Every Blue Advantage (HMO) and Blue Advantage (PPO) plan includes generous Part D prescription drug coverage to help with the costs of your medications.
The amount you pay depends on which drug tier your drug is in under your plan. The chart below explains what you can expect to pay for drugs in each tier in the Initial Coverage Stage.
Prescription Drug Benefits* |
|||
---|---|---|---|
Deductible | $0 pharmacy deductible for drugs in all tiers | ||
Preferred Retail and Mail-Order Cost Sharing | |||
Tier | One-Month Supply | Two-Month Supply | Three-Month Supply |
Tier 1-Preferred Generics | $3 Copay | $6 Copay | $0 Copay |
Tier 2-Generics | $12 Copay | $24 Copay | $0 Copay |
Tier 3-Preferred Brand | $45 Copay | $90 Copay | $135 Copay |
Tier 4-Non-Preferred Brand | $100 Copay | $200 Copay | $300 Copay |
Tier 5-Specialty | 33% Coinsurance | Not Offered | Not Offered |
Standard Retail and Mail-Order Cost Sharing | |||
Tier | One-Month Supply | Two-Month Supply | Three-Month Supply |
Tier 1-Preferred Generics | $10 Copay | $20 Copay | $30 Copay |
Tier 2-Generics | $18 Copay | $36 Copay | $54 Copay |
Tier 3-Preferred Brand | $47 Copay | $94 Copay | $141 Copay |
Tier 4-Non-Preferred Drug | $100 Copay | $200 Copay | $300 Copay |
Tier 5-Specialty | 33% Coinsurance | Not Offered | Not Offered |
*For in-network pharmacies only
Download the Blue Advantage Formulary to search our list of covered drugs, see the tier and if there are any requirements for coverage. Check multiple medications and estimate your annual drug costs by using our Find & Price Prescription Drugs tool.
Blue Advantage members have options on where and how to get their medicines:
It is important to remember that enrolling in Blue Advantage does not affect Medicare coverage for any drugs that may be covered under Medicare Part A or Part B. If you meet Medicare coverage requirements, your drugs will still be covered under Medicare Part A or Part B even though you are enrolled in Blue Advantage.
Get $50 per quarter ($200 per year) for over-the-counter (OTC) supplies. This includes over-the-counter drugs, incontinence supplies and other medical and first-aid supplies. You'll receive a catalog to order up to $50 worth of OTC items online, by mail or by phone every quarter. Click below to view the catalog.
Your Blue Advantage plan comes with both preventive and basic dental services.
Preventive services at $0 copay include:
Basic services covered at 50% coinsurance include:
Coverage is limited to $1,000 per year, for all dental services combined, preventive and basic.
To find a Blue Advantage dental provider, call 1-866-215-2357 (TTY 711) or click on the button below..
Your Blue Advantage plan comes with routine vision benefits for an annual eye examination as well as lenses and eyewear.
Your vision benefit covers one routine eye exam and one pair of eyeglass lenses or contact lenses each calendar year, as long as they are purchased from an in-network routine vision care provider. It also covers $130 toward the cost of eyeglass frames or contact lenses.
Find a Vision ProviderBlueCare is . . .
How Does BlueCare Work?
BlueCare is an easier way to treat non-emergency illnesses like:
You can also use BlueCare to get a prescription or to check in with a doctor if you need a follow-up visit.
As a Blue Advantage member, you can enjoy the Silver&Fit Exercise and Healthy Aging Program at no additional cost.
The Silver&Fit Program includes:
Silver&Fit is provided by American Specialty Health Fitness, Inc. a subsidiary of American Specialty Health Incorporated (ASH). Silver&Fit is a federally registered trademark of ASH. American Specialty Health Fitness, Inc. is an independent company that administers fitness benefits for Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Louisiana HMO.
*Purchase of a wearable fitness device or application may be required and is not reimbursed by the Silver&Fit program.
As a Blue Advantage member, you can get up to $50 per year in gift cards (digital and physical gift cards from national and local retailers) for completing approved health actions.
You could be rewarded for the first two health actions you choose to complete from the list below:
Click below to search for Hospitals or Medical Providers in the Vantage Network.