Blue MedicareRx Enhanced PDP for Arizona Seniors
|Initial Coverage Limit:||$2,850.00|
|Pharmacy Mail Order:||Yes|
|Gap Coverage:||No Gap Coverage|
|Low Income Subsidy:||No|
|PDP ID No:||S6506-002|
|Approved by CMS for:||AZ Residents|
|Rx Plan Type:||Regional|
2014 Medicare Prescription Drug Plan Overview
Blue MedicareRx Enhanced (PDP) is an approved Medicare Part D Drug Plan underwritten by Blue MedicareRx for eligible Arizona seniors with Medicare benefits.
The monthly premium is $60.80 ($729.60 for a full 12 months) and the pharmacy deductible is $0.00 per year. That means you receive prescription coverage assistance on day one (first dollar coverage).
The plan is based on drug formulary ID 00014135. The formulary offers 2839 FDA approved medications. Be sure to verify that your medications are covered.
Arizona seniors, be aware that a few different circumstances may decrease or increase your actual premium. Specifically, if you qualify for Extra Help (full or partial), your premium will decrease. On the other hand, if you have a premium penalty, your premium will be slightly more.
The Blue MedicareRx Enhanced plan compares well with these plans:
- Express Scripts Medicare - Choice at $70.50 per month for Arizona Seniors
- Transamerica MedicareRx Choice at $50.10 per month for Arizona Seniors
- First Health Part D Value Plus at $53.00 per month for Arizona Seniors
Blue MedicareRx Enhanced 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 no deductible so your initial coverage phase begins immediately.
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 Arizona the pharmacy co-pay for prescription drugs is as follows:
|Tier||Co-Pay Amount||Medications in Tier|
|1||$3.00||615 Preferred Generics|
|2||$14.00||1041 Non-Preferred Generics|
|3||$45.00||350 Preferred Brand Drugs|
|4||46%||833 Non-Preferred Brand Drugs|
|5||N/A||0 Specialty Drugs|
The Initial Coverage Limit with Blue MedicareRx Enhanced is $2,850.00. This plan does not qualify for a no cost LIS premium.
Blue MedicareRx Enhanced (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 Enhanced (PDP) plan all depends on your prescriptions.
Here's how the carrier defines the 'donut hole' gap coverage for this policy: No Gap Coverage
Blue MedicareRx Enhanced Plan Members
The number of seniors using the Blue MedicareRx Enhanced plan nationally is 0. In your area (PDP region 28) there are a reported 0 seniors using this pharmacy plan. That's based on the previous year's CMS information.
Additional Facilities and Services in AZ
More Information About Blue MedicareRx
Blue MedicareRx offered by Anthem Blue Cross and Blue Shield is a voluntary, Medicare prescription drug plan offered to Medicare beneficiaries in select service areas.
The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association.
The summary (overall) rating for this Blue MedicareRx plan is 3.5 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.