Medicare Prescription Drug Plans
Disclaimers
Federal Contracting Statement
Arkansas Blue Cross and Blue Shield is a Prescription Drug Plan sponsor with a Medicare contract and enrollment depends on contract renewal.
Benefit Disclaimers
The benefit information provided is a brief summary, not a complete description of benefits. For more information contact Arkansas Blue Cross and Blue Shield.
Limitations, copayments, and restrictions may apply.
Benefits, formulary, pharmacy network, premium and/or copayments/coinsurance may change on January 1 of each year
Medicare Part A or Part B Premium
You must continue to pay your Medicare Part A or Part B Premium.
Pharmacy Network
The formulary, pharmacy network, and/or provider network may change at any time. Medipak-Rx members must use in-network pharmacies to receive plan benefits under emergency care circumstances, and quantity limitations and restrictions may apply.
Star Ratings
Medicare evaluates plans based on a 5-star rating system. Star Ratings are calculated each year an may change from one year to the next.
Online Enrollment Center
Medicare beneficiaries may also enroll in Medi-Pak Rx (PDP) through the CMS Online Enrollment Center located at http://www.medicare.gov.
Hours of Operation
October 1 - February 14
Call us at 1-866-390-3369, 8 a.m. - 8 p.m. CST, 7 days a week (TTY: 711)
February 15 - September 30
Call us at 1-866-390-3369, 8 a.m. - 8 p.m. CST, Monday through Friday (TTY: 711)
Medi-Pak Rx (PDP) Service Area
Medi-Pak Rx is available in all Arkansas counties.
Attention: if you speak Spanish, language assistance services, free of charge, are available to you. Call 1-844-298-2444 (TTY: 711)
Insurance Disclaimer
Arkansas Blue Cross and Blue Shield is a PDP and PFFS plan with a Medicare contract. Medi-Pak Advantage HMO is insured by Health Advantage and is an HMO plan with a Medicare contract. Enrollment in any Arkansas Blue Cross and Blue Shield or Health Advantage plan depends on contract renewal.
H9699_HMO Website 2020
last updated on 3/2/2020