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Blue Cross MedicareRx Choice A 2025 Medicare Part D Plan Available in Illinois
Blue Cross MedicareRx Choice A 2025 Medicare Part D Plan Available in Illinois
Welcome to your guide to the Blue Cross MedicareRx Choice Medicare Part D plan for 2025. This page covers key details about the plan, including its benefits, costs, and CMS star rating. We’ve also provided enrollment options to help you secure prescription drug coverage in Illinois.
The Blue Cross MedicareRx Choice plan offers valuable coverage to help reduce your prescription drug costs, whether you're enrolled in Medicare Part A and/or Part B, or a Medicare Advantage plan without drug coverage in Illinois.
Blue Cross MedicareRx Choice : Part D Plan Overview | |
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Part D Plan ID: | S5715-019 |
Plan Year: | 2025 |
Total Part D Premium: | $51.30 |
Annual Deductible: | $590.00 |
Part D Benefit Type: | Enhanced |
No Deductible Drug Tier: | Yes |
Low Income Subsidy: | Yes |
Insured By: | Blue Cross and Blue Shield of IL, NM, OK, TX |
We're Here to Help You Enroll |
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Breaking Down Medicare Part D Plan Costs
Blue Cross MedicareRx Choice has a range of costs, including monthly premiums, deductibles, copayments, and coinsurance. Understanding how each of these components impacts your overall expenses is key to managing your prescription drug costs effectively. The sections below will guide you through each cost factor.
Monthly Premium Overview
Your monthly premium for the Blue Cross MedicareRx Choice plan is bundled into the total plan cost. Depending on the plan, you may face additional expenses or qualify for Low-Income Subsidy (LIS) support. The table below outlines the premium structure for this 2025 Blue Cross and Blue Shield of IL, NM, OK, TX plan.
Basic Part D Premium: | $34.40 |
Supplemental Part D Premium: | $16.90 |
Total Part D Premium: | $51.30 |
Low Income Premium Subsidy: | $22.77 |
Low Income Premium Subsidy CMS Pays: | $22.80 |
Low Income Subsidy Premium: | $28.50 |
NOTE: Want to know more about the Low-Income Subsidy (LIS) or "Extra Help" program? This benefit can lower your prescription drug costs in Illinois. Visit the Social Security Extra Help page to learn more.
Part D Prescription Drug Plan Deductible
This plan's Medicare Part D annual deductible is $590.00. You will need to pay this deductible amount before Blue Cross and Blue Shield of IL, NM, OK, TX begins covering your prescription drug costs at the pharmacy.
Prescription Drug Plan Out-of-Pocket Costs
Beyond the monthly premium and deductible, Blue Cross MedicareRx Choice includes copayments (fixed amounts) and/or coinsurance (a percentage of the cost) that you'll need to pay when filling your prescriptions. The table below outlines these costs in detail.
Drug Tier | Retail | Mail Order | |
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Preferred Generic* | $0.00 | $15.00 | |
Generic* | $6.00 | $20.00 | |
Preferred Brand | 21.00% | 21.00% | |
Non-Preferred Drug | 30.00% | 44.00% | |
Specialty Tier | 25.00% | 25.00% | |
*Deductible does not apply. |
How the CMS 5-Star Rating Works
The CMS assigns Medicare Part D plans a star rating, ranging from 1 to 5 stars, based on several factors, including customer service, member satisfaction, and prescription drug safety. This annual rating helps you evaluate the quality of a plan before enrolling. A 5-star rating indicates top-tier performance. Below, you’ll find the CMS rating for the Blue Cross MedicareRx Choice plan.
CMS Measure | Star Rating |
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Overall Plan Rating | |
Drug Plan Customer Service | |
Complaints and Changes in the Drug Plan | |
Member Experience with the Drug Plan | |
Drug Safety and Accuracy of Drug Pricing |
When to Enroll in a Medicare Part D Plan
Timing your enrollment in Medicare Part D is critical. Here are the key periods when you can sign up for or make changes to your plan:
- Initial Enrollment Period (IEP): Your first chance to enroll in Medicare Part D typically starts three months before the month you turn 65 and lasts for seven months. Learn more about when your Initial Enrollment Period begins.
- Annual Enrollment Period (AEP): Every year from October 15 to December 7, you can join, switch, or drop your Medicare Part D plan. Get details about the Medicare Annual Enrollment Period.
- Medicare Advantage Open Enrollment Period (MA-OEP): From January 1 to March 31, you can change your Medicare Advantage plan or switch back to Original Medicare (with or without Part D), so long as you are currently enrolled in a Medicare Advantage plan. Explore the Medicare Advantage Open Enrollment Period.
- Special Enrollment Period (SEP): Certain events, like moving or losing other coverage, may qualify you for a Special Enrollment Period, allowing you to enroll or change plans outside the usual periods.
How to Enroll in Medicare Part D
There are several ways to enroll in Blue Cross MedicareRx Choice or another Medicare Part D plan, allowing you to choose the method that works best for you:
- Online via MedicareEnrollment.com: Visit MedicareEnrollment.com to compare plans and enroll online quickly and securely.
- Call HealthCompare: For personalized assistance, call HealthCompare at 833-748-3201 (TTY 711) to get expert help with finding the right plan (Mon-Fri 5am-6pm, Sat 6am-5pm PST).
- Call 1-800-MEDICARE: Speak with a Medicare representative by calling 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048.
- Call the Plan Directly: You can also contact the plan directly using the details provided below to enroll over the phone.
Contact Blue Cross and Blue Shield of IL, NM, OK, TX
Website: | Blue Cross and Blue Shield of IL, NM, OK, TX Plan Page |
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Formulary: | Blue Cross and Blue Shield of IL, NM, OK, TX Formulary Page |
Pharmacy: | Blue Cross and Blue Shield of IL, NM, OK, TX Pharmacy Page |
Prospective Part D Members: | (877)213-1817 |
Prospective Part D TTY Users: | 711 |
Plans Offered Through Medicare.org
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Baylor Scott & White Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, GlobalHealth, Health Care Service Corporation, Healthy Blue, HealthSun, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.
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