BlueRx: Medicare Prescription Drug Plan | Blue Cross and Blue Shield of Alabama - Medicare
BlueRx Plans Include:
- 63,000 Pharmacies Nationwide >
- Mail-Order Pharmacy Service >
- Prescriptions as Low as $0 >
- $0 Deductible Option >
- Standard Cost-Sharing Pharmacies
- Save 33% on prescription drug costs
- 3 plan options
63,000 Pharmacies Nationwide
More >63,000 Pharmacies Nationwide
BlueRx Essential: STANDARD Pharmacy Network. Standard cost-sharing is available at over 900 retail pharmacies including CVS, Publix, Walgreens, Walmart and hundreds of other local independent neighborhood pharmacies!
BlueRx ENHANCED and BlueRx ENHANCED PLUS: PREFERRED Pharmacy Network. Preferred cost-sharing is available at retail pharmacies that now include Costco, Kroger, Publix, Walgreens, Walmart, Winn-Dixie, Sam's Club and HUNDREDS of local independent neighborhood pharmacies. At Preferred pharmacies, you can get a 90-day supply of routine medication but pay only the copay for a 60-day supply.
Mail-Order Pharmacy Service
More >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 a 90-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!
Prescriptions as Low as $0
More >Prescriptions as Low as $0
What you pay — up to a Total Rx annual spend of $4,660 (the Initial Coverage Limit in 2023)
DEDUCTIBLE: Your Rx spending before plan benefits begin
COPAY: What you pay for prescriptions after reaching the deductible
Tier 1 – BlueRx ESSENTIAL (STANDARD Cost-Sharing Pharmacy): Preferred Generic $0 after deductible
Click here for ways to ensure you are paying the least amount for your prescriptions with Rx Savings Solutions.
$0 Deductible Option
More >$0 Deductible Option
DEDUCTIBLE: Your Rx spending before plan benefits begin
BlueRx ENHANCED PLUS: $0 deductible; $152.30 monthly plan premium
Choose from three options to fit your needs:
BlueRx Essential
- Lowest monthly premium
- $505 deductible
- Copays as low as $0
- Standard Cost-Sharing Pharmacies
BlueRx Enhanced
- $505 deductible
- Copays as low as $2
- More covered brand-name drugs
- Preferred Cost-Sharing Pharmacies
BlueRx Enhanced Plus
- $0 deductible
- Copays as low as $2
- More covered brand-name drugs
- Preferred Cost-Sharing Pharmacies
Use routine maintenance drugs?
No matter which BlueRx plan you choose, you'll save time and money on a 90-day supply with our convenient Mail-Order Home Delivery Pharmacy Service. With a 90-day fill, you get a 3-month supply for the cost of 2 months — and enjoy FREE shipping right to your door.
More Information:
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BlueRxEssential
|
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Plan Name | No LIS | 25% | 50% | 75% | 100% |
|---|---|---|---|---|---|
|
BlueRx Essential (PDP)
|
52.50
|
43.70
|
34.90
|
26.10
|
17.30
|
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.
BlueRx
Enhanced
(PDP)
$105.10 per month
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 | 25% | 50% | 75% | 100% |
|---|---|---|---|---|---|
|
BlueRx Enhanced (PDP)
|
105.10
|
96.30
|
87.50
|
78.70
|
69.90
|
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.
BlueRx
Enhanced Plus (PDP)
$152.30 per month
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 | 25% | 50% | 75% | 100% |
|---|---|---|---|---|---|
|
BlueRx Enhanced Plus (PDP)
|
152.30
|
143.50
|
134.70
|
125.90
|
117.10
|
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.
| Tier 2 - Generic | N/A | $8 | $10 |
| Tier 3 - Prefered Brand | N/A | $40 | $40 |
| Tier 4 - Non-Preferred Drug | N/A | 38% | 36% |
| Tier 5 - Speciality Tier | N/A | 25% | 33% |
| STANDARD Cost-Sharing Pharmacy Copays / Coinsurance | |||
| Tier 1 - Prefered Generic | $0 | $9 | $9 |
| Tier 2 - Generic | $12 | $15 | $17 |
| Tier 3 - Prefered Brand | $47 | $47 | $47 |
| Tier 4 - Non-Preferred Drug | 50% | 43% | 41% |
| Tier 5 - Speciality Tier | 25% | 25% | 33% |
| Coverage Gap Phase | Once the TOTAL prescription annual spending exceeds $4,660 and YOUR spending is below $7,400 you pay 25% of generic drug costs and 25% of brand-name drug costs. | Once the TOTAL prescription annual spending exceeds $4,660 and YOUR spending is below $7,400 you pay 25% of generic drug costs and 25% of brand-name drug costs. | Once the TOTAL prescription annual spending exceeds $4,660 and YOUR spending is below $7,400 you pay 25% of generic drug costs and 25% of brand-name drug costs. |
| Catastrophic Coverage Phase | Once YOUR out-of-pocket spending on prescriptions reaches $7,400 you pay the greater of $4.15 for generic drugs and $10.35 for brand-name drugs OR 5% coinsurance per prescription for the rest of the year. BlueRx pays the rest. | Once YOUR out-of-pocket spending on prescriptions reaches $7,400 you pay the greater of $4.15 for generic drugs and $10.35 for brand-name drugs OR 5% coinsurance per prescription for the rest of the year. BlueRx pays the rest. | Once YOUR out-of-pocket spending on prescriptions reaches $7,400 you pay the greater of $4.15 for generic drugs and $10.35 for brand-name drugs OR 5% coinsurance per prescription for the rest of the year. BlueRx pays the rest. |
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 | 25% | 50% | 75% | 100% |
|---|---|---|---|---|---|
|
BlueRx Essential (PDP)
|
50.20
|
42.00
|
33.80
|
25.70
|
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.
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