2009 Medicare Prescription Drug Plan Details | |||||
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Medicare Plan Name: | Blue Shield Medicare Rx Enhanced Plan by Blue Shield of California | ||||
State: | California | ||||
Plan ID: | S2468 - 001 - 0 Click to see other plans | ||||
Member Services: | 1-888-239-6469 TTY users 1-888-239-6482 | ||||
— This plan information is for research purposes only. — Click here to see plans for the current plan year | |||||
Medicare Contact Information: | Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options. TTY users 1-877-486-2048 or contact your local SHIP for assistance |
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Email a copy of the Blue Shield Medicare Rx Enhanced Plan benefit details | |||||
— Medicare Plan Features — | |||||
Monthly Premium: | $49.90 | ||||
Annual Deductible: | $0 | ||||
$0 Premium if Full LIS Benefits? | No, this plan does NOT qualify for the $0 Premium. | ||||
Gap Coverage? | No Gap Coverage | ||||
Total Number of Formulary Drugs: | 4,019 drugs | Browse the Blue Shield Medicare Rx Enhanced Plan Formulary | |||
This plan has 5 drug tiers. See cost-sharing highlights below. | |||||
Formulary Drug Details: | Tier 1 | Tier 2 | Tier 3 | Tier 4 | Tier 5 |
• Preferred Pharmacy Cost-Sharing during initial coverage phase: | $10.00 | $30.00 | $60.00 | 25% | 25% |
• Number of Drugs per Tier: | 1744 | 612 | 659 | 761 | 243 |
Plan Offers Mail Order? | No | ||||
Plan Type (Reach): | National Plan | ||||
Number of Members enrolled in this plan in California: | 30,558 members (CMS Region 32) | ||||
Number of Members enrolled in this plan nationally: | 30,558 members |