S2893-003: Blue MedicareRx Premier – 2025 Medicare Part D Plan Available in Connecticut
S2893-003: Blue MedicareRx Premier – 2025 Medicare Part D Plan Available in Connecticut
CMS 5-Star Rating: (3.0 out of 5 stars*)
For 2025, the Blue MedicareRx Premier Part D plan (S2893-003) is listed in the CMS Landscape dataset for Connecticut, including premium, deductible, and rating details.
* The Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system.
| Part D Plan Overview | |
|---|---|
| Part D Plan ID: | S2893-003 |
| Plan Year: | 2025 |
| Total Part D Premium: | $190.80 |
| Annual Deductible: | $0.00 |
| Part D Benefit Type: | Enhanced |
| No Deductible Drug Tier: | Not Applicable |
| Low Income Subsidy: | Yes |
| Insured By: | Blue MedicareRx |
Plan Costs
Premium Details
| Basic Part D Premium: | $127.30 |
| Supplemental Part D Premium: | $63.50 |
| Total Part D Premium: | $190.80 |
| Low Income Premium Subsidy: | $52.52 |
| Low Income Premium Subsidy CMS Pays: | $52.50 |
| Low Income Subsidy Premium: | $138.30 |
Did you know? The Extra Help program (LIS) can reduce premiums, deductibles, and copays for eligible Medicare Part D enrollees in Connecticut. Check eligibility at the Social Security Extra Help page.
Deductible
The deductible for the 2025 Blue MedicareRx Premier PDP (S2893-003) is $0.00, based on the CMS Landscape dataset.
Out-of-Pocket Costs
| Drug Tier | Retail | Mail Order | |
|---|---|---|---|
| Preferred Generic | $1.00 | $1.00 | |
| Generic | $7.00 | $7.00 | |
| Preferred Brand | $30.00 | $30.00 | |
| Non-Preferred Drug | 35.00% | 35.00% | |
| Specialty Tier | 33.00% | 33.00% | |
| *Deductible does not apply. | |||
CMS 5-Star Rating Data for Plan S2893-003
The CMS 5-star system measures Medicare Part D plan quality, including service, member experience, and drug safety. A 5-star rating is the highest score.
| CMS Measure | Star Rating |
|---|---|
| Overall Plan Rating | |
| Drug Plan Customer Service | |
| Complaints and Changes in the Drug Plan | |
| Member Experience with the Drug Plan | |
| Drug Safety and Accuracy of Drug Pricing |
Contact Blue MedicareRx
| Website: | Blue MedicareRx Plan Page |
|---|---|
| Formulary: | Blue MedicareRx Formulary Page |
| Pharmacy: | Blue MedicareRx Pharmacy Page |
| Prospective Part D Members: | (877)479-2227 |
| Prospective Part D TTY Users: | 711 |
Last update: .