Blue Rx PDP Complete 2026 Medicare Part D Plan Available in West Virginia
Blue Rx PDP Complete is a 2026 Medicare Part D (PDP) plan from Highmark Blue Shield, available to residents of West Virginia. It provides prescription drug coverage, with pricing determined by premiums, deductibles, and medication tiers.
Updated: .
| Blue Rx PDP Complete: Part D Plan Overview | |
|---|---|
| Part D Plan ID: | S5593-003 |
| Plan Year: | 2026 |
| Total Part D Premium: | $164.80 |
| Annual Deductible: | $200.00 |
| Part D Benefit Type: | Enhanced |
| No Deductible Drug Tier: | Yes |
| Low Income Subsidy: | Yes |
| Insured By: | Highmark Blue Shield |
Drug Coverage Costs
In addition to the monthly premium, Blue Rx PDP Complete may include a deductible and tier-based cost-sharing for medications. The sections below outline how prescription drug costs are applied under this plan.
Monthly Premium
Blue Rx PDP Complete has a monthly premium that contributes to the total cost of coverage. The table below shows the premium amount for the 2026 plan year.
| Basic Part D Premium: | $131.00 |
| Supplemental Part D Premium: | $33.80 |
| Total Part D Premium: | $164.80 |
| Low Income Premium Subsidy: | $32.71 |
| Low Income Premium Subsidy CMS Pays: | $32.70 |
| Low Income Subsidy Premium: | $132.10 |
Eligible beneficiaries may qualify for the Low-Income Subsidy (LIS), or “Extra Help,” to lower prescription drug costs. Learn more on the Social Security Extra Help page.
Annual Deductible
The 2026 Medicare Part D deductible for Blue Rx PDP Complete is $200.00. You pay this amount before Highmark Blue Shield begins covering prescription drug costs.
Prescription Drug Cost Sharing
Blue Rx PDP Complete uses tier-based copayments or coinsurance for covered drugs. Costs apply after any deductible and vary by medication tier. See the table below for details.
| Drug Tier | Retail | Mail Order | |
|---|---|---|---|
| Preferred Generic | $0.00 | $0.00 | |
| Generic | $5.00 | $0.00 | |
| Preferred Brand | 25.00% | 0.00% | |
| Non-Preferred Drug | 49.00% | 0.00% | |
| Specialty Tier | 33.00% | 33.00% | |
| *Deductible does not apply. | |||
CMS Star Ratings
Medicare Part D plans are rated from 1 to 5 stars by CMS, based on quality and performance. Higher ratings indicate stronger overall results. The table below displays the rating for Blue Rx PDP Complete.
| 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, "Explore your Medicare coverage options" — Last accessed May 2, 2026
- Medicare.gov, "How Part D works with other insurance" — Last accessed May 1, 2026
- Medicare.gov, "Costs for Medicare drug coverage" — Last accessed May 1, 2026
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