Medicare Plans That Keep Your Medications Covered

Understanding Your Prescription Drug Coverage 

Choosing a Blue Cross MedicareRx plan from Blue Cross and Blue Shield of Illinois is a smart move. We'll make sure you have the right resources to help you understand your plan and learn how to get the most from it.

Is My Care Covered?

Hacer preguntas o expresar sus inquietudes acerca de la cobertura Blue Cross MedicareRx es fácil. Si tiene preguntas sobre los beneficios de la cobertura, puede hacer lo siguiente:

• Read the Evidence of Coverage (EOC): This important document is in the Kit de bienvenida you will receive in the mail after you enroll. The EOC explains what is covered, what you pay as a member of the plan, and how to file a complaint if you are not satisfied with a decision or treatment. It is also available for download on the Documentos de la cobertura  de la página.
• Call Customer Service: After becoming a member, call the number listed on your member ID card to speak with a representative who can explain your plan benefits.

Organización de Medicare/determinación de cobertura, apelaciones e inconformidades

Blue Cross MedicareRx plans have processes in place to address Medicare coverage issues, complaints, and problems. Si tiene algún inconveniente, queja o problema con su cobertura Medicare o la atención médica que recibe, tiene derecho a presentar una queja.

Puede encontrar más información en la página Cobertura de medicamentos, apelaciones e inconformidades.

Cobertura de medicamentos con receta

Drugs covered by Blue Cross MedicareRx plans are listed in formularies (drug lists). Cada cobertura tiene su propia lista de medicamentos que incluye medicamentos genéricos y de marca. Esta lista también incluye información sobre los copagos y limitaciones de los medicamentos, como las autorizaciones previas, la cantidad límite y la terapia escalonada.

Drug lists can change, most often in the beginning of each year. Por lo general, cualquier cambio en la lista de medicamentos se refleja en la lista al comienzo de cada año.

To search for medications by plan:

• Use la Drug Finder tool for the latest list of covered medications.
• Or you can download a formulary on the página Formularios y documentos.

If your prescription isn't covered, you can request an exception, coverage determination/redetermination or an appeal. Visite nuestras Coverage Determinations and Appeals para encontrar más información.

Learn about how drugs are placed into tiers based on cost, prior authorization, quantity limits and more. Más información sobre autorización previa

If you’re new to our plan, find out how to get a limited supply of your medication that isn’t covered Learn more about drug plan transition.

The Medication Therapy Management program can help you find out if the drug you take is safe, works well and fits your lifestyle at no additional cost to eligible members. Más información sobre medication therapy management

The Medicare Prescription Payment Plan can offer help with managing your out-of-pocket costs. Averigüe más acerca de la Pago de medicamento con receta de Medicare

Si desea enviar comentarios directamente a Medicare, utilice el Formulario de quejas de Medicare o comuníquese con la Oficina del defensor del consumidor de Medicare.