Blue Medicare Rx Standard (PDP)

Medicare Prescription Drug Plan Not Available SNP Includes Rx

Plan Details

Plan NameBlue Medicare Rx Standard (PDP)

OrganizationBlue Cross and Blue Shield of North Carolina

Legal EntityBLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA

Plan TypeMedicare Prescription Drug Plan

Service AreaNorth Carolina

Contract IDS5540

Plan ID002

Prescription Drug CoverageYes (Part D Included)

About This Plan

Blue Medicare Rx Standard (PDP) is a Medicare Prescription Drug Plan Medicare plan offered by Blue Cross and Blue Shield of North Carolina (BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA). This plan is available to eligible Medicare beneficiaries in North Carolina.

This is a Special Needs Plan (SNP) designed for Not Available beneficiaries. This plan includes Medicare Part D prescription drug coverage.

The in-network maximum out-of-pocket (MOOP) for this plan is N/A, which is the most you would pay for covered services in a plan year. After reaching this amount, the plan pays 100% of covered services.