Blue Shield Rx Plus Part D Plan S2468-003 Details
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Blue Shield Rx Plus is a 2025 Medicare Part D plan from Blue Shield of California that's available to individuals enrolled in a Medicare Advantage plan without prescription drug plan benefits or Medicare Part A and/or Part B.
This plan has a monthly premium of $161.70, an initial coverage limit of $5,030, an out-of-pocket threshold of $8,000, and a $590.00 deductible that must be paid before cost-sharing begins. *CMS rated this plan 3 (Average) out of 5 stars.
| Part D Plan Basics | |
|---|---|
| Plan ID: | S2468-003 |
| Plan Type: | PDP |
| Plan Year: | 2025 |
| Premium: | $161.70/mo |
| Deductible: | $590.00/yr |
| Benefit Type: | Basic |
| Low Income Subsidy: | Yes |
| Availability: | See List |
| Insured By: | Blue Shield of California |
Prescription Drug Plan Premium
Although Blue Shield Rx Plus 's monthly premium is bundled with the total plan cost, some plans have supplemental costs and/or offer low-income subsidy (LIS) assistance. The following table outlines the premium details of this Blue Shield of California plan.
| Basic Part D Premium: | $161.70 |
| Supplemental Part D Premium: | $0.00 |
| Total Part D Premium: | $161.70 |
| Low Income Premium Subsidy: | $29.66 |
| Low Income Premium Subsidy CMS Pays: | $29.70 |
| Low Income Subsidy Premium: | $132.00 |
The Social Security Extra Help page has more information about the Low-Income Subsidy (“Extra Help”) program.
Prescription Drug Plan Deductible
This plan's Medicare Part D annual deductible is $590.00. You must pay this amount at the pharmacy before Blue Shield of California begins paying its share
Prescription Drug Plan Out-of-Pocket Costs
In addition to the plan's monthly premium and deductible, Blue Shield Rx Plus has copayments (a fixed dollar amount) and/or coinsurances (a percentage amount) that you must pay when you pick up your prescriptions. The following table shows you those costs.
| Drug Tier | Retail | Mail Order | Out of Network |
|---|---|---|---|
| Preferred Generic | $3.00 | $0.00 | $9.00 |
| Generic* | $14.00 | $0.00 | $20.00 |
| Preferred Brand | 18.00% | 0.00% | 20.00% |
| Non-Preferred Drug | 47.00% | 0.00% | 50.00% |
| Specialty Tier | 25.00% | 25.00% | 25.00% |
| *Deductible does not apply. | |||
CMS 5-Star Rating Marks
Each year Medicare rates drug plans (Part D) in several major categories. These ratings are designed to help you understand the quality of care and service you can expect if you join this plan.
| CMS Measure | Star Rating |
|---|---|
| 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 |
You can't judge a Part D plan on its monthly premium or annual deductible. You have to look at the overall cost of your prescriptions.
Plan Availability
Blue Shield Rx Plus is available in the following states:
Additional {misc_2} Medicare Part D Plan Options in California
Here are some additional {plan_type_2} plans in your area that might be worth reviewing:
- None.
Contact Blue Shield of California
| Plan Website: | Blue Shield of California |
|---|---|
| Formulay Information: | Blue Shield of California Formulary Information |
| Pharmacy Information: | Blue Shield of California Pharmacy Information |
| Prospective Part D Members: | (888)292-7591 |
| Prospective Part D TTY Users: | 711 |
If you qualify for Original Medicare but have not yet enrolled or verified your enrollment status, you can do so on the Social Security Administration website. You can learn more about the Medicare Advantage program at www.medicare.gov.
Citations & References
- Blue Shield of California, "http://blueshieldca.com/medicare", Last Accessed October 13, 2024
- Medicare.gov, "How to get prescription drug coverage", Last Accessed March 2, 2024
- Medicare.gov, "How Part D works with other insurance", Last Accessed March 14, 2024
- Medicare.gov, "Catastrophic coverage", Last Accessed March 13, 2024
- SSA.gov, "Understanding the Extra Help With Your Medicare", Last Accessed March 9, 2024
- CMS.gov, "Landscape Source Files", Last Accessed October 3, 2024
- CMS.gov, "Medicare Part C & D Performance", Last Accessed October 11, 2024
- CMS.gov, "Benefits Data", Last Accessed October 9, 2024
Plans Offered
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.