MedicareBlue Rx Premier Montana Part D Plan S5743-004 by MedicareBlue Rx
MedicareBlue Rx Premier is a 2024 Enhanced Medicare Part D plan from MedicareBlue Rx 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.
MedicareBlue Rx Premier is a cost-sharing plan that has a $123.50 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 4.0 (Good) out of 5 stars.
See more Medicare Part D Plans in Montana.
Part D Plan Basics | |
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Plan ID: | S5743-004 |
Plan Type: | PDP |
Plan Year: | 2024 |
Premium: | $123.50/mo |
Deductible: | $0.00/yr |
Benefit Type: | Enhanced |
Rx Gap Coverage: | Yes |
Low Income Subsidy: | No |
Availability: | Montana |
Insured By: | MedicareBlue Rx |
Prescription Drug Plan Premium
Although MedicareBlue Rx Premier'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 MedicareBlue Rx plan.
Basic Part D Premium: | $83.40 |
Supplemental Part D Premium: | $40.10 |
Total Part D Premium: | $123.50 |
Part D Premium with Full LIS Assistance: | $81.30 |
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 MedicareBlue Rx begins paying its share.
Prescription Drug Plan Out-of-Pocket Costs
In addition to the plan's monthly premium and deductible, MedicareBlue Rx Premier 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) | $0.00 copay | $15.00 copay |
2 (Generic) | $0.00 copay | $20.00 copay |
3 (Preferred Brand) | 20% | 25% |
4 (Non-Preferred Drug) | 40% | 45% |
5 (Specialty Tier) | 33% | 33% |
Our Review & 2024 CMS Rating Marks
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.
This Medicare Part D plan gets 4.0 out of 5 stars overall. Here's our quick summary of how well MedicareBlue Rx Premier 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 |
In terms of quality care, this plan is better than the average Medicare Part D plan in Montana. Solving issues when a member has a problem getting their medications is critical, and MedicareBlue Rx Premier members say the plan does a good job when they call for help. Compared to other plans, Medicare gets relatively few member complaints about this plan. The member experience with this MedicareBlue Rx plan is about average. Drug safety and the accuracy of drug pricing with this plan are about average.
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. This plan has a zero-dollar deductible. That means you have first-dollar coverage.
Additional Enhanced Medicare Part D Plan Options in Montana
Here are some additional plans in your area that might be worth reviewing:
- SilverScript Plus (S5601-051)
- Cigna Saver Rx (S5617-375)
- Humana Premier Rx Plan (S5884-171)
- Humana Walmart Value Rx Plan (S5884-204)
- MedicareBlue Rx Select (S5743-008)
Contact MedicareBlue Rx
Plan Website: | MedicareBlue Rx Plan Information |
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Formulay Information: | MedicareBlue Rx Formulary Information |
Pharmacy Information: | MedicareBlue Rx Pharmacy Information |
Prospective Members: | (866)434-2037 |
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
- MedicareBlue Rx, "http://www.YourMedicareSolutions.com", 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, "Costs for Medicare drug coverage", Last Accessed March 3, 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