Blue Cross MedicareRx Value Texas Part D Plan S5715-005 by Blue Cross and Blue Shield of IL, NM, OK, TX
Blue Cross MedicareRx Value is a 2024 Enhanced Medicare Part D plan from Blue Cross and Blue Shield of IL, NM, OK, TX 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.
Blue Cross MedicareRx Value is a cost-sharing plan that has a $94.00 monthly premium, an initial coverage limit of $5,030, a $545.00 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 Texas.
Part D Plan Basics | |
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Plan ID: | S5715-005 |
Plan Type: | PDP |
Plan Year: | 2024 |
Premium: | $94.00/mo |
Deductible: | $545.00/yr |
Benefit Type: | Enhanced |
Rx Gap Coverage: | Yes |
Low Income Subsidy: | No |
Availability: | Texas |
Insured By: | Blue Cross and Blue Shield of IL, NM, OK, TX |
Prescription Drug Plan Premium
Although Blue Cross MedicareRx 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 and Blue Shield of IL, NM, OK, TX plan.
Basic Part D Premium: | $78.90 |
Supplemental Part D Premium: | $15.10 |
Total Part D Premium: | $94.00 |
Part D Premium with Full LIS Assistance: | $65.60 |
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 $545.00. This is the amount you must pay at the pharmacy before Blue Cross and Blue Shield of IL, NM, OK, TX 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, 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.
Tier | Preferred | Standard |
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1 (Preferred Generic) | $1.00 copay (deductible does not apply) | $10.00 copay (deductible does not apply) |
2 (Generic) | $8.00 copay | $20.00 copay |
3 (Preferred Brand) | $45.00 copay | $47.00 copay |
4 (Non-Preferred Drug) | 31% | 31% |
5 (Specialty Tier) | 25% | 25% |
A Brief Review and CMS 5-Star Rating Marks
The following table shows the quality ratings for this Blue Cross and Blue Shield of IL, NM, OK, TX 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.
This Medicare Part D plan gets 3.5 out of 5 stars overall. Here's our quick summary of how well Blue Cross MedicareRx 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 |
Most Part D plans get average marks, including this one. Blue Cross MedicareRx Value does an average job helping member when they call with an issue. Member complaints to Medicare about this plan are very low. The member experience with this Blue Cross and Blue Shield of IL, NM, OK, TX plan is about average. Drug safety and the accuracy of drug pricing with this plan are about average.
The true value of any Medicare Part D plan can only be judged by how well it covers your medications. 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. Although this enhanced benefit plan has an annual deductible, one of its formulary tiers is excluded (see table above).
Additional Enhanced Medicare Part D Plan Options in Texas
Here are some additional plans in your area that might be worth reviewing:
- AARP Medicare Rx Preferred from UHC (S5820-021)
- Mutual of Omaha Rx Premier (S7126-091)
- Wellcare Value Script (S4802-155)
- Mutual of Omaha Rx Essential (S7126-124)
- Humana Walmart Value Rx Plan (S5884-201)
Contact Blue Cross and Blue Shield of IL, NM, OK, TX
Plan Website: | Blue Cross and Blue Shield of IL, NM, OK, TX Plan Information |
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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 Members: | (877)213-1817 |
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
- Blue Cross and Blue Shield of IL, NM, OK, TX, "http://www.getblueil.com/pdp", Last Accessed March 11, 2024
- Medicare.gov, "Drug coverage (part D)", Last Accessed March 2, 2024
- Medicare.gov, "How Part D works with other insurance", Last Accessed March 14, 2024
- Medicare.gov, "Catastrophic coverage", Last Accessed March 13, 2024
- SSA.gov, "Understanding the Extra Help With Your Medicare", 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