Blue Cross MedicareRx Choice Part D Plan S5715-019 Details for Illinois
Blue Cross MedicareRx Choice is a 2024 Enhanced Medicare Part D plan from Blue Cross and Blue Shield of IL, NM, OK, TX 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 Cross MedicareRx Choice is a cost-sharing plan that has a $27.70 monthly premium, an initial coverage limit of $5,030, a $545.00 annual deductible, and an out-of-pocket threshold of $8,000. This plan is rated 3.5 (Above Average) stars by CMS.
See more Medicare Part D Plans in Illinois.
2025 Blue Cross MedicareRx Choice Cost and Coverage
The 2025 cost and coverage information for Blue Cross MedicareRx Choice will not be available until early October. We'll notify you when it is available from CMS.
Sign-Up for 2025 Medicare Part D Plan Notification. The 2025 Annual Enrollment Period starts October 15.
| Part D Plan Basics | |
|---|---|
| Plan ID: | S5715-019 |
| Plan Type: | PDP |
| Plan Year: | 2024 |
| Premium: | $27.70/mo |
| Deductible: | $545.00/yr |
| Benefit Type: | Enhanced |
| Rx Gap Coverage: | No |
| Low Income Subsidy: | No |
| Availability: | Illinois |
| Insured By: | Blue Cross and Blue Shield of IL, NM, OK, TX |
Prescription Drug Plan Premium
Although Blue Cross MedicareRx Choice'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 Cross and Blue Shield of IL, NM, OK, TX plan.
| Basic Part D Premium: | $20.80 |
| Supplemental Part D Premium: | $6.90 |
| Total Part D Premium: | $27.70 |
| Part D Premium with Full LIS Assistance: | $6.90 |
The Social Security Extra Help page has more information about the Low-Income Subsidy (“Extra Help”) program.
Prescription Drug Plan Deductible
This plan's Medicare Part D annual deductible is $545.00. You must pay this amount at the pharmacy before Blue Cross and Blue Shield of IL, NM, OK, TX begins paying its share
NOTE: The deductible does not apply to one or more drug tiers in this plan (see "Prescription Drug Plan Out-of-Pocket Costs" below).
Prescription Drug Plan Out-of-Pocket Costs
In addition to the plan's monthly premium and deductible, Blue Cross MedicareRx Choice 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 |
|---|---|---|
| 1 (Preferred Generic) | $0.00 copay (deductible does not apply) | $15.00 copay (deductible does not apply) |
| 2 (Generic) | $7.00 copay | $20.00 copay |
| 3 (Preferred Brand) | $46.00 copay | $47.00 copay |
| 4 (Non-Preferred Drug) | 38% | 38% |
| 5 (Specialty Tier) | 25% | 25% |
CMS Rating Marks for Plan Year 2024
Each year the Centers for Medicare & Medicaid Services (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. Here are the most recent CMS ratings for this plan.
Overall, this Medicare Part D plan gets 3.5 out of 5 stars from CMS. Here's a quick summary of how well Blue Cross MedicareRx Choice performs.
| CMS Measure | Star Rating |
|---|---|
| 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 |
You can't judge a Part D plan on its monthly premium or annual deductible. You have to look at the overall cost of your prescriptions. Although the premium for most enhanced benefit plans is higher than this one, you'll need to make sure it offers greater value in terms of the medications you require. This plan does have an annual deductible, but one of the formulary tiers is excluded (see table above).
Contact Blue Cross and Blue Shield of IL, NM, OK, TX
| Plan Website: | Blue Cross and Blue Shield of IL, NM, OK, TX Plan Information |
|---|---|
| Formulay Information: | Blue Cross and Blue Shield of IL, NM, OK, TX Formulary Information |
| Pharmacy Information: | Blue Cross and Blue Shield of IL, NM, OK, TX Pharmacy Information |
| Prospective Members: | (877)213-1817 |
| 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 at www.medicare.gov.
Citations & References
- Blue Cross and Blue Shield of IL, NM, OK, TX, "http://www.getblueil.com/pdp", Last Accessed March 11, 2024
- Medicare.gov, "Drug coverage (part D)", Last Accessed March 2, 2024
- Medicare.gov, "What Medicare Part D drug plans cover", Last Accessed March 1, 2024
- Medicare.gov, "Medicare costs at a glance", Last Accessed March 11, 2024
- SSA.gov, "Apply for Medicare Part D Extra Help program", 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
Plans Offered
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Baylor Scott & White Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, GlobalHealth, Health Care Service Corporation, Healthy Blue, HealthSun, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.