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Blue Cross MedicareRx Choice A 2025 Medicare Part D Plan Available in Texas
Blue Cross MedicareRx Choice A 2025 Medicare Part D Plan Available in Texas
Welcome to your guide to the Blue Cross MedicareRx Choice 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 secure prescription drug coverage in Texas.
The Blue Cross MedicareRx Choice 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 in Texas.
Blue Cross MedicareRx Choice : Part D Plan Overview | |
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Part D Plan ID: | S5715-021 |
Plan Year: | 2025 |
Total Part D Premium: | $60.60 |
Annual Deductible: | $590.00 |
Part D Benefit Type: | Enhanced |
No Deductible Drug Tier: | Yes |
Low Income Subsidy: | Yes |
Insured By: | Blue Cross and Blue Shield of IL, NM, OK, TX |
We're Here to Help You Enroll |
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Breaking Down Medicare Part D Plan Costs
Blue Cross MedicareRx Choice 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.
Plan Premium Details
The Blue Cross MedicareRx Choice 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 Blue Cross and Blue Shield of IL, NM, OK, TX.
Basic Part D Premium: | $45.10 |
Supplemental Part D Premium: | $15.50 |
Total Part D Premium: | $60.60 |
Low Income Premium Subsidy: | $18.30 |
Low Income Premium Subsidy CMS Pays: | $18.30 |
Low Income Subsidy Premium: | $42.30 |
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 Texas. For more details, visit the Social Security Extra Help page.
Part D Prescription Drug Plan Deductible
This plan has a Medicare Part D annual deductible of $590.00. You must pay this amount upfront at the pharmacy before Blue Cross and Blue Shield of IL, NM, OK, TX begins contributing to your prescription costs.
Prescription Drug Plan Out-of-Pocket Costs
Beyond the monthly premium and deductible, Blue Cross MedicareRx Choice 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 | $15.00 | |
Generic* | $6.00 | $20.00 | |
Preferred Brand | 17.00% | 17.00% | |
Non-Preferred Drug | 39.00% | 40.00% | |
Specialty Tier | 25.00% | 25.00% | |
*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 Blue Cross MedicareRx Choice 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 chance to enroll in Medicare Part D typically starts three months before the month you turn 65 and lasts for seven months. Learn more about when your Initial Enrollment Period begins.
- Annual Enrollment Period (AEP): Every year from October 15 to December 7, you can join, switch, or drop your Medicare Part D plan. Get details about the Medicare Annual Enrollment Period.
- Medicare Advantage Open Enrollment Period (MA-OEP): From January 1 to March 31, you can change your Medicare Advantage plan or switch back to Original Medicare (with or without Part D), so long as you are currently enrolled in a Medicare Advantage plan. Explore the Medicare Advantage Open Enrollment Period.
- Special Enrollment Period (SEP): Certain events, like moving or losing other coverage, may qualify you for a Special Enrollment Period, allowing you to enroll or change plans outside the usual periods.
How to Sign Up for Blue Cross MedicareRx Choice
Here are a few ways to enroll in Blue Cross MedicareRx Choice 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 Blue Cross and Blue Shield of IL, NM, OK, TX
Website: | Blue Cross and Blue Shield of IL, NM, OK, TX Plan Page |
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Formulary: | Blue Cross and Blue Shield of IL, NM, OK, TX Formulary Page |
Pharmacy: | Blue Cross and Blue Shield of IL, NM, OK, TX Pharmacy Page |
Prospective Part D Members: | (877)213-1817 |
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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