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2020 Prescription BlueSM PDP Premium

Medicare Part D prescription drug plan

Is this plan for you?
  • If you go to the pharmacy a lot and you want the freedom to choose any doctor or hospital that accepts Medicare, this plan might be right for you.
 
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This plan costs $105.10 per month.

About this plan

This is our most comprehensive plan. It works best for members who take many medications for chronic conditions. It has a higher monthly payment, but in most cases you'll pay less at the pharmacy. This plan features:

  • $0 deductible
  • Preferred pharmacy copays as low as $1
  • Prescription drug coverage while traveling within the U.S.
  • The convenience of 90-day prescriptions and a mail-order program
  • A pharmacy network that includes major drugstore chains and most of Michigan's retail pharmacies.

 

Is this plan for you?

If you have a lot of prescriptions and want lower costs at the pharmacy, this plan could be right for you. You can pair this plan with:

  • Original Medicare
  • A Medicare Supplement plan
  • An employer or group Medicare plan that doesn't include prescription drug coverage

Availability

You can enroll in this plan if you live anywhere in Michigan at least six months of the year. Learn how to find a pharmacy near you that's within our network.

Related documents

Learn more about the important features and rules for this plan.

Summary of Benefits (PDF)

 

This booklet explains how to use this plan's benefits. It also lists some of the things this plan doesn't cover.

Evidence of Coverage (PDF)

 

Medicare rates plans based on quality and performance every year. Called Medicare Star Ratings, these documents show you how well a plan is performing. 

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Check out your coverage options to find the plan that’s right for you.


More plan details

Learn more about the benefits of this plan so you can tell if it fits your needs.

Overview

Deductible

$0

Pharmacy copays

Copays start at $1 for Tier 1 generic drugs filled at a preferred network pharmacy. Certain drugs may cost more if you choose a pharmacy in our standard network.

Drug list

The formulary, or drug list, has all the drugs this plan covers. See if it covers yours (PDF).

Plan features

• You can fill your prescriptions at more than 95 percent* of pharmacies in Michigan. Find a pharmacy.
• Mail-order and 90-day prescriptions are available.
• You're covered if you need to fill a prescription while traveling within the U.S.

 

You may also be interested in

Prescription BlueSM PDP Select

This plan has a lower monthly payment than our other offerings. You'll pay a little more at the pharmacy for some drugs until you reach the coverage gap.

Prescription BlueSM PDP Preferred

This plan has a higher monthly payment than our PDP Select plan, but covers more drugs. There's no deductible, so your plan starts paying right away.

Still have questions? We have answers.

Use our Frequently Asked Questions to learn which plan will fit your needs.