Anthem MediBlue Rx Standard (PDP)
Anthem MediBlue Rx Standard (PDP) S5596-085 Plan Details
Anthem MediBlue Rx Standard (PDP) is a plan offered by Anthem Inc..
Plan ID: S5596-085.
$85.50
Monthly Premium
Anthem MediBlue Rx Standard (PDP) is a plan offered by Anthem Inc..
Plan ID: S5596-085.
Georgia Counties Served
Appling
Baker
Baldwin
Barrow
Bartow
Bryan
Clarke
Spalding
Paulding
Atkinson
Bacon
Banks
Ben Hill
Berrien
Bibb
Bleckley
Brantley
Brooks
Bulloch
Burke
Butts
Calhoun
Candler
Carroll
Catoosa
Charlton
Chatham
Chattahoochee
Chattooga
Cherokee
Clay
Clayton
Clinch
Cobb
Coffee
Colquitt
Columbia
Cook
Coweta
Crawford
Crisp
Dade
Dawson
Decatur
Dekalb
Dodge
Dooly
Dougherty
Douglas
Early
Echols
Effingham
Elbert
Emanuel
Evans
Fannin
Floyd
Forsyth
Franklin
Fulton
Gadsden
Gilmer
Glascock
Glynn
Gordon
Grady
Greene
Gwinnett
Habersham
Hall
Hancock
Haralson
Harris
Hart
Heard
Henry
Houston
Irwin
Jackson
Jasper
Jeff Davis
Jefferson
Jenkins
Johnson
Jones
Lamar
Lanier
Laurens
Lee
Liberty
Lincoln
Long
Lowndes
Lumpkin
Macon
Madison
Marion
Mcduffie
Mcintosh
Meriwether
Miller
Mitchell
Monroe
Montgomery
Morgan
Murray
Muscogee
Newton
Oconee
Oglethorpe
Peach
Pickens
Pierce
Pike
Polk
Pulaski
Putnam
Quitman
Rabun
Randolph
Richmond
Rockdale
Russell
Schley
Screven
Seminole
Stephens
Stewart
Sumter
Talbot
Taliaferro
Tattnall
Taylor
Telfair
Terrell
Thomas
Tift
Toombs
Towns
Treutlen
Troup
Turner
Twiggs
Union
Upson
Walker
Walton
Ware
Warren
Washington
Wayne
Webster
Wheeler
White
Whitfield
Wilcox
Wilkes
Wilkinson
Worth
Basic Costs and Coverage
Coverage | Cost |
---|---|
Monthly Deductible | $505 |
Out of Pocket Max |
In-Network: $-1 Out-of-Network: N/A |
Initial Coverage Limit | $4660 |
Catastrophic Coverage Limit | $7,400 |
Prescription Drug Costs and Coverage
The Anthem MediBlue Rx Standard (PDP) plan offers the following prescription drug coverage, with an annual drug deductible of $505 (excludes Tiers 1 and 2) per year.
Coverage |
Cost
|
---|---|
Coverage & Cost
|
|
Annual Drug Deductible | $505 (excludes Tiers 1 and 2) |
Preferred Generic |
|
Generic |
|
Annual Drug Deductible | $505 (excludes Tiers 1 and 2) |
Preferred Generic |
|
Generic |
|
Annual Drug Deductible | $505 (excludes Tiers 1 and 2) |
Preferred Generic |
|
Generic |
|