Blue MedicareRx Plus Prescription Plan for Colorado Medicare Beneficiaries

Blue MedicareRx Plus (PDP) Prescription Medication Plan by Anthem Blue Cross Life and Health Insurance Co for Colorado Seniors with Medicare Benefits.
Overall Plan Rating:This Medicare drug plan has an average rating of 2.5
Monthly Premium:
$84.40
Pharmacy Co-Pay:$0.00
Coverage Limit (ICL):$2,970.00
Pharmacy Mail Order:Yes
Gap Coverage:Few Generics
Low Income Subsidy:No
Medicare Formulary:3245
PDP ID No:S5596-060
Plan Year:2013
Approved by CMS for: CO Residents
Rx Plan Type:Regional
Est. Regional Members:2742
THIS IS ARCHIVE DATA, NOT A CURRENT YEAR PAGE.

2018 Medicare Prescription Medication Plan Overview

Healthy Colorado Medicare Part D Plan: Blue MedicareRx Plus (PDP) S5596-060Blue MedicareRx Plus (PDP) is an approved Medicare Prescription Drug Plan (Part D) for Colorado seniors.

The annual premium is $1,012.80 ($84.40 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 Anthem Blue Cross Life and Health Insurance Co formulary ID for this plan is 00012350, and it features 3245 FDA approved medications.

For all Colorado 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 Blue MedicareRx Plus:

Blue MedicareRx Plus 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 Blue MedicareRx Plus (PDP) plan in Colorado is tiered as follows:

Tier  Co-Pay AmountMedications in Tier
1$2.00406 Preferred Generics
2$7.001216 Non-Preferred Generics
3$45.00414 Preferred Brands
4$90.00237 Non-Preferred Brands
533%586 Specialty Medications

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

Blue MedicareRx Plus (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 Blue MedicareRx Plus (PDP) plan depends on your specific prescriptions.

The Gap Coverage with this policy: Less than 10% 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 Blue MedicareRx Plus policy is 155,061. In region 27 (your region) there are approximately 2,742 people with this policy (based on 2011 CMS statistics).

More Information About Anthem Blue Cross Life and Health Insurance Co

Anthem was an insurance company which began in the 1980s then merged in 2004 with the Blue Cross Blue Shield organizations of several states, then merged again in late 2004 with WellPoint. The combined company took the WellPoint name. While Anthem no longer exists as a company, the Anthem Blue Cross and Blue Shield brand name is used by WellPoint in 11 states.

The summary (overall) rating for this plan is 2.5 out of 5 based on reviews from 2742 user ratings from the previous year. For more information about the review process, visit http://cms.gov.

Colorado 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.