Blue MedicareRx Plus Prescription Plan for New Mexico Medicare Beneficiaries

Blue MedicareRx Plus (PDP) Prescription Medication Plan by HISC - Blue Cross Blue Shield for New Mexico Seniors with Medicare Benefits.
Overall Plan Rating:This Medicare drug plan has an average rating of 3.5
Monthly Premium:
$88.90
Pharmacy Co-Pay:$0.00
Coverage Limit (ICL):$2,970.00
Pharmacy Mail Order:Yes
Gap Coverage:All Generics
Low Income Subsidy:No
Medicare Formulary:2766
PDP ID No:S5715-004
Plan Year:2013
Approved by CMS for: NM Residents
Rx Plan Type:Regional
Est. Regional Members:985
THIS IS ARCHIVE DATA, NOT A CURRENT YEAR PAGE.

2018 Medicare Prescription Medication Plan Overview

Healthy New Mexico Medicare Part D Plan: Blue MedicareRx Plus (PDP) S5715-004Blue MedicareRx Plus (PDP) is an approved Medicare Prescription Drug Plan (Part D) for New Mexico seniors.

The annual premium is $1,066.80 ($88.90 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 HISC - Blue Cross Blue Shield formulary ID for this plan is 00012200, and it features 2766 FDA approved medications.

For all New Mexico 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 New Mexico is tiered as follows:

Tier  Co-Pay AmountMedications in Tier
1$5.001686 Preferred Generics
2$38.00370 Non-Preferred Generics
3$75.00468 Preferred Brands
433%242 Non-Preferred Brands
50 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: All 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 26 (your region) there are approximately 985 people with this policy (based on 2011 CMS statistics).

More Information About HISC - Blue Cross Blue Shield

Blue MedicareRx is a stand-alone prescription drug plan with a Medicare contract offered by HCSC Insurance Services Company, an Independent Licensee of Blue Cross and Blue Shield Association under contract S5715 with the Centers for Medicare and Medicaid Services.

The summary (overall) rating for this plan is 3.5 out of 5 based on reviews from 985 user ratings from the previous year. For more information about the review process, visit http://cms.gov.

New Mexico 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.