Horizon Medicare Blue Rx Standard Part D Plan S5993-001 Details for New Jersey
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Horizon Medicare Blue Rx Standard is a prescription drug plan from Horizon Blue Cross Blue Shield of New Jersey that's available to people enrolled in Original Medicare or a Medicare Advantage plan without Part D benefits.
This 2025 Medicare Part D plan has a $18.20 monthly premium, $590.00 annual deductible, $5,030 initial coverage limit, and a $8,000 out-of-pocket threshold. *This plan is rated 3 (Average) stars out of 5 stars by CMS.
See more Top Medicare Part D Plans in New Jersey.
| Part D Plan Basics | |
|---|---|
| Plan ID: | S5993-001 |
| Plan Type: | PDP |
| Plan Year: | 2025 |
| Premium: | $18.20/mo |
| Deductible: | $590.00/yr |
| Benefit Type: | Basic |
| Low Income Subsidy: | Yes |
| Availability: | New Jersey |
| Insured By: | Horizon Blue Cross Blue Shield of New Jersey |
Prescription Drug Premium with Extra Help
Although Horizon Medicare Blue Rx Standard 's monthly premium is bundled with the total plan cost, some plans may receive low-income subsidy (LIS) assistance known as Extra Help. The following table outlines the LIS available through this Horizon Blue Cross Blue Shield of New Jersey plan (if any).
| Low Income Premium Subsidy: | $56.86 |
| Low Income Premium Subsidy CMS Pays: | $18.20 |
| Low Income Subsidy Premium: | $0.00 |
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 $590.00. You must pay this amount at the pharmacy before Horizon Blue Cross Blue Shield of New Jersey begins paying its share
Prescription Drug Plan Out-of-Pocket Costs
In addition to the plan's monthly premium and deductible, Horizon Medicare Blue Rx Standard 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.
| Drug Tier | Retail | Mail Order | |
|---|---|---|---|
| Preferred Generic | $0.00 | $0.00 | |
| Generic | $5.00 | $5.00 | |
| Preferred Brand | 20.00% | 20.00% | |
| Non-Preferred Drug | 45.00% | 45.00% | |
| Specialty Tier | 25.00% | 0.00% | |
| *Deductible does not apply. | |||
CMS 5-Star Rating Marks
The following table shows the quality ratings for this Horizon Blue Cross Blue Shield of New Jersey 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.
| 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 |
The true value of any Medicare Part D plan can only be judged by how well it covers your medications.
Contact Horizon Blue Cross Blue Shield of New Jersey
| Plan Website: | Horizon Blue Cross Blue Shield of New Jersey |
|---|---|
| Formulay Information: | Horizon Blue Cross Blue Shield of New Jersey Formulary Information |
| Pharmacy Information: | Horizon Blue Cross Blue Shield of New Jersey Pharmacy Information |
| Prospective Part D Members: | (888)765-7134 |
| Prospective Part D 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
- Horizon Blue Cross Blue Shield of New Jersey, "http://www.horizonblue.com/Medicare", Last Accessed October 13, 2024
- Medicare.gov, "How to get prescription drug coverage", Last Accessed March 2, 2024
- Medicare.gov, "What Medicare Part D drug plans cover", Last Accessed March 1, 2024
- Medicare.gov, "Catastrophic coverage", Last Accessed March 13, 2024
- SSA.gov, "Apply for Medicare Part D Extra Help program", Last Accessed March 9, 2024
- CMS.gov, "Landscape Source Files", Last Accessed October 3, 2024
- CMS.gov, "Medicare Part C & D Performance", Last Accessed October 11, 2024
- CMS.gov, "Benefits Data", Last Accessed October 9, 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.