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Medicare Part D Drug Plans With Anthem

Medicare Part D covers prescription drugs not covered by Original Medicare (Parts A and B). Anthem offers several Part D options to provide you with medication coverage.

What is Medicare Part D?

 

As a California resident, you can save on medications with a Medicare Part D prescription drug plan (PDP)  from Anthem Blue Cross. With copays as low as $1 at preferred pharmacies in our network, you can purchase a standalone PDP to enhance Original Medicare , which doesn’t cover prescription medications. You can also get Part D coverage with one of our California Medicare Supplement plans (Medigap)  or California Medicare Advantage plans .

Is a Medicare Prescription Drug Plan right for you?

Yes

  • You’re enrolled in Original Medicare, Parts A or B

  • You live in our plan service area

  • You’d like help lowering your prescriptions drug costs

  • You want coverage for prescriptions in the future, even if you don’t take any right now

  • You have a Medicare Supplement plan or Original Medicare and want prescription drug coverage.

No

  • You already have a Medicare Advantage Plan that includes drug coverage

  • Your union, employer, or a former employer is providing you with drug coverage

  • You are not a U.S citizen or lawfully present in the United States

Medicare Part D Plan Options

 

Anthem offers Medicare Part D plans with excellent coverage and low or no deductibles.

 

Our network includes thousands of pharmacies across the country—many of which are preferred pharmacies. These pharmacies participate in Anthem’s network and typically offer covered drugs at lower out-of-pocket costs than non-preferred pharmacies. Explore Anthem’s MediBlue Rx Part D  plans or learn more about Medicare Part D coverage .

MediBlue Rx Standard Part D Plan

  • Deductibles starting at $350

  • Select list of covered drugs

  • $1 to $5 copays for most generic drugs at preferred pharmacies

MediBlue Rx Plus Part D Plan

 

  • $0 deductible

  • Broad list of covered drugs

  • $1 to $3 copays for most generic drugs at preferred pharmacies
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Does Anthem cover your prescriptions?

Use our prescription search tool to find out if we cover your medications.

Medicare Part D Costs

 

The cost of your Medicare prescription drug coverage can depend on your income and the type of plan you purchase. People with higher incomes may pay slightly more in premiums. The Medicare Part D coverage gap  is another important factor in understanding your costs. Find out more in our detailed article on Medicare Part D costs.

 

Learn more about Medicare Part D costs 

 

Need help paying for prescription drugs?

 

Eligible Medicare beneficiaries may qualify for prescription drug assistance through the federal program Extra Help .

Understanding Part D Drug Coverage

 

Here are some common terms you may run into when comparing Medicare Part D plans .

Quantity Limits

For safety reasons, your plan may limit the amount of medication you can receive at one time. If your prescription is in excess of safety guidelines or refilled too soon, your doctor may need to contact us for approval.

Prior Authorization

Some prescription drugs require your doctor to obtain prior approval and submit documentation of medical necessity before the plan will cover it.

Drug Tiers

All drugs covered by your plan are divided into pricing tiers. Generally, generic drugs fall into the lowest tiers and are the most affordable. Brand name and specialty drugs are in higher tiers that cost more.

Step Therapy

Step therapy helps keep costs down while ensuring you get the most effective drug available. For some health conditions, the plan requires you to try a less costly, clinically effective drug before “stepping up” to a more costly one.

Drug Plan Exceptions

You and your doctor have the right to request exceptions set by your drug plan. You can request exceptions from step therapy and quantity limits, or request a lower cost-sharing amount for some drugs. Talk to your doctor about requesting an exception.

Medication Therapy Management (MTM)

 

The Medication Therapy Management program helps members with multiple health conditions understand and use their medications safely. The program is designed to help you and your doctor ensure the medications you take are working together to improve your health.

 

Learn more about MTM 

Ready To Start Shopping?

Find and compare Medicare Part D plans in your area.

Attend a Free Medicare Event

Sign up for a free Medicare event to learn how Anthem Medicare plans help cover costs that Original Medicare doesn’t. You can attend a virtual Medicare webinar. Or, if you prefer, come to a live seminar in your area where a Medicare licensed agent will be present to answer your questions.

Find An Event

Anthem Blue Cross is an HMO & LPPO plan with a Medicare contract. For Dual-Eligible Special Needs Plans: Anthem Blue Cross is an HMO SNP plan with a Medicare contract and a contract with the California Medicaid program. Anthem Blue Cross Life and Health Insurance Company is an LPPO plan with a Medicare contract. Enrollment in Anthem Blue Cross depends on contract renewal.