Blue Medicare Rx Enhanced: Part D Plan S5540-004 Details for North Carolina
Blue Medicare Rx Enhanced is a prescription drug plan from Blue Cross and Blue Shield of North Carolina 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 $113.20 monthly premium, $0.00 annual deductible, and a $2,000 initial coverage limit. *This plan has an overall rating of 3 (Average) out of 5 stars.
See more Top Medicare Part D Plans in North Carolina.
| Part D Plan Basics | |
|---|---|
| Plan ID: | S5540-004 |
| Plan Type: | PDP |
| Plan Year: | 2025 |
| Premium: | $113.20/mo |
| Deductible: | $0.00/yr |
| Benefit Type: | Enhanced |
| Low Income Subsidy: | Yes |
| Availability: | North Carolina |
| Insured By: | Blue Cross and Blue Shield of North Carolina |
Prescription Drug Premium with Extra Help
Although Blue Medicare Rx Enhanced'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 Blue Cross and Blue Shield of North Carolina plan (if any).
| Low Income Premium Subsidy: | $51.22 |
| Low Income Premium Subsidy CMS Pays: | $51.20 |
| Low Income Subsidy Premium: | $62.00 |
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 $0.00. You must pay this amount at the pharmacy before Blue Cross and Blue Shield of North Carolina begins paying its share
Prescription Drug Plan Out-of-Pocket Costs
In addition to the plan's monthly premium and deductible, Blue Medicare 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.
| Drug Tier | Retail | Mail Order | |
|---|---|---|---|
| Preferred Generic | $3.00 | $15.00 | |
| Generic | $6.00 | $20.00 | |
| Preferred Brand | $45.00 | $47.00 | |
| Non-Preferred Drug | 50.00% | 50.00% | |
| Specialty Tier | 33.00% | 33.00% | |
| *Deductible does not apply. | |||
CMS Rating Marks for Plan Year 2025
Each year Medicare rates drug plans (Part D) in several major categories. These ratings are designed to help you understand the quality of care and service you can expect if you join this plan.
| 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.
Contact Blue Cross and Blue Shield of North Carolina
| Plan Website: | Blue Cross and Blue Shield of North Carolina |
|---|---|
| Formulay Information: | Blue Cross and Blue Shield of North Carolina Formulary Information |
| Pharmacy Information: | Blue Cross and Blue Shield of North Carolina Pharmacy Information |
| Prospective Part D Members: | (866)760-3711 |
| Prospective Part D TTY Users: | 711 |
Citations & References
- Blue Cross and Blue Shield of North Carolina, "https://www.bluecrossnc.com/medicare", Last Accessed March 1, 2025
- 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, "Medicare costs at a glance", Last Accessed March 11, 2024
- Medicare.gov, "Help with drug costs", Last Accessed February 19, 2024
- CMS.gov, "Landscape Source Files", Last Accessed March 1, 2025
- CMS.gov, "Medicare Part C & D Performance", Last Accessed March 1, 2025
- CMS.gov, "Benefits Data", Last Accessed March 1, 2025