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Blue Cross MedicareRx Value: Part D Plan S5715-010 Details

☆☆☆☆☆
CMS 5-Star Rating*

Blue Cross MedicareRx Value is a prescription drug plan from Blue Cross and Blue Shield of IL, NM, OK, TX that's available to people enrolled in Original Medicare or a Medicare Advantage plan without Part D benefits.

This 2025 Medicare Part D plan has a $117.30 monthly premium, $590.00 annual deductible, and a $2,000 initial coverage limit. *This plan is rated 3 (Average) stars out of 5 stars by CMS.

NOTE: The ICL adjusts each year with the rate of inflation.

* Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. The Blue Cross and Blue Shield of IL, NM, OK, TX logo is a registered trademark.[2] Its use by MedicareWire is strictly for editorial purposes. This is not a solicitation of insurance.
Part D Plan Basics
Plan ID:S5715-010
Plan Type:PDP
Plan Year:2025
Premium:$117.30/mo
Deductible:$590.00/yr
Benefit Type:Enhanced
Low Income Subsidy:Yes
Availability:See List
Insured By:Blue Cross and Blue Shield of IL, NM, OK, TX

Prescription Drug Premium with Extra Help

Although Blue Cross MedicareRx Value's monthly premium is bundled with the total plan cost, some plans may receive low-income subsidy (LIS) assistance known as Extra Help. The following table outlines the LIS available through this Blue Cross and Blue Shield of IL, NM, OK, TX plan (if any).

Low Income Premium Subsidy:$49.75
Low Income Premium Subsidy CMS Pays:$49.80
Low Income Subsidy Premium:$67.50

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 $590.00. You must pay this amount 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 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.

Drug TierRetailMail Order
Preferred Generic*$1.00$10.00
Generic*$8.00$20.00
Preferred Brand$45.00$47.00
Non-Preferred Drug47.00%50.00%
Specialty Tier25.00%25.00%
*Deductible does not apply.

CMS Rating Marks for Plan Year 2025

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.

CMS MeasureStar 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☆☆☆☆☆

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.

Plan Availability

Blue Cross MedicareRx Value is available in the following states:

See List

Additional {misc_2} Medicare Part D Plan Options in Oklahoma

Here are some additional {plan_type_2} plans in your area that might be worth reviewing:

  1. None.

Contact Blue Cross and Blue Shield of IL, NM, OK, TX

Plan Website:Blue Cross and Blue Shield of IL, NM, OK, TX
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 Part D Members:(877)213-1817
Prospective Part D TTY Users:711

Citations & References