
Anthem MediBlue Rx Standard A 2025 Medicare Part D Plan Available in Ohio
Anthem MediBlue Rx Standard A 2025 Medicare Part D Plan Available in Ohio
Welcome to the 2025 Anthem MediBlue Rx Standard Medicare Part D plan guide for Ohio. Here, you’ll find all the information you need, including plan benefits, costs, and star ratings. We’ve also included enrollment options to assist you in securing the right prescription drug coverage for you in Ohio.
The Anthem MediBlue Rx Standard plan provides valuable coverage for reducing 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 Ohio.
Anthem MediBlue Rx Standard : Part D Plan Overview | |
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Part D Plan ID: | S5596-013 |
Plan Year: | 2025 |
Total Part D Premium: | $101.80 |
Annual Deductible: | $590.00 |
Part D Benefit Type: | Basic |
No Deductible Drug Tier: | Not Applicable |
Low Income Subsidy: | Yes |
Insured By: | Anthem / Anthem or Blue KC in Missouri |
We're Here to Help You Enroll |
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Breaking Down Medicare Part D Plan Costs
When considering Anthem MediBlue Rx Standard , it's important to look beyond the monthly premium. There are additional costs, such as deductibles, copayments, and coinsurance, that can affect your out-of-pocket expenses. The following sections explain each cost element to help you make informed decisions about your prescription drug coverage.
Premium Breakdown
The Anthem MediBlue Rx Standard plan's monthly premium is an important factor in your total costs. Some plans include extra fees or offer financial aid through the Low-Income Subsidy (LIS) program. The following table details the premium costs for this 2025 plan by Anthem / Anthem or Blue KC in Missouri.
Basic Part D Premium: | $101.80 |
Supplemental Part D Premium: | $0.00 |
Total Part D Premium: | $101.80 |
Low Income Premium Subsidy: | $39.30 |
Low Income Premium Subsidy CMS Pays: | $39.30 |
Low Income Subsidy Premium: | $62.50 |
IMPORTANT: If you qualify for the Low-Income Subsidy (LIS) program, known as "Extra Help," you could receive assistance with your prescription drug plan costs in Ohio. For more details, visit the Social Security Extra Help page.
Part D Prescription Drug Plan Deductible
The annual Medicare Part D deductible for this plan is $590.00. You are responsible for paying this amount before Anthem / Anthem or Blue KC in Missouri starts sharing the cost of your prescriptions.
Out-of-Pocket Expenses with this Part D Plan
Beyond the monthly premium and deductible, Anthem MediBlue Rx Standard 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 | $1.00 | $1.00 | |
Generic | $4.00 | $4.00 | |
Preferred Brand | 17.00% | 17.00% | |
Non-Preferred Drug | 49.00% | 49.00% | |
Specialty Tier | 25.00% | 25.00% | |
*Deductible does not apply. |
What the CMS 5-Star Rating Means
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 Anthem MediBlue 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): This seven-month period begins three months before your 65th birthday month. Discover more about your Medicare Initial Enrollment Period.
- Annual Enrollment Period (AEP): Every year between October 15 and December 7, you can make changes to your Medicare Part D plan. Learn about the Annual Enrollment Period.
- Medicare Advantage Open Enrollment Period (MA-OEP): From January 1 to March 31, you can switch Medicare Advantage plans or return to Original Medicare, , so long as you are currently enrolled in a Medicare Advantage plan. Learn more about the MA Open Enrollment Period.
- Special Enrollment Period (SEP): Life events such as relocating or losing coverage can trigger a Special Enrollment Period, allowing changes outside the usual enrollment windows.
How to Enroll in Medicare Part D
Here are a few ways to enroll in Anthem MediBlue Rx Standard or a different Medicare Part D plan:
- Online via MedicareEnrollment.com: Compare and get enrolled online by visiting MedicareEnrollment.com.
- Call HealthCompare: Speak with a licensed insurance agent by calling HealthCompare at 833-748-3201 (TTY 711) for personalized assistance (Mon-Fri 5am-6pm, Sat 6am-5pm PST).
- Call 1-800-MEDICARE: You can also call 1-800-MEDICARE (1-800-633-4227) for help with enrollment. TTY users should dial 1-877-486-2048.
- Call the Plan Directly: Contact the plan directly using the information provided below to enroll by phone.
Contact Anthem / Anthem or Blue KC in Missouri
Website: | Anthem / Anthem or Blue KC in Missouri Plan Page |
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Formulary: | Anthem / Anthem or Blue KC in Missouri Formulary Page |
Pharmacy: | Anthem / Anthem or Blue KC in Missouri Pharmacy Page |
Prospective Part D Members: | (833)668-2397 |
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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