BlueMedicare Premier Rx (PDP)

S5904 - 001 - 0
Plan Not Rated

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BlueMedicare Premier Rx (PDP) is a Medicare Prescription Drug Plan by Florida Blue.

This page features plan details for 2026 BlueMedicare Premier Rx (PDP) S5904 – 001 – 0.

IMPORTANT: You are viewing the 2026 version of this plan. See the 2025 version of BlueMedicare Premier Rx (PDP) S5904 - 001 - 0.

IMPORTANT: This page has been updated with plan and premium data for 2026. Enrollment for 2026 plans starts Oct 15, 2025.

Locations

BlueMedicare Premier Rx (PDP) is offered in the following locations.

Plan Overview

BlueMedicare Premier Rx (PDP) offers the following coverage and cost-sharing.

Insurer: Florida Blue
Drugs Covered: Yes

Ready to sign up for BlueMedicare Premier Rx (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

Premium Breakdown

BlueMedicare Premier Rx (PDP) has a monthly premium of $0.00. This amount includes your Part C and D premiums but does not include your Part B premium. The following is a breakdown of your monthly premium with Part B costs included.
Part B Part C Part D Part B Give Back Total
$206.50 $0.00 $98.60 $ $
Please Note:
  • Your Part B premium may differ based on factors including late enrollment, income, and disability status.
  • You may also qualify for “Extra Help” on drug costs. See the Part D Premium Reduction section below for more details.

Drug Info

BlueMedicare Premier Rx (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: Basic Alternative

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 DLIS Full
$98.60$93.80

Initial Coverage Phase

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.

Catastrophic 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. However, you may still pay a share of the costs for excluded drugs covered under any enhanced benefit. Please note, that this plan has a Basic Alternative benefit type.

Ready to sign up for BlueMedicare Premier Rx (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

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