Anthem MediBlue Rx Plus Part D Plan S5596-001 Details
Anthem MediBlue Rx Plus is a 2024 Enhanced Medicare Part D plan from Blue KC in Missouri 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.
Anthem MediBlue Rx Plus is a cost-sharing plan that has a $107.20 monthly premium, an initial coverage limit of $5,030, a $0.00 annual deductible, and an out-of-pocket threshold of $8,000. This plan has an overall rating of 3.0 (Average) out of 5 stars.
2025 Anthem MediBlue Rx Plus Cost and Coverage
The 2025 cost and coverage information for Anthem MediBlue Rx Plus will not be available until early October. We'll notify you when it is available from CMS.
Sign-Up for 2025 Medicare Part D Plan Notification. The 2025 Annual Enrollment Period starts October 15.
| Part D Plan Basics | |
|---|---|
| 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: | See List |
| 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 |
The Social Security Extra Help page has more information about the Low-Income Subsidy (“Extra Help”) program.
Prescription Drug Plan Deductible
This plan's Medicare Part D annual deductible is $0.00. You must pay this amount 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 |
|---|---|---|
| 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% |
2024 CMS 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.
Overall, this Medicare Part D plan gets 3.0 out of 5 stars from CMS. Here's a quick summary of how well Anthem MediBlue Rx Plus performs.
| CMS Measure | Star Rating |
|---|---|
| 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 |
Every plan covers drugs differently, so it's important to look at your total cost. You can find enhanced benefit plans that have a lower monthly cost than this one. If the plan covers your prescriptions at a lower price overall, that's fine. This plan has a zero-dollar deductible. That means you have first-dollar coverage.
Plan Availability
Anthem MediBlue Rx Plus is available in the following states:
Additional Enhanced Medicare Part D Plan Options in
Here are some additional plans in your area that might be worth reviewing:
- Mutual of Omaha Rx Essential (S7126-104)
- Cigna Extra Rx (S5617-246)
- SilverScript SmartSaver (S5601-176)
- Cigna Saver Rx (S5617-351)
- AARP Medicare Rx Walgreens from UHC (S5921-384)
Contact Blue KC in Missouri
| Plan Website: | Blue KC in Missouri Plan Information |
|---|---|
| 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 at www.medicare.gov.
Citations & References
- Blue KC in Missouri, "https://shop.anthem.com/medicare", Last Accessed March 11, 2024
- Medicare.gov, "Drug coverage (part D)", Last Accessed March 2, 2024
- Benefits.gov, "Medicare Prescription Drug Plans", Last Accessed March 1, 2024
- Medicare.gov, "Costs for Medicare drug coverage", Last Accessed March 3, 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
Plans Offered
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Anthem Blue Cross, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Baylor Scott & White Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, GlobalHealth, Health Care Service Corporation, Healthy Blue, HealthSun, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.