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Horizon Medicare Blue Rx Standard A 2025 Medicare Part D Plan Available in New Jersey
Horizon Medicare Blue Rx Standard A 2025 Medicare Part D Plan Available in New Jersey
This guide provides an overview of the Horizon Medicare Blue Rx Standard Medicare Part D plan for 2025. You’ll find important information about the plan's benefits, costs, and star rating, along with details on how to enroll in New Jersey. Use the sections below to explore your prescription drug coverage options.
Horizon Medicare Blue Rx Standard helps lower your prescription drug expenses, whether you’re enrolled in Medicare Part A and/or Part B, or a Medicare Advantage plan without drug coverage in New Jersey.
Horizon Medicare Blue Rx Standard : Part D Plan Overview | |
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Part D Plan ID: | S5993-001 |
Plan Year: | 2025 |
Total Part D Premium: | $18.20 |
Annual Deductible: | $590.00 |
Part D Benefit Type: | Basic |
No Deductible Drug Tier: | Not Applicable |
Low Income Subsidy: | Yes |
Insured By: | Horizon Blue Cross Blue Shield of New Jersey |
We're Here to Help You Enroll |
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Understanding Medicare Part D Plan Costs
Horizon Medicare Blue Rx Standard has various costs beyond just the monthly premium. From deductibles to copayments and coinsurance, it's essential to understand how these expenses work so you can effectively manage your prescription drug costs. The sections below break down each cost component to help you navigate these financial details with ease.
Monthly Premium Overview
The Horizon Medicare Blue Rx Standard plan's monthly premium plays a significant role in determining your overall costs. Some plans may also include supplemental charges or offer Low-Income Subsidy (LIS) options. Below is a breakdown of the premium details for this 2025 plan from Horizon Blue Cross Blue Shield of New Jersey.
Basic Part D Premium: | $18.20 |
Supplemental Part D Premium: | $0.00 |
Total Part D Premium: | $18.20 |
Low Income Premium Subsidy: | $56.86 |
Low Income Premium Subsidy CMS Pays: | $18.20 |
Low Income Subsidy Premium: | $0.00 |
NOTE: Want to know more about the Low-Income Subsidy (LIS) or "Extra Help" program? This benefit can lower your prescription drug costs in New Jersey. Visit the Social Security Extra Help page to learn more.
Understanding the Plan’s Deductible
The annual Medicare Part D deductible for this plan is $590.00. You are responsible for paying this amount before Horizon Blue Cross Blue Shield of New Jersey starts sharing the cost of your prescriptions.
Out-of-Pocket Expenses with this Part D Plan
Along with the plan's monthly premium and deductible, Horizon Medicare Blue Rx Standard requires you to pay copayments (a set dollar amount) or coinsurance (a percentage of the drug cost) when picking up your medications. The table below provides a breakdown of these out-of-pocket expenses.
Drug Tier | Retail | Mail Order | |
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Preferred Generic | $0.00 | $0.00 | |
Generic | $5.00 | $5.00 | |
Preferred Brand | 20.00% | 20.00% | |
Non-Preferred Drug | 45.00% | 45.00% | |
Specialty Tier | 25.00% | 0.00% | |
*Deductible does not apply. |
CMS 5-Star Rating Overview
The CMS evaluates Medicare Part D plans each year and assigns a star rating from 1 to 5 based on their overall quality and performance. These ratings are determined by factors like member experiences, customer service, and how well the plan ensures prescription drug safety. Higher ratings indicate better quality, making it easier for you to choose the right plan. Below is the star rating for the Horizon Medicare Blue Rx Standard 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 |
Important Medicare Part D Enrollment Periods
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 opportunity to join Medicare Part D typically begins three months before you turn 65 and continues for seven months. Find out more about the Initial Enrollment Period.
- Annual Enrollment Period (AEP): From October 15 to December 7 each year, you can change your Medicare Part D plan. Get details on the Medicare Annual Enrollment Period.
- Medicare Advantage Open Enrollment Period (MA-OEP): Between January 1 and March 31, you can change your Medicare Advantage plan or return to Original Medicare (with or without Part D), so long as you are currently enrolled in a Medicare Advantage plan. Learn more about the Medicare Advantage Open Enrollment Period.
- Special Enrollment Period (SEP): Specific situations, like moving or losing other coverage, may allow you to use a Special Enrollment Period to enroll or switch plans.
How to Enroll in Horizon Medicare Blue Rx Standard
Here are a few ways to enroll in Horizon Medicare Blue Rx Standard or a different Medicare Part D plan:
- 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 Horizon Blue Cross Blue Shield of New Jersey
Website: | Horizon Blue Cross Blue Shield of New Jersey Plan Page |
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Formulary: | Horizon Blue Cross Blue Shield of New Jersey Formulary Page |
Pharmacy: | Horizon Blue Cross Blue Shield of New Jersey Pharmacy Page |
Prospective Part D Members: | (888)765-7134 |
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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