Blue cross blue shield minnesota prescription coverage

Blue Plus 2023 Provider Networks and Covered Drug List

To find details about benefits and coverage for a particular Blue Plus plan offered on MNsure, use the links below to go to the Blue Plus website. You can also use the MNsure Plan Comparison Tool to compare Blue Plus plans with other plans side by side.

Blue Plus covered drug list information (PDF)

Blue Plus Metro MN Network Provider Directory

Counties in Service Area

Anoka, Brown, Carver, Chisago, Dakota, Hennepin, Isanti, Kanabec, McLeod, Nicollet, Ramsey, Scott, Sherburne, Sibley, Washington, Wright.

Individual and Family Plans

  • Blue Plus Metro MN HSA Bronze $7500 Plan 458
  • Blue Plus Metro MN HSA Silver $3000 Plan 453
  • Blue Plus Metro MN Gold $1300 Plan 455

Blue Plus Southeast MN Network Provider Directory

Counties in Service Area

Blue Earth, Dodge, Faribault, Fillmore, Freeborn, Goodhue, Houston, Le Sueur, Martin, Mower, Nicollet, Olmsted, Rice, Steele, Wabasha, Waseca, Watonwan, Winona.

Individual and Family Plans

  • Blue Plus Southeast MN HSA Bronze $7500 Plan 470
  • Blue Plus Southeast MN HSA Silver $3000 Plan 471
  • Blue Plus Southeast MN Gold $1300 Plan 472

Blue Plus Minnesota Value Network Provider Directory

Counties in Service Area

Aitkin, Anoka, Becker, Beltrami, Benton, Big Stone, Brown, Carlton, Carver, Cass, Chippewa, Chisago, Clay, Clearwater, Cook, Cottonwood, Crow Wing, Dakota, Douglas, Grant, Hennepin, Hubbard, Isanti, Itasca, Jackson, Kanabec, Kandiyohi, Kittson, Koochiching, Lac Qui Parle, Lake, Lake of the Woods, Lincoln, Lyon, Mahnomen, Marshall, McLeod, Meeker, Mille Lacs, Morrison, Murray, Nobles, Norman, Otter Tail, Pennington, Pine, Pipestone, Polk, Pope, Ramsey, Red Lake, Redwood, Renville, Rock, Roseau, St. Louis, Scott, Sherburne, Sibley, Stearns, Stevens, Swift, Todd, Traverse, Wadena, Washington, Wilkin, Wright, Yellow Medicine.

Individual and Family Plans

  • Blue Plus Minnesota Value HSA Bronze $7500 Plan 400
  • Blue Plus Minnesota Value Bronze $5800 Plan 403
  • Blue Plus Minnesota Value Bronze $7500 Plan 406
  • Blue Plus Minnesota Value HSA Silver $3000 Plan 401
  • Blue Plus Minnesota Value Silver $3000 Plan 404
  • Blue Plus Minnesota Value Gold $1300 Plan 402
  • Blue Plus Minnesota Value Gold $1000 Plan 405
  • Blue Plus Minnesota Value HSA Gold $3500 Plan 407

Flexible Content

Prescription Drug Coverage (Part D)

Medicare Prescription Drug plans are offered by private health insurance companies and cover your prescription drug costs for covered medications. 

You can choose to receive this coverage in addition to:

  • Original Medicare (Part A and Part B)
  • Original Medicare (Part A and Part B) with a Medigap Plan

Part D coverage is generally included in most Medicare Advantage (Part C) plans.

Costs

PremiumDeductibleCopaysCoinsuranceCoverage Gap
Most Part D plans require a monthly premium.
Some plans have deductibles.
Many Part D plans require that you pay a fixed copayment each time you fill a prescription.
Some Part D plans require that you pay a percentage (coinsurance) of a medication’s cost every time you fill a prescription.
Although plan designs can vary, most Medicare Part D plans have a cost sharing component commonly known as a coverage gap or “donut hole.” The coverage gap is a temporary limit where you are responsible for all of your drug costs until you reach the plan’s annual out-of-pocket limit. After you reach that limit, you will pay only a small share of your prescription costs for the remainder of the year.

Limits and Considerations

Limits

Most Part D plans have “formularies,” which are lists of covered prescription drugs. Part D plans also have networks of approved pharmacies in your area.

Things to Consider 

  • Costs for Part D plans can vary, so choose a plan that meets your needs and budget.
  • Part D insurance premiums may change each year. You will be notified of these changes in the fall prior to the annual Open Enrollment Period.
  • Medicare Part D has a low-income subsidy program, and Medicare beneficiaries may qualify for financial assistance with the cost of their medications based upon their income and assets.

Initial Enrollment Period

The Initial Enrollment Period is a limited window of time when you can enroll in Original Medicare (Part A and/or Part B) when you are first eligible. After you are enrolled in Medicare Parts A or B, you can select other coverage options like a Prescription Drug Coverage (Part D) plan from approved private insurers. After this period has ended, you can add or change your coverage during the Open Enrollment Period.

How to Enroll

You must be entitled to Part A or enrolled in Part B, and you must live in the designated geography of the plan you want to enroll in before joining a Medicare Part D plan. Contact your local Blue Cross Blue Shield company for help choosing a Medicare Part D plan and getting enrolled.
 

Open Enrollment Period

October 15 through December 7

Open Enrollment runs from October 15 through December 7 and it provides an annual opportunity for Medicare-eligible consumers to review and make changes to their Medicare coverage. This includes the opportunity to select or make changes to Prescription Drug Coverage (Part D). However, if you elect to receive Part D coverage after your Initial Enrollment Period window closes, a late enrollment penalty may be added to your premium.

Download the Medicare Advantage (Part C) and Prescription Drug Plans (Part D) guide to find the coverage options offered by your local Blue Cross Blue Shield company.

Does MinnesotaCare cover prescriptions?

If you qualify, MinnesotaCare will help pay for your visits to the doctor, hospital stays, prescription drugs, medical equipment, and other medical services.

Does Walgreens Take Blue Cross Blue Shield of Minnesota?

AllianceRx Walgreens Prime is a separate and independent central specialty and home delivery pharmacy that provides services to members of Blue Cross and Blue Shield of Minnesota.

What are the benefits of prescription drugs?

The benefits of medicines are the helpful effects you get when you use them, such as lowering blood pressure, curing infection, or relieving pain. The risks of medicines are the chances that something unwanted or unexpected could happen to you when you use them.

What is a preferred medication?

Your preferred drug list, sometimes called a formulary, is a list of brand-name and generic medications that are preferred by your plan. These medications are selected because they can safely and effectively treat most medical conditions while helping to contain costs for you and your plan.

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