Florida Blue Medicare offers two stand-alone Medicare Part D prescription drug plans (PDPs) – Premier Rx and Complete Rx. Our PDP plans cover:

  • Many generic and brand-name drugs with predictable copayments
  • Often include preferred pharmacies for lower cost-sharing
  • An extensive list of plan-covered drugs (formulary)
  • Many offer a mail-order pharmacy service for home delivery of your medications at no extra cost
  • A nationwide pharmacy network

Three Ways to Get Medicare Part D Coverage

Add Part D coverage to your Original Medicare Part A and B coverage with a stand-alone Medicare Prescription Drug Plan, called a PDP.

Choose the convenience of a Medicare Advantage Prescription Drug Plan (MAPD) that includes both medical and prescription drug benefits.

Select both a Medicare Supplement Plan and a Medicare Prescription Drug Plan to add to your Original Medicare Part A and B coverage.

Costs for Medicare Prescription Drug Plan Coverage

What Does a Medicare Part D Plan Cost?

Like Original Medicare, Medicare Prescription Drug plans share the cost of care through deductibles, co-payments (copays) and co-insurance. Your actual PDP costs will vary depending on the plan chosen, prescription drugs you use, whether the drugs you use are on your plan's formulary, and whether you go to an in-network pharmacy.

Different Types of Costs for a Medicare PDP:
  • Deductible - The amount you pay before Florida Blue Medicare begins to pay its share of the cost.

  • Copay - A flat dollar amount (for example, $10) you pay each time you fill a drug.

  • Coinsurance - A percentage (for example, 10%) you pay for your prescription drugs.

  • Premium - A fixed, monthly amount you pay for your PDP coverage.

2021 Medicare Part D Stages

When total spend reaches $4,130 Enter Coverage Gap

DEDUCTIBLE STAGE

Patient Pays

* varies by plan

* Covered drugs and costs vary from plan to plan

INITIAL COVERAGE

Patient Pays$4,130

Copay/Coinsurance varies by plan

COVERAGE GAP

Patient Pays

25% Brands

25% Generics

CATASTROPHIC COVERAGE

Patient Pays

-5% Brands

-5% Generics

DEDUCTIBLE STAGE

Patient Pays

* varies by plan

* Covered drugs and costs vary from plan to plan

INITIAL COVERAGE

Patient Pays$4,130

Copay/Coinsurance varies by plan

When total spend reaches $4,130 Enter Coverage Gap

COVERAGE GAP

Patient Pays

25% Brands

25% Generics

When out of pocket reaches $6,550 Exit Coverage Gap

CATASTROPHIC COVERAGE

Patient Pays

-5% Brands

-5% Generics

When total spend reaches $4,130 Enter Coverage Gap

When out of pocket reaches $6,550 Exit Coverage Gap

Overview of Florida Blue Medicare Prescription Drug Plans

Features Premier Complete
Formulary Tiers Covered Formulary Tiers 1-5 Formulary Tiers 1-5
Annual Deductible $405 (Tiers 3-5) $0
Initial Coverage Stage $4,130 $4,130
Catastrophic Stage $6,550 $6,550
Nationwide pharmacy network
$0 select immunizations and vaccinations
At-home delivery service

Part D Formulary

What is a formulary?

A formulary is the list of drugs, from brand-name to generic, that are covered by a Medicare Prescription Drug Plan. Covered drugs and costs vary from plan to plan.

Many plans have a tiered formulary, where drugs are divided into groups called "tiers" based on their cost.
In general, the lower the formulary tier, the lower the cost to you.
Generic drugs typically fall between Tiers 1 and 2.
Part D Formulary Tiers:

Tier 5 (Specialty)$ $ $ $ $

Tier 4 (Non-Preferred)$ $ $ $

Tier 3 (Preferred Brand)$ $ $

Tier 2 (Generics)$ $

Tier 1 (Preferred Generics)$

Have questions or want to know more about Prescription Drug (Part D) plans? Send us your information and one of our agents will reach out to help!

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We're always happy to help

Just a Phone Call Away

Just a Phone Call Away

Reach out to us for help or for any questions you have about your Part D insurance plan needs.

Call us at: 1-888-902-5708 TTY 1-800-955-8770

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Let one of our many bilingual agents guide you through your Florida Medicare Prescription Drug plan options.

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FBM PROD 003 NF 092020
Last Updated: 10.01.2020
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