Blue MedicareRx Value Kansas Part D Plan S5726-013 by Blue Cross and Blue Shield of Kansas
Blue MedicareRx Value is a Basic prescription drug plan from Blue Cross and Blue Shield of Kansas 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 $51.80 monthly premium, $545.00 annual deductible, $5,030 initial coverage limit, and a $8,000 out-of-pocket threshold. This plan is rated 3.5 (Above Average) stars by CMS.
See more Top Medicare Part D Plans in Kansas.
Part D Plan Basics | |
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Plan ID: | S5726-013 |
Plan Type: | PDP |
Plan Year: | 2024 |
Premium: | $51.80/mo |
Deductible: | $545.00/yr |
Benefit Type: | Basic |
Rx Gap Coverage: | No |
Low Income Subsidy: | No |
Availability: | Kansas |
Insured By: | Blue Cross and Blue Shield of Kansas |
Prescription Drug Plan Premium
Although Blue MedicareRx Value'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 Kansas plan.
Basic Part D Premium: | $51.80 |
Supplemental Part D Premium: | $0.00 |
Total Part D Premium: | $51.80 |
Part D Premium with Full LIS Assistance: | $8.50 |
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 Kansas 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 MedicareRx Value 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) | $3.00 copay (deductible does not apply) |
2 (Generic) | $3.00 copay | $5.00 copay |
3 (Preferred Brand) | 20% | 20% |
4 (Non-Preferred Drug) | 40% | 41% |
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 3.5 out of 5 stars overall. Here's our quick summary of how well Blue MedicareRx Value 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 Kansas Part D plan is just average. Solving issues when a member has a problem getting their medications is critical, and Blue MedicareRx Value 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. Overall, members say their experience with this Blue Cross and Blue Shield of Kansas plan is excellent. When it comes to managing drug safety and the accuracy of drug pricing, this plan gets the highest marks.
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. You can find basic benefits plans that have a lower monthly fee than this one. That's OK if the plan covers your prescriptions at the lowest possible 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 Kansas
Here are some additional plans in your area that might be worth reviewing:
- Mutual of Omaha Rx Plus (S7126-023)
- Wellcare Classic (S4802-088)
- SilverScript Choice (S5601-048)
- Clear Spring Health Value Rx (S6946-021)
- Humana Basic Rx Plan (S5884-109)
Contact Blue Cross and Blue Shield of Kansas
Plan Website: | Blue Cross and Blue Shield of Kansas Plan Information |
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Formulay Information: | Blue Cross and Blue Shield of Kansas Formulary Information |
Pharmacy Information: | Blue Cross and Blue Shield of Kansas Pharmacy Information |
Prospective Members: | (877)471-4121 |
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 Kansas, "https://shop.partdkansas.com/medicare", Last Accessed March 11, 2024
- Medicare.gov, "How to get prescription drug coverage", Last Accessed March 2, 2024
- Benefits.gov, "Medicare Prescription Drug Plans", Last Accessed March 1, 2024
- Medicare.gov, "Medicare costs at a glance", Last Accessed March 11, 2024
- SSA.gov, "Apply for Medicare Part D Extra Help program", 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