2014 Blue MedicareRx Plus (PDP) S5596-044 By Anthem Blue Cross and Blue Shield

Blue MedicareRx Plus (PDP) By Anthem Blue Cross and Blue Shield



Blue MedicareRx Plus (PDP) is a Enhanced Alternative Medicare Prescription Drug Plan (PART D) by Anthem Blue Cross and Blue Shield. Stand-alone plans offer additional prescription drug coverage only and are an option if you are on Original Medicare insurance or you have a Medicare health plan that does not include Part D coverage.



2014 Medicare Prescription Supplement Plan Details

Plan Name:
Blue MedicareRx Plus (PDP)
Provider: Anthem Blue Cross and Blue Shield
Plan ID:
S5596-044
Plan Year:2014
State: Missouri
Benefit Type: Enhanced
Monthly Drug Premium: $64.30
Drug Deductible: $0.00
Tiers with No Deductible: 0
Initial Coverage Limit:$2850
Gap Coverage: Some Generics
National Plan: Yes


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Deductible and Premium

The Blue MedicareRx Plus (PDP) plan has a monthly drug premium of $64.30 and a $0.00 drug deductible. This Anthem Blue Cross and Blue Shield plan offers a $42.80 Part D Basic Premium that is not below the regional benchmark. This covers the basic prescription benefit only and does not cover enhanced drug benefits such as medical benefits or hospital benefits. The Part D Supplemental Premium is $21.50 this Premium covers any enhanced plan benefits offered by Anthem Blue Cross and Blue Shield above and beyond the standard PDP benefits. This can include additional coverage in the gap, lower co-payments and coverage of non-Part D drugs. The Part D Total Premium is $64.30. The Part D Total Premium is the addition of the supplemental and basic premiums for some plans this amount can be lower due to negative basic or supplemental premiums.



Premium Assistance

Depending on your income level you may be eligible for full 75%, 50%, 25% premium assistance. The Blue MedicareRx Plus (PDP) medicare insurance plan offers a $33.10 premium obligation if you receive a full low-income subsidy (LIS) assistance. And the payment is $40.90 for 75% low income subsidy $48.70 for 50% and $56.50 for 25%.



Part D Basic Premium: $42.80
Benchmark: not below the regional benchmark
Part D Supplemental Premium $21.50
Benefit Type: Enhanced Alternative
Total Part D Premium: $64.30
$0 Premium with Full LIS: No
Full LIS Premium: $33.10
75% LIS Premium: $40.90
50% LIS Premium: $48.70
25% LIS Premium: $56.50


Gap Coverage

In 2014 once you and your plan provider have spent $2,850 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA "donut hole") You will be require to pay 47.5% of the plans cost for covered brand-name prescription drugs and 72% of the cost for generic drugs unless your plan offers additional coverage. This Anthem Blue Cross and Blue Shield plan covers Some Generics through the gap. Some means 10% to 65% of the formulary drugs are covered if you are in the gap.



Star Ratings for Blue MedicareRx Plus (PDP) S5596

2014 Overall Rating
Members Choosing to Leave Plan
Rating of Drug Plan
Quality Improvement
Getting Needed Meds
Price Accuracy
Complaints
Access And Performance
High Risk Medication
Diabetes Treatment
Adherence for Diabetes
Adherence for Hypertension
Adherence for Cholesterol
Call Center
Auto Appeals
Appeals Upheld

  • Higher is Better




  • Source: CMS.

    Plans as of September 3, 2013.

    Plans are subject to change as contracts are finalized.

    Includes 2014 approved contracts/plans. Employer sponsored 800 series plans and plans under sanction are excluded.

    Star Rating as of September 27, 2013.

    For More Information on Ratings Please See the CMS Tech Notes Here.

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