Group MedicareBlueSM Rx, a stand-alone prescription drug plan with a Medicare contract, is a fully-insured Medicare Part D prescription drug plan. Even if you already offer drug coverage, Group MedicareBlue Rx can save you money by taking advantage of government subsidies and eliminating costs associated with a retiree drug subsidy.
Specialty drug coverage
Medicare classifies specialty drugs as certain unique and high-cost medications that are complex to dispense and involve patient education. Specialty drugs include injectable antibiotics, transplant drugs, certain chemotherapy drugs and other self-administered drugs. Specialty drug coverage with this plan gives members access to these medications while helping your company control costs.
Supplemental drug coverage
This plan also has coverage to help pay for select drugs that Medicare does not cover and are not on our formulary. Members can purchase these drugs for a 25 percent coinsurance payment. Money spent on supplemental drugs does not count toward the out-of-pocket maximum for catastrophic coverage.
Members can get a 90-day supply of their prescription drugs by mail order and at select retail pharmacies. If a member chooses mail order or a Preferred Extended Supply pharmacy, they pay only two copayments or applicable coinsurance. A list of participating pharmacies is available online at YourMedicareSolutions.com .
Medication therapy management program
This program can help improve a member's health through education, counseling and timely interventions which may reduce potential prescription drug risks. Members must meet specific criteria for this program. Qualifying members will automatically be contacted and enrolled in the program. Members can choose not to participate. We encourage them to take full advantage of this free service.
MedicareBlue Values discount program
This program offers members access to vision and hearing discounts.
Pair with a medical plan
Offer Group MedicareBlue Rx to retirees as a stand-alone prescription drug plan or pair it with Group Platinum Blue(SM) (Cost), a Medicare-approved Cost plan, or a Group Medicare supplement plan to create a complete health care solution.
How to learn more
To find out more about Group MedicareBlue Rx, talk with your Blue Cross licensed Medicare consultant or have your agent/broker contact Blue Cross to discuss your needs.
You must continue to pay your Medicare Part B premium. Limitations, copayments and restrictions may apply. Benefits, premiums and/or copayments/coinsurance may change on January 1 of each year. The benefit information provided is a brief summary not a complete description of benefits. For more information contact the plan.
MedicareBlue is a service mark of the Blue Cross and Blue Shield Association.