MedicareBlue Rx Standard A 2025 Medicare Part D Plan (S5743-001)
MedicareBlue Rx Standard A 2025 Medicare Part D Plan (S5743-001)
Welcome to your guide to the MedicareBlue Rx Standard 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 Standard 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 Standard: Part D Plan Overview | |
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Part D Plan ID: | S5743-001 |
Part D Plan Type: | PDP |
Part D Plan Year: | 2024 |
Monthly Premium: | $76.40 |
Annual Deductible: | $545.00 |
Part D Benefit Type: | Basic |
Gap Coverage: | No |
Low Income Subsidy: | No |
Availability: | |
Insured By: | MedicareBlue Rx |
Understanding Medicare Part D Plan Costs
MedicareBlue Rx Standard has a range of costs, including monthly premiums, deductibles, copayments, and coinsurance. Understanding how each of these components impacts your overall expenses is key to managing your prescription drug costs effectively. The sections below will guide you through each cost factor.
Plan Premium Details
The MedicareBlue Rx Standard 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 2024 plan from MedicareBlue Rx.
Basic Part D Premium: | $76.40 |
Supplemental Part D Premium: | $0.00 |
Total Part D Premium: | $76.40 |
Part D Premium with Full LIS Assistance: | $34.20 |
If you qualify for the Low-Income Subsidy (LIS) program, known as "Extra Help," you could receive assistance with your prescription drug plan costs. For more details, visit the Social Security Extra Help page.
Understanding the Plan’s Deductible
This plan has a Medicare Part D annual deductible of $545.00. You must pay this amount upfront at the pharmacy before MedicareBlue Rx begins contributing to your prescription costs.
NOTE: The deductible does not apply to one or more drug tiers in this plan (see "Prescription Drug Plan Out-of-Pocket Costs" below).
Out-of-Pocket Expenses with this Part D Plan
Beyond the monthly premium and deductible, MedicareBlue Rx Standard 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.
Tier | Preferred | Standard |
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1 (Preferred Generic) | $7.00 copay (deductible does not apply) | $15.00 copay (deductible does not apply) |
2 (Generic) | $13.00 copay | $20.00 copay |
3 (Preferred Brand) | $43.00 copay | $47.00 copay |
4 (Non-Preferred Drug) | 45% | 50% |
5 (Specialty Tier) | 25% | 25% |
What the CMS 5-Star Rating Means
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 MedicareBlue Rx Standard 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 |
Important Medicare Part D Enrollment Periods
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). 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 Enroll in Medicare Part D
There are several ways to enroll in MedicareBlue Rx Standard or another Medicare Part D plan, allowing you to choose the method that works best for you:
- Call HealthCompare: Get expert help from HealthCompare by calling 877-388-0596 (TTY 711). They can assist you in finding the right plan for your needs.
- Online via MedicareEnrollment.com: Easily compare and enroll in plans by visiting MedicareEnrollment.com.
- 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 MedicareBlue Rx
Plan Website: | MedicareBlue Rx Plan Information |
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Formulay Information: | MedicareBlue Rx Formulary Information |
Pharmacy Information: | MedicareBlue Rx Pharmacy Information |
Prospective Members: | (866)434-2037 |
TTY Users: | (711)- |
Plans Offered
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, GlobalHealth, Health Care Service Corporation, Cigna Healthcare, Humana, Molina Healthcare, Mutual of Omaha, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Scott and White Health Plan now part of Baylor Scott & White Health, UnitedHealthcare(R), and Wellcare.
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