Blue Cross MedicareRx Basic Illinois Part D Plan S5715-012 by Blue Cross and Blue Shield of IL, NM, OK, TX
Blue Cross MedicareRx Basic is a 2024 Basic Medicare Part D plan from Blue Cross and Blue Shield of IL, NM, OK, TX that's available to people with Medicare Part A and/or Part B or a Medicare Advantage plan that does not include prescription drug plan benefits.
Blue Cross MedicareRx Basic is a cost-sharing plan that has a $73.60 monthly premium, an initial coverage limit of $5,030, a $545.00 annual deductible, and an out-of-pocket threshold of $8,000. This plan has an overall rating of 3.5 (Above Average) out of 5 stars.
See more Medicare Part D Plans in Illinois.
Part D Plan Basics | |
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Plan ID: | S5715-012 |
Plan Type: | PDP |
Plan Year: | 2024 |
Premium: | $73.60/mo |
Deductible: | $545.00/yr |
Benefit Type: | Basic |
Rx Gap Coverage: | No |
Low Income Subsidy: | No |
Availability: | Illinois |
Insured By: | Blue Cross and Blue Shield of IL, NM, OK, TX |
Prescription Drug Plan Premium
Although Blue Cross MedicareRx Basic'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 IL, NM, OK, TX plan.
Basic Part D Premium: | $73.60 |
Supplemental Part D Premium: | $0.00 |
Total Part D Premium: | $73.60 |
Part D Premium with Full LIS Assistance: | $40.80 |
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 IL, NM, OK, TX begins paying its share.
Prescription Drug Plan Out-of-Pocket Costs
In addition to the plan's monthly premium and deductible, Blue Cross MedicareRx Basic 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 | $15.00 copay |
2 (Generic) | $6.00 copay | $20.00 copay |
3 (Preferred Brand) | $47.00 copay | $47.00 copay |
4 (Non-Preferred Drug) | 47% | 47% |
5 (Specialty Tier) | 25% | 25% |
A Brief Review and CMS 5-Star Rating Marks
The following table shows the quality ratings for this Blue Cross and Blue Shield of IL, NM, OK, TX 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.
This Medicare Part D plan gets 3.5 out of 5 stars overall. Here's our quick summary of how well Blue Cross MedicareRx Basic 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 |
On most measures, this Part D plan performs well. But it's good to know where it could use some improvement. Blue Cross MedicareRx Basic does an average job helping member when they call with an issue. Member complaints to Medicare about this plan are very low. The member experience with this Blue Cross and Blue Shield of IL, NM, OK, TX 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. 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. Watch out for the plan's deductible. Unlike some other plans, this plan does not exempt any tiers in its formulary.
Additional Basic Medicare Part D Plan Options in Illinois
Here are some additional plans in your area that might be worth reviewing:
- Humana Basic Rx Plan (S5884-107)
- Cigna Secure Rx (S5617-224)
- Clear Spring Health Value Rx (S6946-014)
- SilverScript Choice (S5601-034)
- Wellcare Classic (S4802-087)
Contact Blue Cross and Blue Shield of IL, NM, OK, TX
Plan Website: | Blue Cross and Blue Shield of IL, NM, OK, TX Plan Information |
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Formulay Information: | Blue Cross and Blue Shield of IL, NM, OK, TX Formulary Information |
Pharmacy Information: | Blue Cross and Blue Shield of IL, NM, OK, TX Pharmacy Information |
Prospective Members: | (877)213-1817 |
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 IL, NM, OK, TX, "http://www.getblueil.com/pdp", Last Accessed March 11, 2024
- Medicare.gov, "Explore your Medicare coverage options", 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