Horizon Medicare Blue Rx Enhanced Part D Plan S5993-003 Details

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CMS 5-Star Rating*

Horizon Medicare Blue Rx Enhanced is a prescription drug plan from Horizon Blue Cross Blue Shield of New Jersey that's available to people enrolled in Original Medicare or a Medicare Advantage plan without Part D benefits.

This 2025 Medicare Part D plan has a $86.40 monthly premium, $0.00 annual deductible, $5,030 initial coverage limit, and a $8,000 out-of-pocket threshold. *CMS rated this plan 3 (Average) out of 5 stars.

* Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. The Horizon Blue Cross Blue Shield of New Jersey logo is a registered trademark.[2] Its use by MedicareWire is strictly for editorial purposes. This is not a solicitation of insurance.
Part D Plan Basics
Plan ID:S5993-003
Plan Type:PDP
Plan Year:2025
Premium:$86.40/mo
Deductible:$0.00/yr
Benefit Type:Enhanced
Low Income Subsidy:Yes
Availability:See List
Insured By:Horizon Blue Cross Blue Shield of New Jersey

We're Here to Help You Enroll

Secure Online Enrollment

Or Call for Licensed Insurance Agent Support
1-855-728-0510 (TTY 711)
Mon-Fri 8am-9pm, Sat 9pm-8pm EST

If you qualify for Original Medicare or Medicare Part D but don't know where to begin, we have licensed insurance agents[1] at 1-855-728-0510 (TTY 711) who can answer your questions (Mon-Fri 8am-9pm, Sat 9pm-8pm EST) and help you get enrolled. There's no obligation.

Prescription Drug Plan Premium

Although Horizon Medicare Blue Rx Enhanced '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 Horizon Blue Cross Blue Shield of New Jersey plan.

Basic Part D Premium:$42.20
Supplemental Part D Premium:$44.20
Total Part D Premium:$86.40
Low Income Premium Subsidy:$56.86
Low Income Premium Subsidy CMS Pays:$42.20
Low Income Subsidy Premium:$44.20

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 $0.00. You must pay this amount at the pharmacy before Horizon Blue Cross Blue Shield of New Jersey begins paying its share

Prescription Drug Plan Out-of-Pocket Costs

In addition to the plan's monthly premium and deductible, Horizon Medicare Blue Rx Enhanced 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 TierRetailMail OrderOut of Network
Preferred Generic$0.00$0.00$0.00
Generic$8.00$8.00$8.00
Preferred Brand$40.00$40.00$40.00
Non-Preferred Drug45.00%45.00%45.00%
Specialty Tier33.00%0.00%33.00%
*Deductible does not apply.

CMS Rating Marks for Plan Year 2025

The following table shows the quality ratings for this Horizon Blue Cross Blue Shield of New Jersey plan. Each year CMS rates drug plans (Part D) in four broad categories. We do not recommend joining a plan with an overall rating of less than 3.0.

CMS MeasureStar 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

The true value of any Medicare Part D plan can only be judged by how well it covers your medications.

Plan Availability

Horizon Medicare Blue Rx Enhanced is available in the following states:

Additional {misc_2} Medicare Part D Plan Options in New Jersey

Here are some additional {plan_type_2} plans in your area that might be worth reviewing:

  1. None.

Contact Horizon Blue Cross Blue Shield of New Jersey

Call 1-855-728-0510 (TTY 711) to speak with a licensed insurance agent (Mon-Sun 8am-11pm EST) and learn more about this Medicare Part D plan and other plans on this site. You may also Enroll Online using our safe and secure online enrollment website or take advantage of the following plan resources:
Plan Website:Horizon Blue Cross Blue Shield of New Jersey
Formulay Information:Horizon Blue Cross Blue Shield of New Jersey Formulary Information
Pharmacy Information:Horizon Blue Cross Blue Shield of New Jersey Pharmacy Information
Prospective Part D Members:(888)765-7134
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

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.