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Anthem MediBlue Rx Plus A 2025 Medicare Part D Plan Available in Virginia
Anthem MediBlue Rx Plus A 2025 Medicare Part D Plan Available in Virginia
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 Virginia. 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 Virginia.
Anthem MediBlue Rx Plus : Part D Plan Overview | |
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Part D Plan ID: | S5596-006 |
Plan Year: | 2025 |
Total Part D Premium: | $58.40 |
Annual Deductible: | $590.00 |
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 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
Your monthly premium for the Anthem MediBlue Rx Plus plan is bundled into the total plan cost. Depending on the plan, you may face additional expenses or qualify for Low-Income Subsidy (LIS) support. The table below outlines the premium structure for this 2025 Anthem / Anthem or Blue KC in Missouri plan.
Basic Part D Premium: | $43.40 |
Supplemental Part D Premium: | $15.00 |
Total Part D Premium: | $58.40 |
Low Income Premium Subsidy: | $30.70 |
Low Income Premium Subsidy CMS Pays: | $30.70 |
Low Income Subsidy Premium: | $27.70 |
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 Virginia, visit the Social Security Extra Help page.
Understanding the Plan’s 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
In addition to the monthly premium and deductible, you'll also be responsible for copayments (fixed amounts) and/or coinsurance (a percentage of the drug cost) under the Anthem MediBlue Rx Plus plan. The following table details these out-of-pocket costs.
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 | 41.00% | 41.00% | |
Specialty Tier | 25.00% | 25.00% | |
*Deductible does not apply. |
How the CMS 5-Star Rating Works
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 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
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): 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 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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