Group MedicareBlue(SM) Rx (PDP)

Group MedicareBlue 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.

Plan highlights

  • Five prescription drug options
  • Live anywhere in the United States
  • More than 62,000 participating pharmacies in our nationwide network
  • Coverage for generic and brand-name drugs
  • Copayments start as low as $0
  • No annual deductible
  • Additional discounts through our MedicareBlue Values discount program

Additional plan features

With Group MedicareBlue Rx, your retirees are offered additional benefits and programs, including:

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-injectable or 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 your members’ out-of-pocket maximum for catastrophic coverage.

90-day supplies
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 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.

The products and services described above as part of the MedicareBlue Values discount program are neither offered nor guaranteed under our contract with the Medicare program. In addition, they are not subject to the Medicare appeals process. Any disputes regarding these products and services may be subject to the Group MedicareBlue Rx grievance process.

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 sales representative or have your agent/broker contact Blue Cross to discuss your needs.

Download more information

The benefit information provided herein is a brief summary, not a comprehensive description of benefits. For more information, contact your Blue Cross licensed sales representative or agent/broker.

Our contract with CMS is renewed annually. Enrollment in the plan after December 31, 2012 cannot be guaranteed. Either CMS or the plan may choose not to renew the contract, or the plan may choose to change the area it serves. Any such change may result in termination of member’s enrollment. Benefits, plan premiums and cost-sharing (copayments or coinsurance) may change on January 1, 2013.

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Plans and Services: Groups with over 50 employees