
Anthem MediBlue Rx Plus A 2025 Medicare Part D Plan Available in Ohio
Anthem MediBlue Rx Plus A 2025 Medicare Part D Plan Available in Ohio
This guide provides an overview of the Anthem MediBlue Rx Plus 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 Ohio. Use the sections below to explore your prescription drug coverage options.
Anthem MediBlue Rx Plus 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 Ohio.
Anthem MediBlue Rx Plus : Part D Plan Overview | |
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Part D Plan ID: | S5596-014 |
Plan Year: | 2025 |
Total Part D Premium: | $72.10 |
Annual Deductible: | $555.00 |
Part D Benefit Type: | Enhanced |
No Deductible Drug Tier: | Yes |
Low Income Subsidy: | Yes |
Insured By: | Anthem / Anthem or Blue KC in Missouri |
We're Here to Help You Enroll |
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Understanding Medicare Part D Plan Costs
Anthem MediBlue Rx Plus 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.
Plan Premium Details
The Anthem MediBlue Rx Plus 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: | $54.60 |
Supplemental Part D Premium: | $17.50 |
Total Part D Premium: | $72.10 |
Low Income Premium Subsidy: | $39.30 |
Low Income Premium Subsidy CMS Pays: | $39.30 |
Low Income Subsidy Premium: | $32.80 |
TIP: To learn more about the Low-Income Subsidy (LIS) program, also known as "Extra Help," and how it can assist with your prescription drug costs in Ohio, visit the Social Security Extra Help page.
Understanding the Plan’s Deductible
This plan has a Medicare Part D annual deductible of $555.00. You must pay this amount upfront at the pharmacy before Anthem / Anthem or Blue KC in Missouri begins contributing to your prescription costs.
Prescription Drug Plan Out-of-Pocket Costs
Beyond the monthly premium and deductible, Anthem MediBlue Rx Plus 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 | $0.00 | |
Generic* | $4.00 | $4.00 | |
Preferred Brand | 15.00% | 15.00% | |
Non-Preferred Drug | 40.00% | 40.00% | |
Specialty Tier | 26.00% | 26.00% | |
*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 Anthem MediBlue Rx Plus 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 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 Sign Up for Anthem MediBlue Rx Plus
There are several ways to enroll in Anthem MediBlue Rx Plus or another Medicare Part D plan, allowing you to choose the method that works best for you:
- Online via MedicareEnrollment.com: Easily compare and enroll in plans by visiting MedicareEnrollment.com.
- Call HealthCompare: Get expert help from HealthCompare by calling 833-748-3201 (TTY 711). They can assist you in finding the right plan for your needs (Mon-Fri 5am-6pm, Sat 6am-5pm PST).
- Call 1-800-MEDICARE: For additional guidance, contact Medicare at 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048.
- Call the Plan Directly: Alternatively, reach out to the plan directly using the contact information provided below.
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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