Blue Rx PDP Plus 2026 Medicare Part D Plan Available in West Virginia
The Medicare Part D plan Blue Rx PDP Plus is offered by Highmark Blue Shield for the 2026 plan year and is available in West Virginia. It covers prescription drugs, with costs structured around premiums, a deductible, and tier-based copayments or coinsurance.
Updated: .
| Blue Rx PDP Plus: Part D Plan Overview | |
|---|---|
| Part D Plan ID: | S5593-002 |
| Plan Year: | 2026 |
| Total Part D Premium: | $193.20 |
| Annual Deductible: | $615.00 |
| Part D Benefit Type: | Basic |
| No Deductible Drug Tier: | Not Applicable |
| Low Income Subsidy: | Yes |
| Insured By: | Highmark Blue Shield |
Plan Drug Costs
Blue Rx PDP Plus uses a standard Part D cost structure that may include a deductible and tiered copayments or coinsurance. The tables below summarize typical cost-sharing for covered drugs.
Monthly Premium
The 2026 Medicare Part D plan Blue Rx PDP Plus includes a monthly premium. The table below outlines the premium amount for this plan.
| Basic Part D Premium: | $193.20 |
| Supplemental Part D Premium: | $0.00 |
| Total Part D Premium: | $193.20 |
| Low Income Premium Subsidy: | $32.71 |
| Low Income Premium Subsidy CMS Pays: | $32.70 |
| Low Income Subsidy Premium: | $160.50 |
Low-Income Subsidy (LIS), also called “Extra Help,” may reduce prescription drug costs for eligible beneficiaries. See the Social Security Extra Help page for details.
Annual Deductible
Blue Rx PDP Plus has a $615.00 annual Part D deductible for 2026. This amount must be paid before plan coverage applies to prescriptions.
Out-of-Pocket Costs
In addition to premiums and any deductible, Blue Rx PDP Plus includes copayments or coinsurance for covered medications. The table below shows cost-sharing by drug tier.
| Drug Tier | Retail | Mail Order | |
|---|---|---|---|
| Preferred Generic | $0.00 | $0.00 | |
| Generic | $7.00 | $0.00 | |
| Preferred Brand | 24.00% | 0.00% | |
| Non-Preferred Drug | 40.00% | 0.00% | |
| Specialty Tier | 25.00% | 25.00% | |
| *Deductible does not apply. | |||
CMS Star Ratings
CMS evaluates Medicare Part D plans each year using a 5-star rating system. Ratings reflect plan performance across key measures, including service, satisfaction, and medication safety. See the rating for Blue Rx PDP Plus below.
| 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 Information for Highmark Blue Shield
| Website: | Highmark Blue Shield Plan Page |
|---|---|
| Formulary: | Highmark Blue Shield Formulary Page |
| Pharmacy: | Highmark Blue Shield Pharmacy Page |
| Prospective Part D Members: | (866)435-1047 |
| Prospective Part D TTY Users: | 711 |
- CMS.gov, Landscape Source Files — Last accessed June 13, 2026
- CMS.gov, Medicare Part C & D Performance — Last accessed June 13, 2026
- CMS.gov, Plan Benefits Package — Last accessed June 13, 2026
- CMS.gov, Monthly Enrollment by Contract/Plan/State/County — Last accessed June 13, 2026
Data sources and methodology documentation..
- Highmark Blue Shield (official source), http://medicare.highmark.com — Last accessed April 27, 2026
- Medicare.gov, "How to get prescription drug coverage" — Last accessed May 2, 2026
- Medicare.gov, "What's Medicare Drug Coverage (Part D)?" — Last accessed May 1, 2026
- Medicare.gov, "What does Medicare cost?" — Last accessed May 1, 2026
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