A prescription drug plan (Medicare Part D) with Anthem can help you save money on your medications. We have plan options with low copays, extensive drug coverage, and you can go to pharmacies across the U.S.
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Original Medicare doesn’t include drug coverage. Part D standalone plans or Medicare Advantage plans with prescription drug benefits offer comprehensive medication and vaccine coverage, low copays, competitive premiums, a national pharmacy network, and more.
Whether you have Original Medicare or a Medicare Supplement plan, you can purchase a stand-alone Part D plan to complement your coverage.
This could be a good fit if you’re satisfied with your Original Medicare or Medicare Supplement coverage and want to cover your medications and lower your prescription costs.
You also can purchase a Medicare Advantage (Part C) plan that includes Part D prescription drug benefits, plus hospital, medical, dental, vision, and hearing coverage – all in one plan.
Many prefer Medicare Advantage plus Part D to conveniently manage their healthcare and prescriptions with a single plan.
If you’re considering a standalone Part D plan, use this overview to help you decide which one is right for you.
Those who take fewer medications
Those who take multiple medications
Tiers 1 and 2
Tiers 3-5
Tiers 1-5
Low copays for most generic drugs at preferred pharmacies
Low copays for most generic drugs at preferred pharmacies
Many brand-name and generics
Wider range of brand-name and generics
Nationwide
Preferred Cost-Sharing Pharmacies (Lower Drug Costs)
Nationwide
Preferred Cost-Sharing Pharmacies (Lower Drug Costs)
Includes Albertsons, CVS Pharmacy, Costco, Giant Eagle Pharmacy, Harris Teeter Pharmacy, H-E-B Pharmacy, Kinney Drugs, Kroger, Publix, Roundy's, Safeway, and Walmart
Includes Albertsons, CVS Pharmacy, Costco, Giant Eagle Pharmacy, Harris Teeter Pharmacy, H-E-B Pharmacy, Kinney Drugs, Kroger, Publix, Roundy's, Safeway, and Walmart
Network details, deductibles, copays, and premiums may change year to year. Costs reflect 2024 rates.
*In Missouri only, Blue MedicareRx Value and Blue MedicareRx Plus.
Before you enroll, use our tool to look up your prescriptions and their costs. You can customize your search selections to fit your specific needs and find out which pharmacies are nearby.
Be sure to consider your Part D enrollment options during your Initial Enrollment Period or when you're first eligible for Medicare. If you don’t have creditable prescription coverage via an employer or another source, you could receive a monthly Part D late enrollment penalty.
If you’re managing complex medical needs and take multiple medications, you might be eligible for the Medication Therapy Management program. It’s a free program that will help you and your doctor make sure you’re getting the best results from your medications.
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.
Drug TiersAll 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.
Most plans have a formulary, which is a list of drugs the plan covers. While there are many drugs Medicare requires Part D plans to cover, you still want a plan that fits your personal prescription needs.
Prior AuthorizationSome drugs, and certain amounts of some drugs, require your doctor to obtain prior approval and submit documentation of medical necessity before they can be covered by your plan.
Quantity LimitsFor 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.
Step TherapyStep therapy helps keep costs down while ensuring you get effective drugs. For some health conditions, the plan requires you to try a less costly, clinically effective drug before “stepping up” to a more costly one.
If you are 65 or older or already enrolled in Medicare, you are eligible for Medicare Part D.
When reviewing Part D plans, you might want to consider whether:
If you have Original Medicare or a Medicare Supplement plan, you can sign up for a Medicare Part D plan during:
You can add, change, or drop your Medicare Part D plan during the Medicare Annual Enrollment Period. You could also qualify for a special enrollment period.
Most Medicare Part D plans have a coverage gap – the “donut hole” – that puts a temporary limit on how much the plan pays for prescription drugs. It starts once you and the plan have spent a certain amount on prescription drugs. When you’re in the coverage gap, you will pay a higher cost share on your prescriptions. Once your spending reaches the upper limit of the coverage gap, you shift back down to pay a lower cost share for your prescriptions. The coverage gap is scheduled to close in 2025.
Enter your Zip code below to find plans available in your area.
A ZIP code helps us find plans in your area.
Your plan options may vary by region or county.
Choose 2024 if shopping for coverage beginning January 1, 2024.
Shop PlansHave questions? Talk to a licensed agent:
Get more details about Medicare Part D and important cost considerations. You can also take a deeper dive into other articles offering detailed information about Medicare plans, benefits, eligibility, enrollment, and more.
Sign up to learn how Anthem Medicare plans help cover costs that Original Medicare doesn’t. You can attend a virtual webinar, or a live seminar where a Medicare licensed agent will be present to answer your questions.
If your state isn't listed, visit www.bcbs.com for other coverage options.
Anthem Blue Cross and Blue Shield is a PDP plan with a Medicare contract. Enrollment in Anthem Blue Cross and Blue Shield depends on contract renewal.
Not connected with or endorsed by the U.S. Government or the federal Medicare program.
The purpose of this communication is the solicitation of insurance. Contact will be made by an insurance agent or insurance company.
This policy has exclusions, limitations, and terms under which the policy may be continued in force or discontinued. For costs and complete details of the coverage, please contact your agent or the health plan.
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