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This tool will help you:
- Choose a Prescription Drug Plan or Medicare Advantage Plan that covers your drugs and pharmacy
- Estimate your annual prescription drug costs without Part D coverage
- Estimate what you might expect to save when you enroll
- Find an in-network pharmacy near you
- Quickly enroll online, knowing that you selected the best plan for your needs
Before you get started, be sure to have the following information:
- Drug name, dosage, and frequency for each of your prescription medications
- Your pharmacy name and address
This estimator is intended to be used only as an illustrative tool and is in no way a guarantee of savings. It should not be the only factor you use in determining the plan you choose. Drug costs displayed are estimates and may vary based on the specific quantity, strength, and/or dosage of the medication, the order in which prescriptions are purchased, and the pharmacy used. Estimates are based on costs at network pharmacies, which may vary from pharmacy to pharmacy and may also vary during the year. Medicare Prescription Drug Plans and Medicare Advantage Plans generally do not cover prescriptions at out-of-network pharmacies, except in emergencies. Estimates are based on annual usage. Saving for the remainder of this year may be less for individuals enrolling after January 1.
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Blue Cross®, Blue Shield® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans.
DestinationRx, Inc., powered by Connecture, is an independent company that contracts with Prime Therapeutics LLC and provides website information and tools for Blue Cross and Blue Shield of Texas plans.
We are open 8:00 a.m. – 8:00 p.m., local time, 7 days a week. If you are calling from February 15 through September 30, alternate technologies (for example, voicemail) will be used on weekends and holidays.
You must continue to pay your Medicare Part B premium. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year. The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.
Out-of-network/non-contracted providers are under no obligation to treat Blue Cross Medicare Advantage members, except in emergency situations. For a decision about whether we will cover an out-of-network service, we encourage you or your provider to ask us for a pre-service organization determination before you receive the service. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
For Blue Cross Medicare Advantage Dual Care (HMO SNP) SM Plans:
This plan is available to anyone who has both Medicare and Medical Assistance from the State, and is enrolled in Blue Cross and Blue Shield of Texas' Medicaid plan. Premium, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
Medicare Part D Plan Notice:
Prescription drug plan is provided by Blue Cross and Blue Shield of Texas, which refers to HCSC Insurance Services Company (HISC), an Independent Licensee of the Blue Cross and Blue Shield Association. A Medicare-approved Part D sponsor. Enrollment in HISC’s plan depends on contract renewal.
Medicare Advantage Plan Notice:
HMO and HMO POS plans available in Atascosa, Bandera, Bastrop, Bexar, Burnet, Caldwell, Cameron, Chambers, Comal, El Paso, Fort Bend, Hardin, Harris, Hays, Hidalgo, Jefferson, Kendall, Lee, Liberty, Medina, Montgomery, Orange, Webb, Willacy, Williamson and Wilson counties.
HMO-SNP plan available in Bastrop, Burnet, Caldwell, Hays, Lee and Williamson counties.
PPO plans available in Bastrop, Bexar, Burnet, Caldwell, Chambers, Collin, Dallas, Denton, Fayette, Fort Bend, Hardin, Harris, Hays, Jefferson, Lee, Liberty, Montgomery, Tarrant, Travis and Williamson counties.
Plans provided by Blue Cross and Blue Shield of Texas, which refers to HCSC Insurance Services Company (HISC) (PPO plans), and also to GHS Insurance Company (GHS) (HMO, HMO-POS and HMO Special Needs Plans). HISC and GHS are Independent Licensees of the Blue Cross and Blue Shield Association. HISC is a Medicare Advantage organization with a Medicare contract. GHS is a Medicare Advantage organization with a Medicare contract and a contract with the Texas Medicaid program. Enrollment in HISC’s and GHS’ plans depends on contract renewal.
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Last Updated: 01/17/2018
Y0096_WEB_TX_PST18 Approved 09302017