BlueRx Essential A 2025 Medicare Part D Plan Available in Tennessee

CMS Rating: ☆☆☆☆☆ (3.5 out of 5 stars^*)

This guide provides an overview of the BlueRx Essential 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 Tennessee. Use the sections below to explore your prescription drug coverage options.

BlueRx Essential 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 Tennessee.

• Monthly Premium
• Deductible
• Copays
• CMS 5-Star Ratings
• Enrollment
• Contact the Plan

An Overview of Medicare Part D Plan Costs

BlueRx Essential 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 BlueRx Essential 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 BlueRx (PDP).

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 Tennessee, visit the Social Security Extra Help page.

Understanding the Plan’s Deductible

This plan's Medicare Part D annual deductible is $590.00. You will need to pay this deductible amount before BlueRx (PDP) begins covering your prescription drug costs at the pharmacy.

Prescription Drug Plan Out-of-Pocket Costs

Along with the plan's monthly premium and deductible, BlueRx Essential 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.

How the CMS 5-Star Rating Works

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 BlueRx Essential plan.

When to Enroll in a Medicare Part D Plan

Knowing when to enroll in a Medicare Part D plan is crucial to ensuring you have the coverage you need. Below are the main enrollment periods:

• 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 BlueRx Essential

There are several ways to enroll in BlueRx Essential or another Medicare Part D plan, allowing you to choose the method that works best for you:

• 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 BlueRx (PDP)

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.

This page was last updated on October 22, 2024.