay for a 60-day supply. That’s one month at no cost to you…along with free standard shipping!

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Prescriptions as Low as $0

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Prescriptions as Low as $0

 

What you pay — up to a Total Rx annual spend of $2,100 for 2026.

DEDUCTIBLE: Your Rx spending before plan benefits begin.

COPAY/COINSURANCE: What you pay for prescriptions after reaching the deductible.

Tier 1 drugs starting at $0 from retail and home delivery pharmacies, depending upon your plan selection.

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Low Deductible Option

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Low Deductible Option

 

DEDUCTIBLE: Your Rx spending before plan benefits begin.

BlueRx ENHANCED PLUS: $150 deductible (Tiers 3, 4 and 5)

Choose from two options to fit your needs:

 

BlueRx Essential

  • Lowest monthly premium
  • $615 deductible (all Tiers)
  • Copays as low as $2
  • Retail and Home Delivery Cost-Sharing Pharmacies

BlueRx Enhanced Plus

  • $150 deductible (Tiers 3, 4 and 5)
  • Copays as low as $0
  • More covered brand-name drugs
  • Retail and Home Delivery Cost-Sharing Pharmacies


 

Use routine maintenance drugs?

No matter which BlueRx plan you choose, you'll save time and money for up to a 100-day supply with both our Retail Pharmacies and convenient Home Delivery Pharmacy Service. With a 100-day fill, you get a 3-month supply for the cost of 2 months (for drug tiers with a copay).

Save 33% of prescription drug costs image
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BlueRx

Essential
(PDP)

$76.20 per month

Enroll NowView Extra Help Pricing >

Based on your income, you may qualify for financial help from Medicare to lower your monthly premium.* If you qualify, you will also have no drug coverage gap and lower out-of-pocket costs. If you aren't receiving extra help, the Alabama State Health Insurance Assistance Program (SHIP) provides education and counseling on low-income assistance programs for Medicare.

1-800-AGE-LINE (1-800-243-5463) TTY 1-800-548-2547

Medicare beneficiaries can qualify for Extra Help paying for their monthly premiums, annual deductibles, and co-payments related to Medicare prescription drug coverage. https://www.ssa.gov/benefits/medicare/prescriptionhelp

Plan Name No LIS 100%
BlueRx Essential (PDP)
$76.20
$48.50

You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for getting Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/7 days a week; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call 1-800-325-0778; or your State Medicaid Office.

https://www.ssa.gov/medicare/part-d-extra-help

*You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third party.

BlueRx

Enhanced

Plus (PDP)

$129.50 per month

Enroll NowView Extra Help Pricing >

Based on your income, you may qualify for financial help from Medicare to lower your monthly premium.* If you qualify, you will also have no drug coverage gap and lower out-of-pocket costs. If you aren't receiving extra help, the Alabama State Health Insurance Assistance Program (SHIP) provides education and counseling on low-income assistance programs for Medicare.

1-800-AGE-LINE (1-800-243-5463) TTY 1-800-548-2547

Medicare beneficiaries can qualify for Extra Help paying for their monthly premiums, annual deductibles, and co-payments related to Medicare prescription drug coverage. https://www.ssa.gov/benefits/medicare/prescriptionhelp

Plan Name No LIS 100%
BlueRx Enhanced Plus (PDP)
$129.50
$101.80

You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for getting Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/7 days a week; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call 1-800-325-0778; or your State Medicaid Office.

https://www.ssa.gov/medicare/part-d-extra-help

*You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third party.

Deductible
The amount you pay for eligible health services in a year before your insurance policy begins to share costs. If your deductible is $1,500, for example, you’ll pay for eligible costs for up to $1,500 before your policy helps pay for covered services.
$615 (All Tiers) $150 (Tiers 3, 4 and 5)
Retail and Mail-Order Cost-Sharing Pharmacy Copays
A set fee you pay for a prescription medication, after you meet your drug deductible, if applicable.
/ Coinsurance
The portion of the cost you pay for a prescription medication, after your drug deductible has been met. For example, if your coinsurance is 20%, you’ve already met your annual deductible, and receive a bill for $100 then you’ll pay $20 and your insurance will pay the rest.
Tier 1 - Preferred Generic $2 $0
Tier 2 - Generic $10 $12
Tier 3 - Preferred Brand 19% $47
Tier 4 - Non-Preferred Drug 41% 42%
Tier 5 - Specialty Tier 25% 31%
Select Insulins (Tiers 3 & 4) $35 $35
Catastrophic Coverage Phase Once YOUR out-of-pocket spending on prescriptions reaches $2,100 you pay nothing. Once YOUR out-of-pocket spending on prescriptions reaches $2,100 you pay nothing.
 


Based on your income, you may qualify for financial help from Medicare to lower your monthly premium.* If you qualify, you will also have no drug coverage gap and lower out-of-pocket costs. If you aren't receiving extra help, the Alabama State Health Insurance Assistance Program (SHIP) provides education and counseling on low-income assistance programs for Medicare.  

1-800-AGE-LINE (1-800-243-5463) TTY 1-800-548-2547

 

 


 
Plan Name No LIS 100%
BlueRx Essential (PDP)
50.20
17.50

 


You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for getting Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/7 days a week; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call 1-800-325-0778; or your State Medicaid Office.

 

*You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third party.

 

 

Insulin Disclaimer

Important Message About What You Pay for Vaccines - Our plan covers most Part D vaccines at no cost to you, even if you haven't paid your deductible. Call Member Services for more information. 
 
Important Message About What You Pay for Insulin - You won’t pay more than $35 for a one-month supply of each insulin product covered by our plan, no matter what cost-sharing tier it's on.

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