2022 BlueRx Essential (PDP) By Blue Cross and Blue Shield of Alabama

BlueRx Essential (PDP) is a Actuarially Equivalent Standard 2022 Medicare (Part-D) Prescription Plan by Blue Cross and Blue Shield of Alabama. 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. The BlueRx Essential (PDP) plan has a monthly drug premium of $50.20 and a $480.00 drug deductible.

S1030-006 Part-D Summary of Bennefits

Plan Name:BlueRx Essential (PDP)
Provider:Blue Cross and Blue Shield of Alabama
Plan ID:S1030-006
Plan Year:2022
State: Alabama


Benefit Type:Basic
Monthly Drug Premium:$50.20
Drug Deductible:$480.00
Tiers with No Deductible:0
Gap Coverage:No
National Plan:No
Similar Plan:S1030-010
New 2023 Plan:S1030-006

Deductible and Premium for BlueRx Essential (PDP)

The BlueRx Essential (PDP) plan has a monthly drug premium of $50.20 and a $480.00 drug deductible. This Blue Cross and Blue Shield of Alabama plan offers a $50.20 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 $0.00 this Premium covers any enhanced plan benefits offered by Blue Cross and Blue Shield of Alabama above and beyond the standard PDP benefits. This can include additional help in the gap, lower co-payments and coverage of non-Part D drugs. The Part D Total Premium is $50.20. The Part D Total Premium is the combined total of the supplemental and basic premiums for some plans this amount can be lower due to negative premiums.

Part D Basic Premium:$50.20
Benchmark:not below the regional benchmark
Part D Supplemental Premium$0.00
Benefit Type: Actuarially Equivalent Standard
Total Part D Premium:$50.20

Blue Cross and Blue Shield of Alabama Premium Assistance

Depending on your income level you may be eligible for full 75%, 50%, 25% premium assistance. The BlueRx Essential (PDP) medicare insurance plan offers a $17.50 premium obligation if you receive a full low-income subsidy (LIS) assistance. And the payment is $25.70 for 75% low income subsidy $33.80 for 50% and $42.00 for 25%.

$0 Premium with Full LIS:No
Full LIS Premium:$17.50
75% LIS Premium:$25.70
50% LIS Premium:$33.80
25% LIS Premium:$42.00

S1030-006 Gap Coverage

In 2022 once you and your plan provider have spent $4130 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA "donut hole") You will still receive a 75% discount on covered brand-name drugs and a discount on generic drugs. Once you reach the coverage gap you will pay 25% of the plans cost for covered brand-name prescription drugs and 25% on generic drugs unless your plan offers additional coverage. This Blue Cross and Blue Shield of Alabama plan does not offer additional coverage through the gap. If you are looking for additional health coverage you can see the Alabama MA Plans here.

S1030-006 Formulary or Drug Prices

BlueRx Essential (PDP) formulary is divided into tiers or levels of coverage based on usage and according to the medication costs. Each tier will have a defined copay that you must pay to receive the drug. Drugs in lower tiers will usually cost less than those in higher tiers. By reviewing different Medicare Drug formularies, you can pick a Medicare Advantage plan that covers your medications. Additionally, you can choose a plan that has your drugs listed at a lower price. You can see complete 2022 BlueRx Essential (PDP) S1030-006 Formulary here.

Drug Tier Copay
Tier 1 0.0000 $1
Tier 2 0.0000 $8
Tier 3 0.0000 $47
Tier 4 0.0000 50%
Tier 5 0.0000 25%
*Initial Coverage Phase and 30 day supply

BlueRx Essential (PDP) Plan Reviews

2021 Overall 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

Member Experience with the Drug Plan

Total Rating
Rating of Drug Plan
Getting Needed Prescription Drugs

Drug Safety and Accuracy of Drug Pricing

Total Rating
MPF Price Accuracy
Drug Adherence for Diabetes Medications
Drug Adherence for Hypertension (RAS antagonists)
Drug Adherence for Cholesterol (Statins)
MTM Program Completion Rate for CMR

Ratings For Member Complaints and Changes in the Drug Plans Performance

Total Rating
Complaints about the Drug Plan
Members Choosing to Leave the Plan
Drug Plan Quality Improvement

BlueRx Essential (PDP) Drug Plan Customer Service Ratings

Total Rating
Call Center, TTY, Foreign Language

Source: CMS.
Plans as of September 1, 2021.
Notes: Data are subject to change. All contracts for 2020 have been not finalized. For 2020, enhanced alternative plans may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part Includes 2020 approved contracts/plans. Employer sponsored 800 series plans and plans under sanction are excluded.

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