Anthem MediBlue Rx Standard: Part D Plan S5596-056 Details for Wisconsin
Anthem MediBlue Rx Standard is a prescription drug plan from Anthem / Anthem or Blue KC in Missouri 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 $118.60 monthly premium, $590.00 annual deductible, and a $2,000 initial coverage limit. *This plan is rated 3.5 (Above Average) stars out of 5 stars by CMS.
See more Top Medicare Part D Plans in Wisconsin.
| Part D Plan Basics | |
|---|---|
| Plan ID: | S5596-056 |
| Plan Type: | PDP |
| Plan Year: | 2025 |
| Premium: | $118.60/mo |
| Deductible: | $590.00/yr |
| Benefit Type: | Basic |
| Low Income Subsidy: | Yes |
| Availability: | Wisconsin |
| Insured By: | Anthem / Anthem or Blue KC in Missouri |
Prescription Drug Premium with Extra Help
Although Anthem MediBlue Rx Standard'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 Anthem / Anthem or Blue KC in Missouri plan (if any).
| Low Income Premium Subsidy: | $43.51 |
| Low Income Premium Subsidy CMS Pays: | $43.50 |
| Low Income Subsidy Premium: | $75.10 |
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 Anthem / Anthem or 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 Standard 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 | $1.00 | $1.00 | |
| Generic | $4.00 | $4.00 | |
| Preferred Brand | 17.00% | 17.00% | |
| Non-Preferred Drug | 40.00% | 40.00% | |
| 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 Anthem / Anthem or Blue KC in Missouri 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 |
The true value of any Medicare Part D plan can only be judged by how well it covers your medications.
Contact Anthem / Anthem or Blue KC in Missouri
| Plan Website: | Anthem / Anthem or Blue KC in Missouri |
|---|---|
| Formulay Information: | Anthem / Anthem or Blue KC in Missouri Formulary Information |
| Pharmacy Information: | Anthem / Anthem or Blue KC in Missouri Pharmacy Information |
| Prospective Part D Members: | (833)668-2397 |
| Prospective Part D TTY Users: | 711 |
Citations & References
- Anthem / Anthem or Blue KC in Missouri, "https://shop.anthem.com/medicare", Last Accessed March 1, 2025
- Medicare.gov, "Explore your Medicare coverage options", 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, "Apply for Medicare Part D Extra Help program", Last Accessed March 9, 2024
- CMS.gov, "Landscape Source Files", Last Accessed March 1, 2025
- CMS.gov, "Medicare Part C & D Performance", Last Accessed March 1, 2025
- CMS.gov, "Benefits Data", Last Accessed March 1, 2025