Blue MedicareRx Value Plus PDP for Massachusetts Seniors
|Initial Coverage Limit:||$2,850.00|
|Pharmacy Mail Order:||Yes|
|Gap Coverage:||No Gap Coverage|
|Low Income Subsidy:||No|
|PDP ID No:||S2893-001|
|Approved by CMS for:||MA Residents|
|Rx Plan Type:||Regional|
2014 Medicare Prescription Drug Plan Overview
Blue MedicareRx Value Plus (PDP) is an approved Medicare Prescription Drug Plan insured by Anthem Blue Cross and Blue Shield for Massachusetts seniors and other qualifying beneficiaries.
The plan's premium is $33.30 per month ($399.60 annually) and it has a $225.00 annual pharmacy deductible. The maximum deductible allowed by Medicare in this year is $310 (down from $325 last year). Your prescription coverage assistance begins when the deductible is reach.
The plan's formulary ID is 00014200. It features 2885 approved prescription medications.
Massachusetts seniors, there are two circumstances that will change the premium. Seniors that qualify for Extra Help receive a lower premium. Beneficiaries with a late enrollment penalty will pay slightly more.
We think it is worth comparing Blue MedicareRx Value Plus with:
- First Health Part D Premier Plus at $99.30 per month for Massachusetts Seniors
- Express Scripts Medicare - Choice at $49.50 per month for Massachusetts Seniors
- Transamerica MedicareRx Choice at $51.70 per month for Massachusetts Seniors
Blue MedicareRx Value Plus Initial Coverage
ICP - the Initial Coverage Phase - is where you share the cost of your prescriptions with your insurance company. You and the carrier each pay your share until you hit the Initial Coverage Limit (ICL). In 2014, the ICL is $2,850. This number is adjusted each year. This plan has a deductible, so your ICP does not start until the deductible has been paid.
All prescription drugs fall into one of several tiers within the insurance carrier's drug formulary. Carriers use the formulary tiers to manage cost-sharing. Be aware that tiers are not standardized. In other words, carriers assign drugs to the tier they deem most suitable.
In Massachusetts the tiered pharmacy co-pay with the Blue MedicareRx Value Plus (PDP) is as follows:
|Tier||Co-Pay Amount||Medications in Tier|
|1||$1.00||325 Preferred Generics|
|2||$6.00||437 Non-Preferred Generics|
|3||$35.00||1094 Preferred Brand Drugs|
|4||$85.00||669 Non-Preferred Brand Drugs|
|5||27%||360 Specialty Drugs|
The ICL (Initial Coverage Limit) on this Part D plan is $2,850.00. This plan doesn't qualify for a $0 LIS premium.
Blue MedicareRx Value Plus (PDP) 2014 Coverage Gap
The prescription drug Coverage Gap (aka, "Donut Hole") is the coverage phase where you must pay all of your medication costs. You can learn more about costs in the donut hole by reading What is the Medicare Part D Donut Hole? When you reach the donut hole with the Blue MedicareRx Value Plus (PDP) plan all depends on your prescriptions.
The 'donut hole' gap coverage on this policy is: No Gap Coverage
Prescription Drug Plan Members
The reported number of Medicare beneficiaries using the Blue MedicareRx Value Plus plan nationally is 0. In your region (CMS PDP region 2) there are an estimated 0 people using the plan (previous year's statistics).
Related Senior Services in Massachusetts
More Information About Anthem Blue Cross and Blue Shield
Anthem was an insurance company which began in the 1980s then merged in 2004 with the Blue Cross Blue Shield organizations of several states, then merged again in late 2004 with WellPoint. The combined company took the WellPoint name. While Anthem no longer exists as a company, the Anthem Blue Cross and Blue Shield brand name is used by WellPoint in 11 states.
The summary (overall) rating for this Anthem Blue Cross and Blue Shield plan is 4.5 out of 5 based on reviews from 0 user ratings from the previous year. For more information about the review process, visit http://cms.gov.