Prescription Blue Option B Prescription Plan for Michigan Medicare Beneficiaries

Prescription Blue Option B (PDP) Prescription Medication Plan by Blue Cross Blue Shield of Michigan for Michigan Seniors with Medicare Benefits.
Overall Plan Rating:This Medicare drug plan has an average rating of 3.0
Monthly Premium:
$87.30
Pharmacy Co-Pay:$0.00
Coverage Limit (ICL):$2,970.00
Pharmacy Mail Order:Yes
Gap Coverage:Many Generics
Low Income Subsidy:No
Medicare Formulary:3858
PDP ID No:S5584-002
Plan Year:2013
Approved by CMS for: MI Residents
Rx Plan Type:Regional
Est. Regional Members:42678
THIS IS ARCHIVE DATA, NOT A CURRENT YEAR PAGE.

2018 Medicare Prescription Medication Plan Overview

Healthy Michigan Medicare Part D Plan: Prescription Blue Option B (PDP) S5584-002Prescription Blue Option B (PDP) is an approved Medicare Prescription Drug Plan (Part D) for Michigan seniors.

The annual premium is $1,047.60 ($87.30 monthly), and it carries a $0.00 deductible on all prescribed medications. Since it has a zero dollar deductive, you have coverage from the first dollars spent. Note that many plans have a policy deductible that must be paid in full prior to receiving prescription coverage assistance.

The Blue Cross Blue Shield of Michigan formulary ID for this plan is 00012163, and it features 3858 FDA approved medications.

For all Michigan seniors with Medicare benefits, there are two conditions that can change the amount you pay for your plan. The first is quailfying for the Extra Help program, which lowers your premium. The second is the opposite: if a premium penalty has been imposed on you for not enrolling right away at age 65 open enrollment, then your premium will be marginally higher.

Below are a few plans that are comparable to Prescription Blue Option B:

Prescription Blue Option B Initial Coverage

In the ICP (Initial Coverage Phase) the cost of your prescriptions is shared with your insurance company. You and the carrier each pay your share (as determined by the plan) until you reach the Initial Coverage Limit (ICL). In 2013, the ICL is $2,970 and this number changes each year. No deductible means your initial coverage phase begins immediately.

Each prescription medication is put into a tier within each Medicare Part D plan's drug formulary. Different tiers have different levels of cost-sharing. It's important to note that these tiers are not completely standardiszed and your prescriptions may be found in different tiers on differnt plans. This is why we provide access to all Part D plans' drug formularies, so you can compare what the cost is for your prescription drugs for different Part D plasn in your area.

The pharmacy co-pay with the Prescription Blue Option B (PDP) plan in Michigan is tiered as follows:

Tier  Co-Pay AmountMedications in Tier
1$4.001624 Preferred Generics
2$45.00442 Non-Preferred Generics
3$85.00866 Preferred Brands
425%595 Non-Preferred Brands
530%331 Specialty Medications

The Initial Coverage Limit (ICL) is $2,970.00. This prescription plan does not qualify for the $0 LIS premium.

Prescription Blue Option B (PDP) 2013 Coverage Gap

The Coverage Gap (aka, "Donut Hole") is the coverage phase where you must pay all of your medication costs. Some plans provide donut hole coverage, and if you think that your drug costs will be high enough to get to this level, you should consider a plan with donut hole coverage. You can learn more about costs in the donut hole by reading What is the Medicare Part D Donut Hole? How long it will take you to reach the donut hole with the Prescription Blue Option B (PDP) plan depends on your specific prescriptions.

The Gap Coverage with this policy: 65% to 100% of formulary generics are covered, but you must pay for Brand Drugs up to $3727.50.

Plan Members

Nationwide, the number of seniors using the Prescription Blue Option B policy is 42,678. In region 13 (your region) there are approximately 42,678 people with this policy (based on 2011 CMS statistics).

More Information About Blue Cross Blue Shield of Michigan

The Michigan Blues have the largest patient-centered medical home program in the nation — with 2,500 physicians at 770 practices across the state. The Blues PCMH program is helping to lower unnecessary use of health care services that contribute to higher health care costs for everyone. Blue Cross Blue Shield of Michigan was founded in 1939 and employs approximately 7,000 people. It has 4.3 million members in Michigan and 1 million outside the state.

The summary (overall) rating for this plan is 3.0 out of 5 based on reviews from 42678 user ratings from the previous year. For more information about the review process, visit http://cms.gov.

Michigan Medicare Part D Plans

 
MedicareBenefits.us is not associated with the federal government. All plan information provided on this site is collected from public sources (e.g., cms.gov, carrier's website, plan brochures, etc.). Rates shown are for comparison purpose only. Contact your Medicare agent or Medicare.gov for a binding quote.