2020 BlueRx Essential (PDP) S1030-6-0 in AL from BCBS OF ALABAMA & UTIC INSURANCE COMPANY | HealthPocket

BlueRx Essential (PDP)

$43/mo

Benefits & Coverage

Insurance TypeMedicare Advantage Prescription Drug Plan (Part D)
Insurance ProviderBCBS OF ALABAMA & UTIC INSURANCE COMPANY
Plan IDS1030-6-0
Plan Year2020
CMS RatingNot Rated
Plan TypePDP
Annual Deductible$435.00
Out-of-Pocket Maximum

What To Know About This Plan
  • This is a drug coverage only plan

Overview

Premium
Total monthly premium$43.20
Deductible
Drug plan deductible$435.00

Drug coverage & costs

Part B drugs
Chemotherapy drugsNot covered
Other Part B drugsNot covered

Coverage Area for BlueRx Essential (PDP)

StateAlabama
CountyJefferson

All cost-sharing assumes in-network healthcare providers.
Prescription Drug Copay/Coninsurance Details - Initial Coverage Limit


30 Day SupplyPreferred Retail Pharmacies Drug CostStandard Retail Pharmacies Drug CostPreferred Mail-Order Drug CostStandard Mail-Order Drug Cost
Tier 1: Preferred GenericNot offereds$1 copayNot offered$1 copay
Tier 2: Non-Preferred GenericNot offereds$2 copayNot offered$2 copay
Tier 3: Preferred Brand NameNot offereds$38 copayNot offered$38 copay
Tier 4: Non-Preferred Brand NameNot offereds50% coinsuranceNot offered50% coinsurance
Tier 5: Specialty TierNot offereds25% coinsuranceNot offered25% coinsurance
Tier 6: Select Care Drugs

90 Day SupplyPreferred Retail Pharmacies Drug CostStandard Retail Pharmacies Drug CostPreferred Mail-Order Drug CostStandard Mail-Order Drug Cost
Tier 1: Preferred GenericNot offereds$3 copayNot offered$2 copay
Tier 2: Non-Preferred GenericNot offereds$6 copayNot offered$4 copay
Tier 3: Preferred Brand NameNot offereds$114 copayNot offered$76 copay
Tier 4: Non-Preferred Brand NameNot offereds50% coinsuranceNot offered50% coinsurance
Tier 5: Specialty TierNot offereds25% coinsuranceNot offered25% coinsurance
Tier 6: Select Care Drugs

Drug Plan Customer Service

Call center – foreign language interpreter and TTY availabilityNot Rated
Appeals auto-forward
Appeals upheld

Member Complaints, and Changes in Drug Plan's Performance

Complaints about the drug plan
Members choosing to leave the drug plan
Drug plan quality improvement

Member Experience with Drug Plan

Rating of drug plan
Getting needed prescription drugs

Drug Pricing and Patient Safety

MPF Price Accuracy
Medication adherence for diabetes medications
Medication adherence for hypertension - RAS antagonists
Medication adherence for cholesterol - Statins
MTM program completion rate for CMR
Statin use in persons with diabetes - SUPD

Pharmacies that accept BlueRx Essential (PDP) Prescription Drug Plan for Alabama

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HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, or an individual and family health insurance plan, we will help you find the right healthcare option and save on your out of pocket healthcare costs. We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. If you select a plan presented on our site, you will be directed (via a click or a call) to one of our partners who can help you with your application. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan. HealthPocket, Inc. is part of the Health Insurance Innovations, Inc. family of companies (NASDAQ: HIIQ).

Medicare Plans Found

 

HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, or an individual and family health insurance plan, we will help you find the right healthcare option and save on your out of pocket healthcare costs. We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. If you select a plan presented on our site, you will be directed (via a click or a call) to one of our partners who can help you with your application. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan. HealthPocket, Inc. is part of the Health Insurance Innovations, Inc. family of companies (NASDAQ: HIIQ).