BlueRx Employer Group Plan 803 (PDP)

Medicare Prescription Drug Plan Not Available SNP Includes Rx

Plan Details

Plan NameBlueRx Employer Group Plan 803 (PDP)

OrganizationBlueRx (PDP)

Legal EntityBCBS OF ALABAMA & UTIC INSURANCE COMPANY

Plan TypeMedicare Prescription Drug Plan

Service AreaState of Alabama, State of Tennessee

Contract IDS1030

Plan ID803

Prescription Drug CoverageYes (Part D Included)

About This Plan

BlueRx Employer Group Plan 803 (PDP) is a Medicare Prescription Drug Plan Medicare plan offered by BlueRx (PDP) (BCBS OF ALABAMA & UTIC INSURANCE COMPANY). This plan is available to eligible Medicare beneficiaries in State of Alabama, State of Tennessee.

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.