BlueRx Essential A 2026 Medicare Part D Plan Available in Alabama
BlueRx Essential A 2026 Medicare Part D Plan Available in Alabama
Welcome to the 2025 BlueRx Essential Medicare Part D plan guide for Alabama. Here, you’ll find all the information you need, including plan benefits, costs, and star ratings. We’ve also included enrollment options to assist you in securing the right prescription drug coverage for you in Alabama.
The BlueRx Essential plan provides valuable coverage for reducing your prescription drug costs, whether you're enrolled in Medicare Part A and/or Part B, or a Medicare Advantage plan without drug coverage in Alabama.
| BlueRx Essential: Part D Plan Overview | |
|---|---|
| Part D Plan ID: | S1030-006 |
| Plan Year: | 2026 |
| Total Part D Premium: | $76.20 |
| Annual Deductible: | $615.00 |
| Part D Benefit Type: | Basic |
| No Deductible Drug Tier: | Not Applicable |
| Low Income Subsidy: | Yes |
| Insured By: | BlueRx (PDP) |
| We're Here to Help You Enroll |
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Breaking Down Medicare Part D Plan Costs
When considering BlueRx Essential, it's important to look beyond the monthly premium. There are additional costs, such as deductibles, copayments, and coinsurance, that can affect your out-of-pocket expenses. The following sections explain each cost element to help you make informed decisions about your prescription drug coverage.
Plan Premium Details
The BlueRx Essential plan's monthly premium plays a significant role in determining your overall costs. Some plans may also include supplemental charges or offer Low-Income Subsidy (LIS) options. Below is a breakdown of the premium details for this 2026 plan from BlueRx (PDP).
| Basic Part D Premium: | $76.20 |
| Supplemental Part D Premium: | $0.00 |
| Total Part D Premium: | $76.20 |
| Low Income Premium Subsidy: | $27.74 |
| Low Income Premium Subsidy CMS Pays: | $27.70 |
| Low Income Subsidy Premium: | $48.50 |
NOTE: Want to know more about the Low-Income Subsidy (LIS) or "Extra Help" program? This benefit can lower your prescription drug costs in Alabama. Visit the Social Security Extra Help page to learn more.
Annual Deductible Information
This plan has a Medicare Part D annual deductible of $615.00. You must pay this amount upfront at the pharmacy before BlueRx (PDP) begins contributing to your prescription costs.
Out-of-Pocket Expenses with this Part D Plan
Beyond the monthly premium and deductible, BlueRx Essential includes copayments (fixed amounts) and/or coinsurance (a percentage of the cost) that you'll need to pay when filling your prescriptions. The table below outlines these costs in detail.
| Drug Tier | Retail | Mail Order | |
|---|---|---|---|
| Preferred Generic | $0.00 | $0.00 | |
| Generic | $4.00 | $4.00 | |
| Preferred Brand | 24.00% | 24.00% | |
| Non-Preferred Drug | 39.00% | 39.00% | |
| Specialty Tier | 25.00% | 25.00% | |
| *Deductible does not apply. | |||
What the CMS 5-Star Rating Means
Every year, the Centers for Medicare & Medicaid Services (CMS) rates Medicare Part D plans on a 5-star scale, with 5 stars representing excellent quality and performance. These ratings consider factors like customer service, member experience, and the safety of prescription drugs. A higher rating reflects better overall quality, helping you choose the best plan for your needs. The table below shows the CMS rating for the BlueRx Essential plan.
| CMS Measure | Star Rating |
|---|---|
| Overall Plan Rating | |
| Drug Plan Customer Service | |
| Complaints and Changes in the Drug Plan | |
| Member Experience with the Drug Plan | |
| Drug Safety and Accuracy of Drug Pricing |
When to Enroll in a Medicare Part D Plan
Timing your enrollment in Medicare Part D is critical. Here are the key periods when you can sign up for or make changes to your plan:
- Initial Enrollment Period (IEP): Your first chance to enroll in Medicare Part D typically starts three months before the month you turn 65 and lasts for seven months. Learn more about when your Initial Enrollment Period begins.
- Annual Enrollment Period (AEP): Every year from October 15 to December 7, you can join, switch, or drop your Medicare Part D plan. Get details about the Medicare Annual Enrollment Period.
- Medicare Advantage Open Enrollment Period (MA-OEP): From January 1 to March 31, you can change your Medicare Advantage plan or switch back to Original Medicare (with or without Part D), so long as you are currently enrolled in a Medicare Advantage plan. Explore the Medicare Advantage Open Enrollment Period.
- Special Enrollment Period (SEP): Certain events, like moving or losing other coverage, may qualify you for a Special Enrollment Period, allowing you to enroll or change plans outside the usual periods.
How to Enroll in BlueRx Essential
Here are a few ways to enroll in BlueRx Essential or a different Medicare Part D plan:
- Online via MedicareEnrollment.com: Visit MedicareEnrollment.com to compare plans and enroll online quickly and securely.
- Call HealthCompare: For personalized assistance, call HealthCompare at 833-748-3201 (TTY 711) to get expert help with finding the right plan (Mon-Fri 5am-6pm, Sat 6am-5pm PST).
- Call 1-800-MEDICARE: Speak with a Medicare representative by calling 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048.
- Call the Plan Directly: You can also contact the plan directly using the details provided below to enroll over the phone.
Contact BlueRx (PDP)
| Website: | BlueRx (PDP) Plan Page |
|---|---|
| Formulary: | BlueRx (PDP) Formulary Page |
| Pharmacy: | BlueRx (PDP) Pharmacy Page |
| Prospective Part D Members: | (877)233-3555 |
| Prospective Part D TTY Users: | 711 |
Plans Offered Through Medicare.org
Medicare Advantage and Part D plans and benefits offered by the following carriers: Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Baylor Scott & White Health Plan, Capital Blue Cross, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, GlobalHealth, Health Care Service Corporation, HealthSpring℠, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint
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