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MedicareBlue Rx Premier A 2025 Medicare Part D Plan (S5743-004)
MedicareBlue Rx Premier A 2025 Medicare Part D Plan (S5743-004)
Welcome to your guide to the MedicareBlue Rx Premier 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 take the next step in securing your prescription drug coverage.
The MedicareBlue Rx Premier 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.
MedicareBlue Rx Premier : Part D Plan Overview | |
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Part D Plan ID: | S5743-004 |
Plan Year: | 2025 |
Total Part D Premium: | $116.90 |
Annual Deductible: | $0.00 |
Part D Benefit Type: | Enhanced |
No Deductible Drug Tier: | Not Applicable |
Low Income Subsidy: | Yes |
Insured By: | MedicareBlue Rx |
We're Here to Help You Enroll |
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Breaking Down Medicare Part D Plan Costs
When considering MedicareBlue Rx Premier , 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.
Monthly Premium Overview
The MedicareBlue Rx Premier 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 MedicareBlue Rx.
Basic Part D Premium: | $71.60 |
Supplemental Part D Premium: | $45.30 |
Total Part D Premium: | $116.90 |
Low Income Premium Subsidy: | $50.63 |
Low Income Premium Subsidy CMS Pays: | $50.60 |
Low Income Subsidy Premium: | $66.30 |
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 Wyoming. For more details, visit the Social Security Extra Help page.
Annual Deductible Information
This plan has a Medicare Part D annual deductible of $0.00. You must pay this amount upfront at the pharmacy before MedicareBlue Rx begins contributing to your prescription costs.
Out-of-Pocket Costs in this Drug Plan
Along with the plan's monthly premium and deductible, MedicareBlue Rx Premier 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 | $15.00 | |
Generic | $0.00 | $20.00 | |
Preferred Brand | 20.00% | 25.00% | |
Non-Preferred Drug | 40.00% | 45.00% | |
Specialty Tier | 33.00% | 33.00% | |
*Deductible does not apply. |
CMS 5-Star Rating Overview
Every year, the Centers for Medicare & Medicaid Services (CMS) rates Medicare Part D plans on a 5-star scale, with 5 stars representing excellent quality and performance. These ratings consider factors like customer service, member experience, and the safety of prescription drugs. A higher rating reflects better overall quality, helping you choose the best plan for your needs. The table below shows the CMS rating for the MedicareBlue Rx Premier 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 Medicare Part D
It's important to enroll in a Medicare Part D plan during specific periods to avoid penalties and ensure continuous coverage. Here are the key times to sign up:
- 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 Medicare Part D
Ready to enroll in MedicareBlue Rx Premier or another Medicare Part D plan? Here are your options:
- 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 MedicareBlue Rx
Website: | MedicareBlue Rx Plan Page |
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Formulary: | MedicareBlue Rx Formulary Page |
Pharmacy: | MedicareBlue Rx Pharmacy Page |
Prospective Part D Members: | (866)434-2037 |
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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