BlueCross Rx Value Part D Plan S5953-001 Details for South Carolina
BlueCross Rx Value is a 2024 Basic Medicare Part D plan from Blue Cross Blue Shield of South Carolina 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.
BlueCross Rx Value is a cost-sharing plan that has a $117.40 monthly premium, an initial coverage limit of $5,030, a $480.00 annual deductible, and an out-of-pocket threshold of $8,000. This plan is rated 3.0 (Average) stars by CMS.
See more Medicare Part D Plans in South Carolina.
2025 BlueCross Rx Value Cost and Coverage
The 2025 cost and coverage information for BlueCross Rx Value 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 | |
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Plan ID: | S5953-001 |
Plan Type: | PDP |
Plan Year: | 2024 |
Premium: | $117.40/mo |
Deductible: | $480.00/yr |
Benefit Type: | Basic |
Rx Gap Coverage: | No |
Low Income Subsidy: | No |
Availability: | South Carolina |
Insured By: | Blue Cross Blue Shield of South Carolina |
Prescription Drug Plan Premium
Although BlueCross Rx 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 Blue Shield of South Carolina plan.
Basic Part D Premium: | $117.40 |
Supplemental Part D Premium: | $0.00 |
Total Part D Premium: | $117.40 |
Part D Premium with Full LIS Assistance: | $71.70 |
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 $480.00. You must pay this amount at the pharmacy before Blue Cross Blue Shield of South Carolina 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, BlueCross Rx 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) | $8.00 copay (deductible does not apply) | $12.00 copay (deductible does not apply) |
2 (Generic) | $18.00 copay | $20.00 copay |
3 (Preferred Brand) | $42.00 copay | $47.00 copay |
4 (Non-Preferred Drug) | 45% | 46% |
5 (Specialty Tier) | 25% | 25% |
CMS Rating Marks for Plan Year 2024
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 BlueCross Rx 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 |
The true value of any Medicare Part D plan can only be judged by how well it covers your medications. There are basic benefit plans with a lower monthly premium than this one. That's okay if the plan covers your prescriptions at the best price. The deductible with this plan looks high, but at least one tier in the formulary is excluded (see table above).
Contact Blue Cross Blue Shield of South Carolina
Plan Website: | Blue Cross Blue Shield of South Carolina Plan Information |
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Formulay Information: | Blue Cross Blue Shield of South Carolina Formulary Information |
Pharmacy Information: | Blue Cross Blue Shield of South Carolina Pharmacy Information |
Prospective Members: | (800)930-2836 |
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 Cross Blue Shield of South Carolina, "http://www.scbluesmedadvantage.com/marx22", Last Accessed March 11, 2024
- Medicare.gov, "Drug coverage (part D)", 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
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.