Anthem MediBlue Rx Plus Maine Part D Plan S5596-001 by Blue KC in Missouri
Anthem MediBlue Rx Plus is a Enhanced prescription drug plan from Blue KC in Missouri 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 $107.20 monthly premium, $0.00 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 Maine.
Part D Plan Basics | |
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Plan ID: | S5596-001 |
Plan Type: | PDP |
Plan Year: | 2024 |
Premium: | $107.20/mo |
Deductible: | $0.00/yr |
Benefit Type: | Enhanced |
Rx Gap Coverage: | No |
Low Income Subsidy: | No |
Availability: | Maine |
Insured By: | Blue KC in Missouri |
Prescription Drug Plan Premium
Although Anthem MediBlue Rx Plus'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 KC in Missouri plan.
Basic Part D Premium: | $74.80 |
Supplemental Part D Premium: | $32.40 |
Total Part D Premium: | $107.20 |
Part D Premium with Full LIS Assistance: | $71.20 |
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 Blue KC in Missouri begins paying its share.
Prescription Drug Plan Out-of-Pocket Costs
In addition to the plan's monthly premium and deductible, Anthem MediBlue Rx Plus 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) | $1.00 copay | $19.00 copay |
2 (Generic) | $4.00 copay | $20.00 copay |
3 (Preferred Brand) | $47.00 copay | $47.00 copay |
4 (Non-Preferred Drug) | 50% | 50% |
5 (Specialty Tier) | 33% | 33% |
A Brief Review and CMS 5-Star Rating Marks
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 Anthem MediBlue Rx Plus 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 |
Most Part D plans get average marks, including this one. Solving issues when a member has a problem getting their medications is critical, and Anthem MediBlue Rx Plus members say the plan does a good job when they call for help. When it comes to member complaints to Medicare, this plan does an average job. The member experience with this Blue KC in Missouri plan is about average. Drug safety and the accuracy of drug pricing with this plan are about average.
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 enhanced benefit plans with a lower monthly premium than this one. That's okay if the plan covers your prescriptions at a better overall price. This plan comes with a zero-dollar deductible, so you have first-dollar coverage.
Additional Enhanced Medicare Part D Plan Options in Maine
Here are some additional plans in your area that might be worth reviewing:
- AARP Medicare Rx Preferred from UHC (S5820-001)
- Cigna Saver Rx (S5617-351)
- Cigna Extra Rx (S5617-246)
- Humana Walmart Value Rx Plan (S5884-181)
- SilverScript Plus (S5601-003)
Contact Blue KC in Missouri
Plan Website: | Blue KC in Missouri Plan Information |
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Formulay Information: | Blue KC in Missouri Formulary Information |
Pharmacy Information: | Blue KC in Missouri Pharmacy Information |
Prospective Members: | (800)261-8667 |
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 KC in Missouri, "https://shop.anthem.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, "Catastrophic coverage", Last Accessed March 13, 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