BlueRx Enhanced Prescription Plan for Delaware Medicare Beneficiaries

BlueRx Enhanced (PDP) Prescription Medication Plan by Medi-CareFirst BlueCross BlueShield for Delaware Seniors with Medicare Benefits.
Overall Plan Rating:This Medicare drug plan has an average rating of 4.0
Monthly Premium:
$165.40
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:4907
PDP ID No:S5766-003
Plan Year:2013
Approved by CMS for: DE Residents
Rx Plan Type:Regional
Est. Regional Members:4355
THIS IS ARCHIVE DATA, NOT A CURRENT YEAR PAGE.

2018 Medicare Prescription Medication Plan Overview

Healthy Delaware Medicare Part D Plan: BlueRx Enhanced (PDP) S5766-003BlueRx Enhanced (PDP) is an approved Medicare Prescription Drug Plan (Part D) for Delaware seniors.

The annual premium is $1,984.80 ($165.40 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 Medi-CareFirst BlueCross BlueShield formulary ID for this plan is 00012179, and it features 4907 FDA approved medications.

For all Delaware 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 BlueRx Enhanced:

BlueRx Enhanced 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 BlueRx Enhanced (PDP) plan in Delaware is tiered as follows:

Tier  Co-Pay AmountMedications in Tier
1$8.002006 Preferred Generics
2$30.00250 Non-Preferred Generics
3$65.002257 Preferred Brands
425%394 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.

BlueRx Enhanced (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 BlueRx Enhanced (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 BlueRx Enhanced policy is 4,355. In region 5 (your region) there are approximately 4,355 people with this policy (based on 2011 CMS statistics).

More Information About Medi-CareFirst BlueCross BlueShield

Medi-CareFirst BlueCross BlueShield (Medi-CareFirst) is the business name of Group Hospitalization and Medical Services, Inc. and First Care, Inc., which are affiliates of CareFirst, Inc. Medi-CareFirst was created as the underwriting entity for the Medicare Prescription Drug program (commonly known as Part D). Currently Medi-CareFirst offers two Medicare Prescription Drug plans for individuals, BlueRx Standard (PDP) plan and BlueRx Enhanced (PDP) plan. Our Medigap plans are administered through CareFirst, Inc.

CareFirst, Inc. is the not-for-profit, non-stock, parent company of CareFirst of Maryland, Inc., and Group Hospitalization and Medical Services, Inc., affiliates that do business as CareFirst BlueCross BlueShield. CareFirst, Inc. is governed by a Board of Directors and special statutes regulating its business in Maryland, the District of Columbia and Northern Virginia.

The summary (overall) rating for this plan is 4.0 out of 5 based on reviews from 4355 user ratings from the previous year. For more information about the review process, visit http://cms.gov.

Delaware 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.