Anthem MediBlue Rx Standard Georgia Part D Plan S5596-085 by Blue KC in Missouri
Anthem MediBlue Rx Standard is a 2024 Basic Medicare Part D plan from Blue KC in Missouri that's available to individuals enrolled in a Medicare Advantage plan without prescription drug plan benefits or Medicare Part A and/or Part B.
This plan has a monthly premium of $109.30, an initial coverage limit of $5,030, an out-of-pocket threshold of $8,000, and a $545.00 deductible that must be paid before cost-sharing begins. CMS rated this plan 3.0 (Average) out of 5 stars.
See more 2024 Medicare Part D Plans in Georgia.
Part D Plan Basics | |
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Plan ID: | S5596-085 |
Plan Type: | PDP |
Plan Year: | 2024 |
Premium: | $109.30/mo |
Deductible: | $545.00/yr |
Benefit Type: | Basic |
Rx Gap Coverage: | No |
Low Income Subsidy: | No |
Availability: | Georgia |
Insured By: | Blue KC in Missouri |
Prescription Drug Plan Premium
Although Anthem MediBlue 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 KC in Missouri plan.
Basic Part D Premium: | $109.30 |
Supplemental Part D Premium: | $0.00 |
Total Part D Premium: | $109.30 |
Part D Premium with Full LIS Assistance: | $65.10 |
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 KC in Missouri 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, Anthem MediBlue 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) | $1.00 copay (deductible does not apply) | $2.00 copay (deductible does not apply) |
2 (Generic) | $3.00 copay | $4.00 copay |
3 (Preferred Brand) | 19% | 19% |
4 (Non-Preferred Drug) | 39% | 40% |
5 (Specialty Tier) | 25% | 25% |
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 3.0 out of 5 stars overall. Here's our quick summary of how well Anthem MediBlue 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 |
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 Standard 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.
Every plan covers drugs differently, so it's important to look at your total cost. Some basic benefit plans have a lower monthly cost than this one. If this plan covers your prescriptions at the best price, it's fine. The deductible with this plan looks high, but at least one tier in the formulary is excluded (see table above).
Additional Basic Medicare Part D Plan Options in Georgia
Here are some additional plans in your area that might be worth reviewing:
- SilverScript Choice (S5601-020)
- Humana Basic Rx Plan (S5884-135)
- Wellcare Classic (S4802-082)
- Mutual of Omaha Rx Plus (S7126-009)
- AARP Medicare Rx Saver from UHC (S5921-355)
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, "Explore your Medicare coverage options", 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