Understanding Your Pharmacy Benefits

Every Blue Advantage plan includes generous Part D prescription drug coverage to help with the costs of your medications. Below is an overview to help you better understand your coverage and how to get started using your benefits.

Medicare Part A and Part B Coverage

It is important to remember that enrollment 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's coverage requirements, your drugs will still be covered under Medicare Part A or Part B even though you are enrolled in Blue Advantage. See the Medicare & You Handbook for more information about the drugs that are covered by Medicare Part A and Part B.

Important Note: Blue Advantage members automatically receive their Medicare Part D prescription drug coverage. If you join another Medicare plan, including a Medicare prescription drug plan, you will be disenrolled from our plan when your enrollment in the new plan begins.

Now that you understand more about your pharmacy benefits, you're on the right path to maintaining and improving your health. Become a pro by learning how to view the formulary and understand utilization management, save time and money getting your prescriptions drugs, and learn more about our prescription support programs!

Special note: Some Blue Advantage (HMO) Group Medicare Advantage plans do not offer preferred cost-sharing when you use a preferred pharmacy. You can still use a preferred pharmacy but may not pay less for your prescriptions than you would at a standard network pharmacy. If you are a Blue Advantage (HMO) – Group Medicare Advantage member, read your plan's Benefit Documents to see if this applies to you.

Express Scripts is an independent company that serves as the pharmacy benefit manager for Blue Cross and Blue Shield of Louisiana.