Blue Shield Rx Enhanced (PDP)

Health Insurance Company: Blue Shield of California

Medicare Prescription Drug Part D Plan Details

Blue Shield of California
$188 /mo
monthly premium
Blue Shield Rx Enhanced (PDP)
Coverage
Overall Star Rating (2024)
  • Rx
3.5
out of 5 stars

General Plan Details

Prescription Drug Deductible
$0
Preferred Generic copay
$11
Preferred Brand copay
$47
Eligible for Low Income Subsidy
No

Rx Drug Coverage - Preferred Retail Cost

Tier 1: Preferred Generic

$2.00 copay (30-day supply)
$4.00 copay (90-day supply)

Tier 2: Generic

$7.00 copay (30-day supply)
$14.00 copay (90-day supply)

Tier 3: Preferred Brand

$43.00 copay (30-day supply)
$86.00 copay (90-day supply)

Tier 4: Non-Preferred Drug

47% coinsurance (30-day supply)
47% coinsurance (90-day supply)

Tier 5: Specialty Tier

33% coinsurance (30-day supply)

Rx Drug Coverage - Standard Retail Cost

Tier 1: Preferred Generic

$11.00 copay (30-day supply)
$33.00 copay (90-day supply)

Tier 2: Generic

$14.00 copay (30-day supply)
$42.00 copay (90-day supply)

Tier 3: Preferred Brand

$47.00 copay (30-day supply)
$141.00 copay (90-day supply)

Tier 4: Non-Preferred Drug

50% coinsurance (30-day supply)
50% coinsurance (90-day supply)

Tier 5: Specialty Tier

33% coinsurance (30-day supply)

Rx Drug Coverage - Standard Mail Order Cost

Tier 1: Preferred Generic

$4.00 copay (90-day supply)

Tier 2: Generic

$14.00 copay (90-day supply)

Tier 3: Preferred Brand

$86.00 copay (90-day supply)

Tier 4: Non-Preferred Drug

47% coinsurance (90-day supply)

Tier 5: Specialty Tier

33% coinsurance (30-day supply)

Plan Links

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Where This Plan is Available

Additional Plan Info

Year:
2024
Plan ID:
S2468-004-0
Insurance Company Website:
Blue Shield of California

Health Insurance Companies Offering Plans

Medicare Advantage and Part D plans and benefits offered by the following carriers:

  • Aetna Medicare
  • Anthem Blue Cross Blue Shield
  • Aspire Health Plan
  • Dean Health Plan
  • Devoted Health
  • GlobalHealth
  • Health Care Service Corporation
  • Cigna Healthcare
  • Humana
  • Medica Central Health Plan
  • Molina Healthcare
  • Mutual of Omaha
  • Premera Blue Cross
  • SCAN Health Plan
  • Scott and White Health Plan now part of Baylor Scott & White Health
  • UnitedHealthcareⓇ
  • Wellcare