S5596-056: Anthem MediBlue Rx Standard – 2025 Medicare Part D Plan Available in Wisconsin
S5596-056: Anthem MediBlue Rx Standard – 2025 Medicare Part D Plan Available in Wisconsin
CMS 5-Star Rating: (3.5 out of 5 stars*)
2025 Anthem MediBlue Rx Standard Part D plan (S5596-056) is a CMS-listed PDP available in Wisconsin, with published data on costs and benefits.
* The Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system.
| Part D Plan Overview | |
|---|---|
| Part D Plan ID: | S5596-056 |
| Plan Year: | 2025 |
| Total Part D Premium: | $118.60 |
| Annual Deductible: | $590.00 |
| Part D Benefit Type: | Basic |
| No Deductible Drug Tier: | Not Applicable |
| Low Income Subsidy: | Yes |
| Insured By: | Anthem / Anthem or Blue KC in Missouri |
Plan Costs
Premium Details
| Basic Part D Premium: | $118.60 |
| Supplemental Part D Premium: | $0.00 |
| Total Part D Premium: | $118.60 |
| Low Income Premium Subsidy: | $43.51 |
| Low Income Premium Subsidy CMS Pays: | $43.50 |
| Low Income Subsidy Premium: | $75.10 |
IMPORTANT: If you qualify for the Low-Income Subsidy (LIS) program, also called "Extra Help," you may get help paying your Medicare Part D plan costs in Wisconsin. Learn more at the Social Security Extra Help page.
Deductible
In 2025, the Anthem MediBlue Rx Standard Part D plan (S5596-056) has a published deductible of $590.00.
Out-of-Pocket Costs
| Drug Tier | Retail | Mail Order | |
|---|---|---|---|
| Preferred Generic | $1.00 | $1.00 | |
| Generic | $4.00 | $4.00 | |
| Preferred Brand | 17.00% | 17.00% | |
| Non-Preferred Drug | 40.00% | 40.00% | |
| Specialty Tier | 25.00% | 25.00% | |
| *Deductible does not apply. | |||
CMS 5-Star Rating Data for Plan S5596-056
Each year CMS rates Medicare Part D plans from 1 to 5 stars. Ratings cover customer service, complaints, member experience, and drug pricing accuracy.
| 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 Anthem / Anthem or Blue KC in Missouri
| Website: | Anthem / Anthem or Blue KC in Missouri Plan Page |
|---|---|
| Formulary: | Anthem / Anthem or Blue KC in Missouri Formulary Page |
| Pharmacy: | Anthem / Anthem or Blue KC in Missouri Pharmacy Page |
| Prospective Part D Members: | (833)668-2397 |
| Prospective Part D TTY Users: | 711 |
Last update: .