Overview - Bluerxalatenn
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BlueRx Overview
BlueRx Plans Include:
- 63,000 Pharmacies Nationwide >
- Mail-Order Pharmacy Service >
- Prescriptions as Low as $0 >
- $0 Deductible Option >
- Standard Cost-Sharing Pharmacies
- Save 33% on prescription drug costs
- 3 plan options
63,000 Pharmacies Nationwide
More >63,000 Pharmacies Nationwide
BlueRx Essential: Includes a STANDARD pharmacy network, with standard cost-sharing available at many national retail pharmacies and hundreds of local independent neighborhood pharmacies!
BlueRx ENHANCED PLUS: Includes a PREFERRED pharmacy network, with preferred cost-sharing available at many national retail pharmacies and hundreds of local independent neighborhood pharmacies. At preferred retail and home delivery pharmacies, you can get up to a 100-day supply of routine medication, but pay only the copay for a 60-day supply!
Mail-Order Pharmacy Service
More >Mail-Order Pharmacy Service
Home Delivery Pharmacy Service is also available. Get your routine medication without leaving your home! When you use our Home Delivery Pharmacy Service you can get up to a 100-day supply by mail but pay only the copay for a 60-day supply. That’s one month at no cost to you…along with free standard shipping!
Prescriptions as Low as $0
More >Prescriptions as Low as $0
What you pay — up to a Total Rx annual spend of $2,000 for 2025
DEDUCTIBLE: Your Rx spending before plan benefits begin ($0 deductible plan option available)
COPAY/COINSURANCE: What you pay for prescriptions after reaching the deductible
Tier 1 drugs starting at $0 from retail and home delivery pharmacies, depending upon your plan selection.
Click here for ways to ensure you are paying the least amount for your prescriptions with Rx Savings Solutions.
$0 Deductible Option
More >$0 Deductible Option
DEDUCTIBLE: Your Rx spending before plan benefits begin
BlueRx ENHANCED PLUS: $0 deductible; $129.30 monthly plan premium
Choose from two options to fit your needs:
BlueRx Essential
- Lowest monthly premium
- $590 deductible
- Copays as low as $0
- Standard Cost-Sharing Pharmacies
BlueRx Enhanced Plus
- $0 deductible
- Copays as low as $2
- More covered brand-name drugs
- Preferred Cost-Sharing Pharmacies
Use routine maintenance drugs?
No matter which BlueRx plan you choose, you'll save time and money for up to a 100-day supply with our convenient Mail-Order Home Delivery Pharmacy Service. With a 100-day fill, you get a 3-month supply for the cost of 2 months — and enjoy FREE shipping right to your door.
BlueRxEssential
|
---|
Plan Name | No LIS | 100% |
---|---|---|
BlueRx Essential (PDP)
|
63.20
|
23.20
|
You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for getting Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/7 days a week; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call 1-800-325-0778; or your State Medicaid Office.
https://www.ssa.gov/medicare/part-d-extra-help
*You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third party.
BlueRx
Enhanced
Plus (PDP)
$129.30 per month
Based on your income, you may qualify for financial help from Medicare to lower your monthly premium.* If you qualify, you will also have no drug coverage gap and lower out-of-pocket costs. If you aren't receiving extra help, the Alabama State Health Insurance Assistance Program (SHIP) provides education and counseling on low-income assistance programs for Medicare.
1-800-AGE-LINE (1-800-243-5463) TTY 1-800-548-2547
Medicare beneficiaries can qualify for Extra Help paying for their monthly premiums, annual deductibles, and co-payments related to Medicare prescription drug coverage. https://www.ssa.gov/benefits/medicare/prescriptionhelp
Plan Name | No LIS | 100% |
---|---|---|
BlueRx Enhanced Plus (PDP)
|
129.30
|
89.30
|
You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for getting Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/7 days a week; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call 1-800-325-0778; or your State Medicaid Office.
https://www.ssa.gov/medicare/part-d-extra-help
*You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third party.
Tier 2 - Generic | N/A | $10 | |
Tier 3 - Preferred Brand | N/A | $40 | |
Tier 4 - Non-Preferred Drug | N/A | 45% | |
Tier 5 - Specialty Tier | N/A | 33% | |
Select Insulins (Tiers 3 & 4) | N/A | $35 | |
STANDARD Cost-Sharing Pharmacy Copays
A set fee you pay for a healthcare service, such as a visit to a doctor or hospital, or for a prescribed medication.
/ Coinsurance
The portion of the cost for healthcare that you will pay after you’ve met your deductible. For example, if you’ve met your deductible and your coinsurance is 20% and you receive a bill for $100, you’ll pay $20 and your insurance will pay the rest.
|
|||
Tier 1 - Preferred Generic | $0 | $9 | |
Tier 2 - Generic | $4 | $17 | |
Tier 3 - Preferred Brand | 24% | $47 | |
Tier 4 - Non-Preferred Drug | 39% | 50% | |
Tier 5 - Specialty Tier | 25% | 33% | |
Select Insulins (Tiers 3 & 4) | $35 | $35 | |
Catastrophic Coverage Phase | Once YOUR out-of-pocket spending on prescriptions reaches $2,000 you pay nothing. | Once YOUR out-of-pocket spending on prescriptions reaches $2,000 you pay nothing. |
Based on your income, you may qualify for financial help from Medicare to lower your monthly premium.* If you qualify, you will also have no drug coverage gap and lower out-of-pocket costs.
If you aren't receiving extra help, the Alabama State Health Insurance Assistance Program (SHIP) provides education and counseling on low-income assistance programs for Medicare.
1-800-AGE-LINE (1-800-243-5463) TTY 1-800-548-2547
Plan Name | No LIS | 100% |
---|---|---|
BlueRx Essential (PDP)
|
50.20
|
17.50
|
You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for getting Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/7 days a week; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call 1-800-325-0778; or your State Medicaid Office.
*You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third party.
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