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WHY BLUE SHIELD FOR
Stand-alone Part D coverage for your prescriptions
Our stand-alone Medicare Prescription Drug Plans (PDP) provide a variety of coverage options for your prescription drug costs. Our PDP plans pair well with our Medicare Supplement plans. Explore how adding a Medicare Supplement plan (video, 1:29) can complement your PDP coverage.
Securing prescription drug coverage is an important step in your Medicare journey.
Call (877) 200-9615 TTY: 711 to learn more!
With a Blue Shield Medicare Prescription Drug Plan (PDP), you can get the help you need to pay for generic and brand-name drugs not covered by Original Medicare. You may even save money if you obtain a 90-day supply of your maintenance medication¹ at a retail pharmacy that offers preferred cost-sharing or at our mail service pharmacy. Ask your doctor or pharmacist how.
Our formularies (list of covered drugs) offer extensive options for continuing the care you need.
Pick up your prescriptions at your neighborhood pharmacy or have them mailed to you through CVS Caremark, our mail service pharmacy.
Visit member resources to find your Evidence of Coverage, Summary of Benefits, Pharmacy Directories, and more for your Medicare Prescription Drug plan.
| Blue Shield Rx Plus (PDP) | Blue Shield Rx Enhanced (PDP) | |
|---|---|---|
| Monthly plan premium | $90.20 | $160.20 |
| Annual deductible | $4802 | $0 |
| Formulary | Basic | Enhanced* |
| Network pharmacies with preferred cost-sharing | Albertsons/Osco/Sav-on, Costco, CVS Pharmacy (including CVS pharmacy at Target), Safeway, Vons, Walmart and Ralphs | |
| Tier 1: Preferred Generic Drugs | $4/$12 | $2/$11 |
| Tier 2: Generic Drugs | $13/$20 | $7/$14 |
| Tier 3: Preferred Brand Drugs | $43/$47 | $43/$47 |
| Tier 4: Non-Preferred Drugs | 38%/41% | 31%/33% |
| Tier 5: Specialty Tier Drugs | 25%/25% | 33%/33% |
| Coverage Gap | 25% brand drugs/25% generic drugs | 25% brand drugs/25% generic drugs |
Medicare Part D helps pay for generic and brand-name drugs not covered by Original Medicare. These plans are provided by private insurance companies or health plans, like Blue Shield of California. Watch this video to learn when you might want to add Part D coverage to your plan and how to use it.
