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Medicare Part D: You’re covered; Photo of man under covers
 The biggest change in Medicare since the program was founded four decades ago, Medicare’s prescription drug program (Part D), begins Jan. 1, 2006.

But you can relax because we are automatically replacing your existing pharmacy coverage with our new BlueScript for Medicare Part D benefit.

You get more
Medicare beneficiaries are required to pay an annual $250 deductible under the standard Medicare prescription drug benefit. With BlueScript for Medicare Part D, your deductible is only $100 for brand-name drugs. There is no annual deductible for generic drugs, and your copay for generics at a network* pharmacy is only $5.

What’s more, before you meet your deductible, you won’t have to pay standard retail prices for covered brandname prescriptions. We’ve negotiated discounts for you. Just show your BlueScript for Medicare Part D ID card to receive your savings.

For prescription drug costs totaling between $101 and $2,250, the BlueScript network copay is $5 for generics, $30 for preferred brands. Nonpreferred brands are higher.

*Out-of-network pharmacies may cost you more.

Click here to see the BlueScript for Medicare Part D® for 2006 chart.

What “coverage gap”?
Blue Cross and Blue Shield of Florida’s HMO subsidiary, Health Options, has negotiated discounts for your covered prescription drugs during the coverage gap, when prescription drug costs total $2,251 until your out-of-pocket costs reach $3,600 annually. ActivelyYou members save even more. Their generic prescription drug coverage extends through the gap period.

If your out-of-pocket prescription drug costs exceed $3,600 during 2006, your BlueScript for Medicare Part D copay is only $2 for covered generics and preferred brands that are multi-source drugs and $5 for all other covered drugs—or 5 percent of the cost, whichever is greater.

BlueScript for Medicare Part D

Medicare & More Benefits include:

  • A pharmacy network with thousands of pharmacies throughout Florida
  • Negotiated prescription drug discounts**
  • $0 deductible for generic drugs
  • Low copays and coinsurance
  • Only $100 deductible for brand-name drugs
  • 90-day supplies (at three times the copay) at retail pharmacies or via mail order

ActivelyYou
All of the above plus low copays for generic prescription drugs during the “coverage gap”

**Blue Cross and Blue Shield of Florida is proud to pass on directly to members our negotiated drug discounts for covered drugs regardless of the level of coverage received in our BlueScript for Medicare Part D Prescription Drug Plan. For example, whenever a member is required to pay the cost, it will always be based on our negotiated discount, and the member will not pay based on the standard retail cost for covered prescription drugs.

Most people will save
The Congressional Budget Office estimates average out-of-pocket costs for prescription drugs will decrease 28 percent. With BlueScript for Medicare Part D, your savings may be even greater.

Find Out More www.medicare.gov

 
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