Anthem MediBlue Rx Plus (PDP)

S5596 - 018
4 out of 5 stars (4 / 5)

Anthem MediBlue Rx Plus (PDP) is a Medicare Part D Prescription Drug Plan by Anthem MediBlue Rx (PDP).

This page features plan details for 2022 Anthem MediBlue Rx Plus (PDP) S5596 – 018.

Locations

Anthem MediBlue Rx Plus (PDP) is offered in the following locations.

Plan Overview

Anthem MediBlue Rx Plus (PDP) offers the following coverage and cost-sharing.

Insurer: Anthem MediBlue Rx (PDP)
Drugs Covered: Yes

Ready to sign up for Anthem MediBlue Rx Plus (PDP) ?

Get help from a licensed insurance agent.

Call 1-877-354-4611 TTY 711.

8am – 11pm EST. 7 days a week

Drug Info

Anthem MediBlue Rx Plus (PDP) provides the following cost-sharing on drugs. Please check the plan’s formulary for specific drugs covered.

Drug Deductible: $0.00
Initial Coverage Limit: $4430
Catastrophic Coverage Limit: $7050
Drug Benefit Type: Enhanced
Gap Coverage: No
Formulary Link: Formulary Link

Part D Premium Reduction

The Low-Income Subsidy (also known as LIS or “Extra Help”) helps people with Medicare lower the cost of prescription drugs. The table below shows how the LIS impacts the Part D premium of this plan.
Part D LIS 25% LIS 50% LIS 75% LIS Full
$69.00 $61.60 $54.20 $46.80 $39.30

Initial Coverage Phase

After you pay your $0.00 drug deductible, you will pay the following costs for drugs in each tier until your total drug costs (including what this plan has paid and what you have paid) reach $4430. Once you reach that amount, you will enter the next coverage phase.

Gap Coverage Phase

After your total drug costs (including what this plan has paid and what you have paid) reach $4430, you will pay no more than the amounts below for any drug tier until you reach $7050.

Tier Cost
All other tiers (Generic)25%
All other tiers (Brand-name)25%

Catastrophic Coverage Phase

After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $7050, you will pay no more than the greater of the two amounts listed below for generic and brand-name drugs.

Drug TypeCost Share
Generic drugs$3.95 copay or 5% (whichever costs more)
Brand-name drugs$9.85 copay or 5% (whichever costs more)

Ready to sign up for Anthem MediBlue Rx Plus (PDP) ?

Get help from a licensed insurance agent.

Call 1-877-354-4611 TTY 711.

8am – 11pm EST. 7 days a week

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