BlueRx Essential Part D Plan S1030-006 Details for Tennessee
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BlueRx Essential is a 2025 Medicare Part D plan from BlueRx (PDP) 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.
BlueRx Essential is a cost-sharing plan that has a $63.20 monthly premium, an initial coverage limit of $5,030, a $590.00 annual deductible, and an out-of-pocket threshold of $8,000. *CMS rated this plan 3.5 (Above Average) out of 5 stars.
See more Medicare Part D Plans in Tennessee.
| Part D Plan Basics | |
|---|---|
| Plan ID: | S1030-006 |
| Plan Type: | PDP |
| Plan Year: | 2025 |
| Premium: | $63.20/mo |
| Deductible: | $590.00/yr |
| Benefit Type: | Basic |
| Low Income Subsidy: | Yes |
| Availability: | Tennessee |
| Insured By: | BlueRx (PDP) |
Prescription Drug Premium with Extra Help
Although BlueRx Essential '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 BlueRx (PDP) plan (if any).
| Low Income Premium Subsidy: | $40.01 |
| Low Income Premium Subsidy CMS Pays: | $40.00 |
| Low Income Subsidy Premium: | $23.20 |
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 $590.00. You must pay this amount at the pharmacy before BlueRx (PDP) begins paying its share
Prescription Drug Plan Out-of-Pocket Costs
In addition to the plan's monthly premium and deductible, BlueRx Essential 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 Tier | Retail | Mail Order | |
|---|---|---|---|
| Preferred Generic | $0.00 | $0.00 | |
| Generic | $4.00 | $4.00 | |
| Preferred Brand | 24.00% | 24.00% | |
| Non-Preferred Drug | 39.00% | 39.00% | |
| Specialty Tier | 25.00% | 25.00% | |
| *Deductible does not apply. | |||
CMS Rating Marks for Plan Year 2025
The following table shows the quality ratings for this BlueRx (PDP) plan. Each year CMS rates drug plans (Part D) in four broad categories. We do not recommend joining a plan with an overall rating of less than 3.0.
| 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.
Contact BlueRx (PDP)
| Plan Website: | BlueRx (PDP) |
|---|---|
| Formulay Information: | BlueRx (PDP) Formulary Information |
| Pharmacy Information: | BlueRx (PDP) Pharmacy Information |
| Prospective Part D Members: | (877)233-3555 |
| Prospective Part D 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
- BlueRx (PDP), "http://www.bluerxalatenn.com", Last Accessed October 13, 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, "Medicare costs at a glance", Last Accessed March 11, 2024
- SSA.gov, "Understanding the Extra Help With Your Medicare", Last Accessed March 9, 2024
- CMS.gov, "Landscape Source Files", Last Accessed October 3, 2024
- CMS.gov, "Medicare Part C & D Performance", Last Accessed October 11, 2024
- CMS.gov, "Benefits Data", Last Accessed October 9, 2024
Plans Offered
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, 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.