Medicare Part D

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• Medicare Part D
• Prescription Drug Plan
• (Medicare Blue Rx)
• OSU/AM
• Overview

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Are you eligible for Medicare Blue Rx?

• Entitled to Part A and/or enrolled in Part B
• Not enrolled in any other Medicare Prescription
  Drug Plan at the same time as Medicare Blue Rx
• If you are enrolled in a Medicare Advantage (MA)
  Plan, you may not enroll in any
  Medicare-approved prescription drug plan unless
  you have a Private Fee-for-Service (PFFS) MA Plan
  that does not provide Medicare prescription drug
  coverage, a Medical Savings Account (MSA) or an
  1876 Cost Plan.

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Medicare Blue Rx Plans

• We offer 2 plans to choose from
• Basic Plus
• Enhanced Plus
• Each plan offers you affordability, savings and
  flexibility
• Individuals enrolled in Medicare Blue Rx must
  continue to pay their Medicare Part B premium if
  not otherwise paid for under Medicaid or by
  another third party

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Things to consider when choosing a plan

• Premium
• Copayment
• Costs incurred during the coverage gap if
  applicable

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Plan choices
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What pharmacy can I use?

• Members must use network pharmacies or the
  Medicare Blue Rx mail-order program to receive
  benefits, except under special circumstances,
  such as in an emergency.
• We offer one of the largest retail networks in
  the country with over 56,500 network pharmacies
• Retail drug store chains and their affiliates
• CVS, Wal-Mart, Walgreens
• Long-term care
• Home infusion
• Most independent pharmacies
• Per a GEO Access analysis conducted by Prime
  Therapeutics on 7/3/2007.

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What pharmacy can I use? (continued)

• Preferred network pharmacies
• Pay just two and a half months of copayments
  instead of three when you fill a 90-day supply of
  eligible prescriptions.
• CVS, Kmart, Sams Club, Target, Walgreens and
  Wal-Mart or their affiliates
• At a preferred network pharmacy, you may
  purchase a 90-day supply of eligible generic or
  brand prescription drugs and pay only two and a
  half months of copayments. The list provided is
  current as of 6/20/06 and does not guarantee that
  a pharmacy is still in the network. Network
  pharmacies that are not preferred pharmacies do
  not offer lower copaymets for a 90-day supply.

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What pharmacy can I use? (continued)

• For a complete list of our retail, network and
  preferred network pharmacies
• Call 1-877-838-3877, 7 days a week, 8 a.m.-8
  p.m., Local Time. For the hearing or speech
  impaired, please call 1-800-693-3816.
• Or visit www.bcbsok.com
• Mail order option
• You can also save on copayments with our
  convenient mail-order program administered by
  Prime Therapeutics.

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What drugs are covered?

• Medicare Blue Rx covers an extensive list of
  drugs called a formulary.
• Our formulary includes more than 2,600
  prescription drugs covered by Medicare.
• A comprehensive Formulary is included in your
  enrollment packet

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How do you apply for extra help?

• You may be able to get extra help to pay for your
  prescription drug premiums and costs. To see if
  you qualify for extra help, call
• 1-800-MEDICARE (1-800-633-4227), 24 hours a day/
  7 days a week. For the hearing or speech
  impaired, please call 1-877-486-2048.
• Social Security Administration at 1-800-722-1213
  between 7 a.m. and 7 p.m., Monday Friday. For
  the hearing or speech impaired, please call
  1-800-325-0778.
• State Medicaid Office

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Resources

• Medicare Blue Rx
• Call 1-877-838-3877, 7 days a week, 8 a.m.-8
  p.m., CST
• For the hearing or speech impaired, please call
  1-800-693-3816, 7 days a week, 8 a.m. 8 p.m.,
  CST
• Visit www.bcbsok.com
• Medicare
• Call 1-800-MEDICARE (1-800-633-4227) 24 hours a
  day
• TTY/TDD Users 1-877-486-2048, 24 hours a day
• Visit www.medicare.gov

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Resources (continued)

• Social Security
• Call 1-800-772-1213, 7 a.m.- 7 p.m. Monday-Friday
• TTY/TDD Users 1-800-325-0778, 7 a.m.- 7 p.m.
  Monday-Friday
• Visit www.socialsecurity.gov

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Additional Information

• Prime Therapeutics is a separate company
  providing pharmacy benefit management and mail
  order services for Medicare Blue Rx.
• SM Service Marks of the Blue Cross and Blue
  Shield Association, an Association of Independent
  Blue Cross and Blue Shield Plans
• Registered Service Marks of the Blue Cross and
  Blue Shield Association, an Association of
  Independent Blue Cross and Blue Shield Plans
• Blue Cross and Blue Shield of Oklahoma refers to
  HCSC Insurance Services Company, which is a
  wholly owned subsidiary of Health Care Service
  Corporation, a Mutual Legal Reserve Company.
  These companies are independent licensees of the
  Blue Cross and Blue Shield Association and offer
  or provide services for Medicare Part D products
  under contracts S5566 with the Centers for
  Medicare and Medicaid Services.