Platinum Blue Complete Plan with Rx (Cost)

Platinum Blue Complete Plan with Rx (Cost) is a Cost plan offered by Aware Integrated, Inc. available for enrollment in 2025 to people living in 21 County Region. This plan received an overall rating of 3.5 out of 5 stars in 2026.

It's important to know that Platinum Blue Complete Plan with Rx (Cost) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.

Key Plan Facts

Below are a few key facts and commonly-asked questions about Platinum Blue Complete Plan with Rx (Cost).

Plan Costs:

The cost of a Medicare Advantage Plan is made up of four main parts.

• First, the monthly premium — the amount you pay every month.
• Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
• Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
• Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.

You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.

Common Services:

Drug Coverage

The Platinum Blue Complete Plan with Rx (Cost) features an annual drug deductible of $615 before coverage begins for higher-tier medications. For Tier 1 preferred generics and Tier 2 generics, members enjoy no copay for one-, two-, or three-month supplies filled at standard pharmacies or through preferred mail order. Standard mail-order fills for these generic tiers require a low copay of $5 for a one-month supply or $10 for a two- or three-month supply. For brand-name and specialty medications, costs transition to coinsurance percentages. Tier 3 preferred brands require a 22% coinsurance across standard pharmacies and mail-order options, while Tier 4 non-preferred drugs carry a 44% to 46% coinsurance depending on your pharmacy choice. Specialty drugs in Tier 5 are covered with a 25% coinsurance for a one-month supply.

Additional Benefits

The Platinum Blue Complete Plan with Rx (Cost) offers robust medical coverage with no copays or coinsurance for primary care, specialist visits, and preventive services. For hospital care, members pay a $200 copay per admission for inpatient services, while outpatient services feature no coinsurance and copays ranging from no copay to $50. Emergency care is covered with a $50 copay, which is waived upon hospital admission, while urgently needed services require no copay. This plan also provides valuable routine benefits, including dental coverage up to a $1,000 annual maximum and routine vision exams with no copays. Hearing care features no copays for routine exams and fitting evaluations, with prescription hearing aids requiring a copay between $499 and $799. Additionally, members receive a $50 quarterly allowance for over-the-counter items and skilled nursing facility care with no copay for the first 20 days.