Plan Detail

It's easy to choose with three plans - Blue MedicareRx Standard Plan, Blue MedicareRx Value Plan, and Blue MedicareRx Plus Plan. Featuring ZERO deductible options and LOW copayment choices within the entire state of Texas.

View the Blue MedicareRx printable brochure (PDF), terms and conditions and complete Summary of Benefits (PDF).

		Standard Plan	Value Plan	Plus Plan
Monthly Premium		$25.53	$25.73	$43.32
Deductible		$250	$0	$0
Once the Deductible is met, up to $2,250 in annual drug costs
	Retail Generic Drug	25%	$5	$3
	Mail-Order Generic Drug (90 day supply)	25%	$10	$6
	Retail Preferred Brand Drug	25%	$40	$20
	Mail-Order Preferred Brand Drug (90 day supply)	25%	$80	$40
	Retail Regular Brand Drug	25%	$59	$50
	Mail Order Regular Brand Drug (90 day supply)	25%	$118	$100
From $2,251 in drug costs up to $3,600 in out-of-pocket spending (approximately $5,000 in annual drug costs, depending on copayments and coinsurance)		You pay 100%
After $3,600 in out-of-pocket annual drug costs		The greater of: $2 generic copayment $5 brand copayment 5% coinsurance

Note: If you qualify for extra help with your Medicare prescription drug plan costs, your premium and drug costs will be lower. When you join Blue MedicareRx, Medicare will tell us how much extra help you are getting and then we will let you know the amount you will pay. If you are not getting extra help, you can see if you qualify by calling 1-800-MEDICARE (1-800-633-4227), 24 hours a day/7 days a week. TTY users 1-877-486-2048. Or contact the Social Security Administration at 1-800-772-1213 between 7 a.m. and 7 p.m, Monday through Friday. TTY users 1-800-325-0778.

Important Terms and Definitions

Brand Name drugs - This is the term for prescription drugs that are sold under a trademarked brand name. Preferred Brand Drugs are drugs which Blue MedicareRx is able to offer with a lower copayment because of favorable terms with the drug’s maker.

Coinsurance - This is the percentage of the cost of the drugs that you pay for. For example, for a $100 prescription with 25% coinsurance, you would pay $25 and Blue MedicareRx would pay $75. Back to top

Copayment - This is a fixed amount that you pay each time a prescription is filled. For example, a $3 copayment means that you pay $3, regardless of how much filling the prescription costs.

Deductible - This is the amount you pay before your insurance benefits start. In the Standard Plan, you pay the full cost for the first $250 worth of drugs. In both the Value Plan and the Plus Plan, there is no deductible.

Generic drugs - These drugs are lower-cost alternatives to brand-name drugs. These drugs are rated by the FDA to be as safe and effective as brand name drugs. They contain the same active ingredient formula as the brand name drug they can replace. You can usually save money by switching from brand-name drugs to generic drugs. Back to top

Mail Order - This is the term for prescriptions you get filled at a pharmacy that typically mails you a 90 day supply of a drug. Mail order often provides savings because you can get 90 days worth of drugs but only have a copayment equal to the amount for a 60-day supply if you bought them at retail. View list of mail order pharmacies in your area.

Preferred Pharmacies - Blue MedicareRx makes it even easier to save on your medications when you visit a preferred network pharmacy. Just visit any Safeway or its affiliates, including Tom Thumb and Randalls, or any Wal-Mart, Albertson's, Target, United Pharmacies or Kroger pharmacies and their affiliates. You'll save on copayments when you fill a 90-day supply. Pay just two copayments instead of three! View complete list of preferred pharmacies (PDF) in your area.

Retail - This is the term for prescriptions you get filled at a regular pharmacy, usually a 30-day supply of a drug. View list of retail pharmacies (PDF) in your area.

* By clicking this link, you will be leaving the Part-D Plan-specific Web pages.

Last updated 02/17/2006 - S5715-MRK-TXWebsite