Blue Shield Rx Enhanced California Part D Plan S2468-004 by Blue Shield of California
Blue Shield Rx Enhanced is a 2024 Enhanced Medicare Part D plan from Blue Shield of California that's available to people with Medicare Part A and/or Part B or a Medicare Advantage plan that does not include prescription drug plan benefits.
Blue Shield Rx Enhanced is a cost-sharing plan that has a $188.40 monthly premium, an initial coverage limit of $5,030, a $0.00 annual deductible, and an out-of-pocket threshold of $8,000. CMS rated this plan 3.5 (Above Average) out of 5 stars.
See more Medicare Part D Plans in California.
Part D Plan Basics | |
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Plan ID: | S2468-004 |
Plan Type: | PDP |
Plan Year: | 2024 |
Premium: | $188.40/mo |
Deductible: | $0.00/yr |
Benefit Type: | Enhanced |
Rx Gap Coverage: | No |
Low Income Subsidy: | No |
Availability: | California |
Insured By: | Blue Shield of California |
Prescription Drug Plan Premium
Although Blue Shield Rx Enhanced's monthly premium is bundled with the total plan cost, some plans have supplemental costs and/or offer low-income subsidy (LIS) assistance. The following table outlines the premium details of this Blue Shield of California plan.
Basic Part D Premium: | $157.90 |
Supplemental Part D Premium: | $30.50 |
Total Part D Premium: | $188.40 |
Part D Premium with Full LIS Assistance: | $147.40 |
For more information about the Low-Income Subsidy (aka, "Extra Help") program, refer to the Social Security Extra Help page.
Prescription Drug Plan Deductible
The Medicare Part D annual deductible with this plan is $0.00. This is the amount you must pay at the pharmacy before Blue Shield of California begins paying its share.
Prescription Drug Plan Out-of-Pocket Costs
In addition to the plan's monthly premium and deductible, Blue Shield Rx Enhanced has copayments (a fixed dollar amount) and/or coinsurances (a percentage amount) that you must pay when you pick up your prescriptions. The following table shows you those costs.
Tier | Preferred | Standard |
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1 (Preferred Generic) | $2.00 copay | $11.00 copay |
2 (Generic) | $7.00 copay | $14.00 copay |
3 (Preferred Brand) | $43.00 copay | $47.00 copay |
4 (Non-Preferred Drug) | 47% | 50% |
5 (Specialty Tier) | 33% | 33% |
A Brief Review and CMS 5-Star Rating Marks
The following table shows the quality ratings for this Blue Shield of California plan. Each year CMS rates drug plans (Part D) in four broad categories. We do not recommend joining a plan with an overall rating of less than 3.0.
This Medicare Part D plan gets 3.5 out of 5 stars overall. Here's our quick summary of how well Blue Shield Rx Enhanced performs.
CMS Measure | Star Rating |
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Overall Plan Rating | |
Drug Plan Customer Service | |
Complaints and Changes in the Drug Plan | |
Member Experience with the Drug Plan | |
Drug Safety and Accuracy of Drug Pricing |
Most Part D plans get average marks, including this one. Blue Shield Rx Enhanced delivers an excellent customer care experience when members call for help. Member complaints to Medicare about this plan are very low. Medicare beneficiaries enrolled in this Blue Shield of California plan enjoy a good member experience. Measuring drug safety and the accuracy of drug pricing are one way we can measure quality, and this plan scores good at both.
The true value of any Medicare Part D plan can only be judged by how well it covers your medications. You can find enhanced benefit plans that have a lower monthly cost than this one. If the plan covers your prescriptions at a lower price overall, that's fine. With no annual deductible, this plan offers first-dollar coverage.
Additional Enhanced Medicare Part D Plan Options in California
Here are some additional plans in your area that might be worth reviewing:
- Cigna Extra Rx (S5617-277)
- Mutual of Omaha Rx Premier (S7126-101)
- Anthem Blue Cross MediBlue Rx Plus (S5596-088)
- Cigna Saver Rx (S5617-382)
- AARP Medicare Rx Walgreens from UHC (S5921-413)
Contact Blue Shield of California
Plan Website: | Blue Shield of California Plan Information |
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Formulay Information: | Blue Shield of California Formulary Information |
Pharmacy Information: | Blue Shield of California Pharmacy Information |
Prospective Members: | (855)219-8843 |
TTY Users: | (711)- |
If you qualify for Original Medicare but have not yet enrolled or verified your enrollment status, you can do so on the Social Security Administration website. You can learn more about the Medicare Advantage program on www.medicare.gov.
Plans Offered
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, GlobalHealth, Health Care Service Corporation, Cigna Healthcare, Humana, Molina Healthcare, Mutual of Omaha, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Scott and White Health Plan now part of Baylor Scott & White Health, UnitedHealthcare(R), and Wellcare.
Citations & References
- Blue Shield of California, "http://blueshieldca.com/medicare", Last Accessed March 11, 2024
- Medicare.gov, "Drug coverage (part D)", Last Accessed March 2, 2024
- Medicare.gov, "How Part D works with other insurance", Last Accessed March 14, 2024
- Medicare.gov, "Catastrophic coverage", Last Accessed March 13, 2024
- SSA.gov, "Understanding the Extra Help With Your Medicare", Last Accessed March 9, 2024
- CMS.gov, "Landscape Source Files", Last Accessed January 3, 2024
- CMS.gov, "Medicare Part C & D Performance", Last Accessed January 3, 2024