Blue MedicareRx Value Plus Prescription Drug Plan for Massachusetts Seniors
|Overall Plan Rating:|
|Coverage Limit (ICL):||$2,850.00|
|Pharmacy Mail Order:||Yes|
|Gap Coverage:||No Gap Coverage|
|Low Income Subsidy:||No|
|PDP ID No:||S2893-001|
|Approved by CMS for:||MA Residents|
|Rx Plan Type:||Regional|
2014 Medicare Prescription Drug Plan Overview
Blue MedicareRx Value Plus is an approved 2014 Medicare Part D Plan for Massachusetts seniors.
The plan's premium is $399.60 ($33.30/month). It has a $225.00 deductible (annual). For 2014, the maximum Part D deductible is $325. That's up just $5 from last year.
The formulary ID for this Anthem Blue Cross and Blue Shield plan is 00014200. The formulary contains 2885 medications.
There are two situations will change the amount you pay for you drug plan in Massachusetts. If are a low income beneficiary and qualify for Extra Help your premium may be lower. Also, if you have a premium penalty due to late entry, your premium will be higher.
Be sure to compare this Part D Plan with these plans from other insurers:
- First Health Part D Premier Plus
- Express Scripts Medicare - Choice
- Transamerica MedicareRx Choice
- First Health Part D Value Plus
- AARP MedicareRx Preferred
Blue MedicareRx Value Plus Initial Coverage
ICP - the Initial Coverage Phase - is where you share the cost of your prescriptions with your insurance company. You and the carrier each pay your share until you hit the Initial Coverage Limit (ICL). In 2014, the ICL is $2,850. This number is adjusted each year. This plan has a deductible, so your ICP does not start until the deductible has been paid.
All prescription medications fall into one of several tiers of the plan's formulary. The formulary tiers are used to manage cost-sharing (e.g., co-payments). Formulary tiers are not standardized. Each insurer can assign drugs to the tier that best suits what they pay for drugs.
The pharmacy co-pay with the Blue MedicareRx Value Plus plan in Massachusetts is tiered as follows:
|Tier||Co-Pay Amount||Medications in Tier|
|1||$1.00||325 Preferred Generics|
|2||$6.00||437 Non-Preferred Generics|
|3||$35.00||1094 Preferred Brand Drugs|
|4||$85.00||669 Non-Preferred Brand Drugs|
|5||27%||360 Specialty Drugs|
2014 Medicare Coverage Gap
The Initial Coverage Limit (ICL) is $2,850.00. The prescription drug Coverage Gap (aka, "Donut Hole") is the coverage phase where you must pay all of your medication costs. When you reach the donut hole with the Blue MedicareRx Value Plus plan all depends on your prescriptions. The Gap Coverage with this policy: No Gap Coverage
Low Income Subsidy
This plan is not available to seniors with a low income subsidy (does not qualify for the $0 LIS premium).
Nation wide, the number of seniors using the Blue MedicareRx Value Plus policy is 0. In region 2 (your region) there are approximately 0 people with this policy (based on 2012 CMS statistics).
More Massachusetts Senior Healthcare Resources
More Information About Anthem Blue Cross and Blue Shield
Anthem was an insurance company which began in the 1980s then merged in 2004 with the Blue Cross Blue Shield organizations of several states, then merged again in late 2004 with WellPoint. The combined company took the WellPoint name. While Anthem no longer exists as a company, the Anthem Blue Cross and Blue Shield brand name is used by WellPoint in 11 states.
The summary (overall) rating for this Anthem Blue Cross and Blue Shield plan is 4.5 out of 5 based on reviews from 0 user ratings from the previous year. For more information about the review process, visit http://cms.gov.
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