Blue Rx PDP Plus (PDP)

Blue Rx PDP Plus (PDP) is a PDP plan offered by Hm Health Insurance Company available for the 2026 plan year to people living in Pennsylvania and West Virginia. CMS star rating not available for 2026.

It's important to know that Blue Rx PDP Plus (PDP) is a Prescription Drug (PDP) Plan. That means that this plan does cover prescription drugs, but doesn't cover medical services. If you are looking for a plan with medical service coverage, please search for Medicare Advantage Plans offered in your area.

Key Plan Facts

Below are a few key facts and commonly-asked questions about Blue Rx PDP Plus (PDP).

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.

Drug Coverage

The Blue Rx PDP Plus (PDP) Medicare prescription drug plan has an annual drug deductible of $615. This deductible represents the initial amount you must pay out-of-pocket for your prescription medications before your insurance coverage kicks in. Detailed drug tier coverage information, including specific copayments and coinsurance rates, is currently unavailable for this plan. To fully evaluate your potential out-of-pocket expenses, you should verify how your specific medications are categorized under the plan's formulary.

Additional Benefits

As a Prescription Drug (PDP) plan, health services are not covered by Blue Rx PDP Plus (PDP).

This includes doctor visits, hospital stays, and other medical services generally covered by other Medicare Advantage (MA) plans.

Plan Providers

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, Health Care Service Corporation, HealthSpring^SM, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.