Blue Medicare Rx Standard North Carolina Part D Plan S5540-002 by Blue Cross and Blue Shield of North Carolina
Blue Medicare Rx Standard is a Basic 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 2024 Medicare Part D plan has a $102.30 monthly premium, $545.00 annual deductible, $5,030 initial coverage limit, and a $8,000 out-of-pocket threshold. This plan has an overall rating of 3.0 (Average) out of 5 stars.
See more Top Medicare Part D Plans in North Carolina.
Part D Plan Basics | |
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Plan ID: | S5540-002 |
Plan Type: | PDP |
Plan Year: | 2024 |
Premium: | $102.30/mo |
Deductible: | $545.00/yr |
Benefit Type: | Basic |
Rx Gap Coverage: | No |
Low Income Subsidy: | No |
Availability: | North Carolina |
Insured By: | Blue Cross and Blue Shield of North Carolina |
Prescription Drug Plan Premium
Although Blue Medicare Rx Standard'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 North Carolina plan.
Basic Part D Premium: | $102.30 |
Supplemental Part D Premium: | $0.00 |
Total Part D Premium: | $102.30 |
Part D Premium with Full LIS Assistance: | $55.40 |
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 $545.00. This is the amount you must pay at the pharmacy before Blue Cross and Blue Shield of North Carolina 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 Medicare 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.
Tier | Preferred | Standard |
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1 (Preferred Generic) | $5.00 copay (deductible does not apply) | $15.00 copay (deductible does not apply) |
2 (Generic) | $15.00 copay | $20.00 copay |
3 (Preferred Brand) | 15% | 16% |
4 (Non-Preferred Drug) | 39% | 40% |
5 (Specialty Tier) | 25% | 25% |
CMS Rating Marks and Our Review
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.
This Medicare Part D plan gets 3.0 out of 5 stars overall. Here's our quick summary of how well Blue Medicare Rx Standard 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, safety, and customer service, this North Carolina Part D plan is just average. North Carolina seniors looking for a plan that prioritizes customer service may be disapointed with Blue Medicare Rx Standard because the plan's customer service score is below average. Compared to other plans, Medicare gets relatively few member complaints about this plan. Medicare beneficiaries enrolled in this Blue Cross and Blue Shield of North Carolina 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.
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. There are basic benefit plans with a lower monthly premium than this one. That's okay if the plan covers your prescriptions at the best price. Although the deductible seems high for this plan, at least one tier of the formulary is exempt.
Additional Basic Medicare Part D Plan Options in North Carolina
Here are some additional plans in your area that might be worth reviewing:
- SilverScript Choice (S5601-016)
- Cigna Secure Rx (S5617-217)
- Clear Spring Health Value Rx (S6946-005)
- Humana Basic Rx Plan (S5884-133)
- Wellcare Classic (S4802-081)
Contact Blue Cross and Blue Shield of North Carolina
Plan Website: | Blue Cross and Blue Shield of North Carolina Plan Information |
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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 Members: | (888)206-4697 |
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 Cross and Blue Shield of North Carolina, "https://www.bluecrossnc.com/medicare", Last Accessed March 11, 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, "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 January 3, 2024
- CMS.gov, "Medicare Part C & D Performance", Last Accessed January 3, 2024