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Blue is Peace of Mind

Low premiums

Large retail network

Low copays

No deductibles

Medicare Prescription Drugs at a glance

FeaturesCoverage
BlueMedicare
Premier Rx
BlueMedicare
Value Rx
BlueMedicare
Saver Rx
Plan Premium$140.10$58.20$19.00
Rx deductible$0$310 (T3, T4, T5)$325 (T3, T4, T5)
Rx Copays: Preferred

Tier 1 $2

Tier 2 $8

Tier 3 $40

Tier 4 $90

$3 | $6 | $40 | 48% | 27%N/A
Rx Copays: Standard$10 | $20 | $47 | $100 | 33%$11 | $20 | $47 | 50% | 27%$4 | $10 | $47 | 50% | 27%

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  • H4213_PFFS Website 2020
  • S5795_PDP Website 2020
  • H9699_HMO Website 2020
  • H4213_PFFS Website 2021
  • S5795_PDP Website 2021
  • H9699_HMO Website 2021
  • H3554_PPO Website 2021
  • H6158_HMO Website 2021

Last updated 10/01/2020