Horizon Medicare Blue Rx Enhanced New Jersey Part D Plan S5993-003 by Horizon Blue Cross Blue Shield of New Jersey
Horizon Medicare Blue Rx Enhanced is a Enhanced prescription drug plan from Horizon Blue Cross Blue Shield of New Jersey 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 $130.80 monthly premium, $0.00 annual deductible, $5,030 initial coverage limit, and a $8,000 out-of-pocket threshold. This plan is rated 2.5 (Below Average) stars by CMS.
See more Top Medicare Part D Plans in New Jersey.
Part D Plan Basics | |
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Plan ID: | S5993-003 |
Plan Type: | PDP |
Plan Year: | 2024 |
Premium: | $130.80/mo |
Deductible: | $0.00/yr |
Benefit Type: | Enhanced |
Rx Gap Coverage: | Yes |
Low Income Subsidy: | No |
Availability: | New Jersey |
Insured By: | Horizon Blue Cross Blue Shield of New Jersey |
Prescription Drug Plan Premium
Although Horizon Medicare Blue Rx Enhanced'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 Horizon Blue Cross Blue Shield of New Jersey plan.
Basic Part D Premium: | $77.20 |
Supplemental Part D Premium: | $53.60 |
Total Part D Premium: | $130.80 |
Part D Premium with Full LIS Assistance: | $85.30 |
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 Horizon Blue Cross Blue Shield of New Jersey begins paying its share.
Prescription Drug Plan Out-of-Pocket Costs
In addition to the plan's monthly premium and deductible, Horizon Medicare Blue Rx Enhanced 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) | N/A | $0.00 copay |
2 (Generic) | N/A | $8.00 copay |
3 (Preferred Brand) | N/A | $40.00 copay |
4 (Non-Preferred Drug) | N/A | 45% |
5 (Specialty Tier) | N/A | 33% |
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 2.5 out of 5 stars overall. Here's our quick summary of how well Horizon Medicare Blue Rx Enhanced 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 |
Way below New Jersey standards, we can't recommend this plan. Here's why. New Jersey seniors looking for a plan that prioritizes customer service may be disapointed with Horizon Medicare Blue Rx Enhanced because the plan's customer service score is below average. When it comes to member complaints to Medicare, this plan does an average job. The member experience with this Horizon Blue Cross Blue Shield of New Jersey 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 New Jersey
Here are some additional plans in your area that might be worth reviewing:
- AARP Medicare Rx Walgreens from UHC (S5921-386)
- Humana Walmart Value Rx Plan (S5884-183)
- AARP Medicare Rx Preferred from UHC (S5820-003)
- Wellcare Value Script (S4802-139)
- Mutual of Omaha Rx Essential (S7126-106)
Contact Horizon Blue Cross Blue Shield of New Jersey
Plan Website: | Horizon Blue Cross Blue Shield of New Jersey Plan Information |
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Formulay Information: | Horizon Blue Cross Blue Shield of New Jersey Formulary Information |
Pharmacy Information: | Horizon Blue Cross Blue Shield of New Jersey Pharmacy Information |
Prospective Members: | (888)328-4542 |
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
- Horizon Blue Cross Blue Shield of New Jersey, "http://www.horizonblue.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
- 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