Blue Cross MedicareRx Basic (PDP) is a Medicare Prescription Drug Plan by Blue Cross and Blue Shield of IL, NM, OK, TX.
This page features plan details for 2026 Blue Cross MedicareRx Basic (PDP) S5715 – 013 – 0.
IMPORTANT: This page has been updated with plan and premium data for 2026. Enrollment for 2026 plans starts Oct 15, 2025.
Blue Cross MedicareRx Basic (PDP) is offered in the following locations.
Blue Cross MedicareRx Basic (PDP) offers the following coverage and cost-sharing.
| Insurer: | Blue Cross and Blue Shield of IL, NM, OK, TX |
| Drugs Covered: | Yes |
Ready to sign up for Blue Cross MedicareRx Basic (PDP) ?
Get help from a licensed insurance agent.
Call 1-877-354-4611 / TTY 711.
M-F: 8:00 am – 10:00 pm EST
Sat-Sun: 8:00 am – 9:00 pm EST
| Part B | Part C | Part D | Part B Give Back | Total |
|---|---|---|---|---|
| $206.50 | $0.00 | $145.40 | $ | $ |
Blue Cross MedicareRx Basic (PDP) provides the following cost-sharing on drugs. Please check the plan’s formulary for specific drugs covered.
| Drug Deductible: | $615.00 |
| Drug Out-Of-Pocket maximum: | $2100.00 |
| Drug Benefit Type: | Actuarially Equivalent Standard |
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 Full |
|---|---|
| $145.40 | $145.40 |
After you pay your $615.00 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 $2100.00. Once you reach that amount, you will enter the next coverage phase.
After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $2100.00, you pay nothing for Medicare Part D covered drugs.
Ready to sign up for Blue Cross MedicareRx Basic (PDP) ?
Get help from a licensed insurance agent.
Call 1-877-354-4611 / TTY 711.
M-F: 8:00 am – 10:00 pm EST
Sat-Sun: 8:00 am – 9:00 pm EST