A Medicare Part D plan that works with your health plan
Original Medicare will help you cover medical costs, but when it comes to your prescription drugs, you may need more coverage. Basic Blue Rx is an affordable Medicare prescription drug plan backed by Blue Cross and Blue Shield that can help you manage your prescription costs.
Basic Blue Rx offers:
- Coverage for generic, brand name and specialty drugs
- A nationwide pharmacy network
- Lower prescription costs at preferred pharmacies
- Reliable Blue Cross and Blue Shield coverage
- Coverage that can be paired with Original Medicare and a Medicare Supplement (Medigap) plan
- Prescription mail order service through CVS Caremark1
| 2020 Basic Blue Rx plan benefits and premiums for Louisiana | ||
|---|---|---|
| Benefits | Standard plan | |
| Monthly plan premium | $31 | |
| Annual deductible | $0 on tier 1 and 2 drugs $435 on tiers 3, 4 and 5 drugs |
|
| Tiers | Preferred cost sharing After you pay the applicable deductible |
Standard cost sharing After you pay the applicable deductible |
| Tier 1: Preferred generic | $0 copay | $10 copay |
| Tier 2: Generic | $1 copay | $15 copay |
| Tier 3: Preferred brand | $30 copay | $47 copay |
| Tier 4: Non-preferred drugs | 30% coinsurance | 36% coinsurance |
| Tier 5: Specialty | 25% coinsurance | 25% coinsurance |
Refer to the Summary of Benefits
for complete plan information.
Review 2020 plan details and fill out the enrollment form with our digital enrollment guide.
About Basic Blue Rx Standard plan
Basic Blue Rx Standard is a low-premium Medicare Part D plan. Thousands of preferred pharmacies are available to Standard plan members, including Kroger, Harris Teeter, CVS and Walmart. You will usually pay less when you use a preferred pharmacy.
This plan may be a good fit for you if you:
- Take multiple generic and/or brand-name drugs
- Need access to pharmacies when you travel across the U.S.
Estimate your annual costs with the Standard plan.
1CVS Caremark Part D Services is an independent company providing pharmacy benefit management services.
