Your choice for drug coverage
Prescription drugs can be expensive. MedicareBlue Rx is a Part D Prescription Drug Plan designed to help you manage your drug costs. Even if you don’t have drug costs now, this plan can protect you from the expense of prescription drugs you may need in the future.
MedicareBlue Rx offers you:
- Protection from unexpected drug costs
- Coverage of preferred and non-preferred generic and brand-name drugs, as well as specialty drugs
- Access to more than 68,000 pharmacies in our network. See a list of participating pharmacies. You can also search our drug lists (formularies) to see if your medications are covered.
- Discounts on vision exams, eyewear, laser surgery, hearing exams and hearing aids through the MedicareBlue Values program.
- Discounts on CVS/Pharmacy-brand health care product with CVS Caremark* ExtraCare® Health Card
*CVS/caremark is an independent company providing pharmacy benefit management services
Choose from three plan options
We offer three plan options — Value Plus, Standard and Premier. Our Value Plus option has a low deductible you must pay first, then you pay copays or coinsurance for your drugs. Our Standard option also has a deductible you must pay first before copay or coinsurance cost sharing begins. Our Premier option does not have a deductible, so drug coverage starts right away with copays or coinsurance. Our Premier option also offers additional savings on generic drugs and some brand-name drugs in the coverage gap. Each option includes catastrophic coverage that helps protect against high drug costs after you have spent a certain amount on prescription drugs.
See below to compare the three options at each coverage stage.
To help you decide which plan is right for you, use our drug calculator. Remember to compare all the benefits and value offered by each plan option, in addition to out-of-pocket costs.
If you are new to Medicare, you may want to learn more about Medicare before choosing a plan.
Rates and coverage details
For plan rates and what's covered in each option, refer to the:
You can also request this information be mailed to you.
Use our pharmacy network for the greatest benefits
Once enrolled, you’ll have access to more than 68,000 network pharmacies, including major chains such as CVS/pharmacy, Wal-Mart and Walgreens, as well as many neighborhood pharmacies. Using a pharmacy in our network reduces your costs and your claims will be filed for you.
If you go to a pharmacy that is not in our network, you may have to pay more for your prescriptions and you may have to file a claim to be reimbursed. You will pay any difference between the non-network pharmacy’s charge and the amount the plan allows. Some drugs may have quantity limits or other restrictions that apply.
MedicareBlue Rx achieves 5-Star Rating for 2015
MedicareBlue Rx achieved a 5-Star Rating from the Centers for Medicare & Medicaid Services (CMS) for 2015. A 5-Star Rating is the highest overall quality score any prescription drug plan (PDP) in the region has ever earned, so MedicareBlue Rx continues to be a top choice for members looking for quality. View the final MedicareBlue Rx Star Ratings for further information.
Medicare evaluates plans based on a 5-Star Rating system. Star Ratings are calculated each year and may change from one year to the next.
The Star Rating System rates plans on the results of several quality measures, with the summary score providing a measure of a plan’s overall quality. This score represents the quality of care, access to care, responsiveness of the plan and the member’s satisfaction. Plans with five stars represent “excellent performance.” Both Medicare Advantage and prescription drug plans are rated using the system.
If you would like additional information on our plan’s performance, please contact us at
1-866-434-2037 (TTY hearing impaired users call 711), 8 a.m. to 8 p.m., daily, Central and Mountain Times, or visit www.medicare.gov.
Letters and phone calls once you join our plan
When you join MedicareBlue Rx you may receive an occasional letter or phone call from the plan. For example, if you have other prescription drug coverage, you may receive a call asking that you verify your other coverage so that Medicare can coordinate your benefits with your other plan coverage.
You will receive a letter from the plan shortly after your enrollment application is received if an agent helped with your enrollment. Its purpose is to make sure you are enrolled in the correct plan, describe how the plan works and answer any questions you may have.
If you have any questions about letter or phone call you receive from the plan, please call 1-866-434-2037 (TTY hearing impaired users call 711).
Medication Therapy Management (MTM) Program
If you meet certain requirements, you may be invited to participate in a program designed for your specific health and pharmacy needs. You may choose not to participate, but it is recommended that you take full advantage of this service if you are selected. For more about who is eligible for MTM and how the program can help you, see the program flyer.
You can also download a blank Personal Medication List to get started.