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    Horizon Medicare Prescription Drug Plans

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Comparison

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Plan D Prescription Drug Coverage from Horizon Blue Cross Blue Shield of New Jersey

Horizon Blue Cross Blue Shield of New Jersey offers a choice of three affordable prescription drug plans. Each is designed to help you lower prescription drug costs and give you protection against excessive out-of-pocket costs should your prescription medication needs ever increase. You can save on both brand name and generic drugs.

When you join one of these plans, Medicare helps pay a portion of the costs. That allows Horizon Blue Cross Blue Shield of New Jersey to offer you more coverage for less money.

Horizon Medicare Blue Rx Standard

Featuring Easy-to-Budget Prescription Drug Copays

With the Horizon Medicare Blue Rx Standard Plan option, coverage begins after you meet your $275 deductible. The Horizon Medicare Blue Rx Standard Plan features a copay of just $5 for generic drugs, $37 copay for covered preferred brand drugs, and $65 copay for non-preferred brand drugs until your total annual prescription costs reach $2,510. You pay 100% of the annual costs you incur between $2,510 and $5,726.25 (up to $4,050 out-of pocket maximum); however, Horizon Blue Cross Blue Shield of New Jersey's special negotiated rates for prescription drugs apply. Once your annual drug costs exceed $5,726.25, you pay just $2.25 per generic/preferred or $5.60 for all others or 5% of the drug's cost, whichever is greater.

 

Horizon Medicare Blue Rx Enhanced

Featuring No Deductible

The Horizon Medicare Blue Rx Enhanced Plan option features no deductible and a copay of just $5 for covered generic drugs, a $37 copay for covered preferred brand drugs, and a $65 copay for non-preferred brand drugs until your total annual prescription costs reach $2,510. You then pay $5 for generic drugs and 100% of the costs for all other drugs when your annual drug costs are between $2,510 and $5,726.25 (up to a $4,050 out-of-pocket maximum). However, Horizon Blue Cross Blue Shield of New Jersey's special negotiated rates for prescription drugs apply. Once your annual drug costs exceed $5,726.25, you pay just $2.25 per generic/preferred or $5.60 for all others or 5% of the drug's costs, whichever is greater.

 

Horizon Medicare Blue Rx Plus

Featuring No Deductible and $0 for Generic Drugs

The Horizon Medicare Blue Rx Plus Plan option features no deductible and a copay of $0 for covered generic drugs, a $37 copay for covered preferred brand drugs, and a $65 copay for non-preferred brand drugs until your total annual prescription costs reach $2,510. You then pay $0 for generic drugs and 100% of the costs for all other drugs when your annual drug costs are between $2,510 and $5,726.25 (up to a $4,050 out-of-pocket maximum). However, Horizon Blue Cross Blue Shield of New Jersey's special negotiated rates for prescription drugs apply. Once your annual drug costs exceed $5,726.25, you pay just $2.25 per generic/preferred or $5.60 for all others or 5% of the drug's cost, whichever is greater.

 

Plan Options at a Glance


Horizon Medicare
Blue Rx Standard
Horizon Medicare
Blue Rx Enhanced
Horizon Medicare
Blue Rx Plus
Deductible $275 No deductible No deductible
Annual drug costs between $0 and $2,510 You pay a $5 copay per covered generic, a $37 copay per covered preferred brand and a $65 copay per non-preferred brand prescription. You pay a $5 copay per covered generic, a $37 copay per covered preferred brand and a $65 copay per covered non-preferred brand prescription. You pay a $0 copay per covered generic, a $37 copay per covered preferred brand and a $65 copay per covered non-preferred brand prescription.
Annual drug costs exceeding $2,510 (up to $4,050 out-of-pocket maximum) You pay 100% of our special negotitated rates for prescription drugs. $5 generic only, all others at 100% of our special negotiated rates for prescription drugs. $0 generic only, all others at 100% of our special negotiated rates for prescription drugs.
After your annual drug costs reach $5,726.25 You pay the greater of 5% coinsurance or $2.25 generic/preferred, $5.60 for all others. You pay the greater of 5% coinsurance or $2.25 generic/preferred, $5.60 for all others. You pay the greater of 5% coinsurance or $2.25 generic/preferred, $5.60 for all others.
Monthly Plan Premium

$41.20†

$71.60†

$80.20†

You could save an average of $1,200 a year on your prescription drug costs!*


* Centers for Medicare & Medicaid Services Press Release, January 2007.

† You must continue to pay Medicare Part B premium if not otherwise paid for under Medicaid or by another third party.

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Last Updated: November 14, 2008