2025 Medicare Prescription Drug Plan Details | |||||
---|---|---|---|---|---|
Medicare Plan Name: | Anthem MediBlue Rx Plus (PDP) by Anthem / Anthem or Blue KC in Missouri | ||||
State: | Kentucky | ||||
Plan ID: | S5596 - 018 - 0 Click to see other plans | ||||
Member Services: | (833)285-4639 TTY users 711 | ||||
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 |
||||
Email a copy of the Anthem MediBlue Rx Plus (PDP) benefit details | |||||
— Medicare Plan Features — | |||||
Monthly Premium: | $87.10 (see Plan Premium Details below) | ||||
Annual Deductible: | $465 (Tier 1 and 2 excluded from the Deductible.) | ||||
$0 Premium if LIS Benefits? | No, this plan does NOT qualify for the $0 Premium. (See premium for LIS subsidy beneficiaries below.) | ||||
Drug Benefit Type ❔ | Enhanced Alternative (EA) | ||||
Total Number of Formulary Drugs: | 3,228 drugs | Browse the Anthem MediBlue Rx Plus (PDP) Formulary | |||
Formulary Exception Tier: | Tier 4 | If your formulary exception request is approved, your drug will be placed on this tier. | |||
This plan has 5 drug tiers. See cost-sharing for all pharmacies and tiers. | |||||
Insulin on a Medicare Part D plan's formulary will have a monthly copay of $35 or less. | |||||
Formulary Drug Details: | Tier 1 | Tier 2 | Tier 3 | Tier 4 | Tier 5 |
• Preferred Pharmacy Cost-Sharing during initial coverage phase: | $0.00 | $4.00 | 15% | 40% | 27% |
• Number of Drugs per Tier: | 276 | 1031 | 246 | 1208 | 467 |
Plan's Pharmacy Search: | https://shop.anthem.com/medicare | ||||
Plan Offers Mail Order? | Yes | ||||
Plan Type (Reach): | Regional Plan | ||||
Number of Members enrolled in this plan in your CMS Region: | 18,488 members (CMS Region 15) | ||||
Number of Members enrolled in this plan nationally: | 83,703 members | ||||
Plan’s Summary Star Rating: | 3.5 out of 5 Stars. | ||||
• Customer Service Rating: | 5 out of 5 Stars. | ||||
• Member Experience Rating: | 3 out of 5 Stars. | ||||
• Drug Cost Accuracy Rating: | 3 out of 5 Stars. | ||||
— Plan Premium Details — | |||||
The Monthly Premium is Split as Follows: ❔ | Total Premium | Part D Basic Premium | Part D Supplemental Premium | ||
$87.10 | $64.90 | $22.20 | |||
Monthly Premium with Extra Help Low-Income Subsidy (LIS): ❔ | $37.50 |