The Medicare Extra Help Program
Monthly Plan Premiums with Extra Help from Medicare
If you get extra help from Medicare to help pay for your Medicare prescription drug plan costs, your monthly plan premium may be reduced. The amount of extra help you get will determine your total monthly plan premium as a member of our plan.
Medicare Advantage Plans
2025 Coverage Year
The tables below show you what your monthly plan premium will be if you get extra help.
If you live in: Barnstable, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, or Suffolk counties
Your level of Extra Help | Monthly Premium for Medicare HMO Blue SaverRx* | Monthly Premium for Medicare HMO Blue ValueRx* | Monthly Premium for Medicare HMO Blue FlexRx* | Monthly Premium for Medicare HMO Blue PlusRx* | Monthly Premium for Medicare PPO Blue SaverRx* | Monthly Premium for Medicare PPO Blue ValueRx* | Monthly Premium for Medicare PPO Blue PlusRx* |
|---|---|---|---|---|---|---|---|
100% | $0.00 | $23.00 | $73.00 | $194.00 | $0.00 | $87.00 | $228.40 |
If you live in: Worcester County
Your level of Extra Help | Monthly Premium for Medicare HMO Blue SaverRx* | Monthly Premium for Medicare HMO Blue ValueRx* | Monthly Premium for Medicare HMO Blue FlexRx* | Monthly Premium for Medicare HMO Blue PlusRx* | Monthly Premium for Medicare PPO Blue SaverRx* | Monthly Premium for Medicare PPO Blue ValueRx* | Monthly Premium for Medicare PPO Blue PlusRx* |
|---|---|---|---|---|---|---|---|
100% | $0.00 | $42.00 | $93.00 | $194.00 | $0.00 | $87.00 | $228.40 |
Prescription Drug Plans
2025 Coverage Year
The table below shows you what your monthly plan premium will be if you get extra help.
Your level of Extra Help | Monthly Premium for Blue MedicareRx Value Plus (PDP)* | Monthly Premium for Blue MedicareRx Premier (PDP)* |
|---|---|---|
100% | $0.00 | $138.30 |
Blue MedicareRx (PDP) is a stand alone Prescription Drug Plan with a Medicare contract. Blue MedicareRx Value Plus (PDP) and Blue MedicareRx Premier (PDP) are two Medicare Prescription Drug Plans available to service residents of Connecticut, Massachusetts, Rhode Island, and Vermont.
Coverage is available to residents of the service area or members of an employer or union group and separately issued by one of the following plans: Anthem Blue Cross® and Blue Shield® of Connecticut, Blue Cross Blue Shield of Massachusetts, Blue Cross and Blue Shield of Rhode Island, and Blue Cross and Blue Shield of Vermont.
Anthem Insurance Companies, Inc., Blue Cross and Blue Shield of Massachusetts, Inc., Blue Cross & Blue Shield of Rhode Island, and Blue Cross and Blue Shield of Vermont are the legal entities which have contracted as a joint enterprise with the Centers for Medicare & Medicaid Services (CMS) and are the risk-bearing entities for Blue MedicareRx (PDP) plans. The joint enterprise is a Medicare-approved Part D Sponsor. Enrollment in Blue MedicareRx (PDP) depends on contract renewal.
Independent Licensees of the Blue Cross and Blue Shield Association ®Registered Marks of the Blue Cross and Blue Shield Association. ®´, SM, TM Registered Marks and Trademarks are property of their respective owners. ©2025 All Rights Reserved.
Learn More About Extra Help from Medicare
If you aren't getting extra help, you can see if you qualify by calling:
- 1-800-Medicare TTY/TDD users call 1-877-486-2048 (24 hours a day/7 days a week),
- Your State Medicaid Office, or
- The Social Security Administration at 1-800-772-1213. TTY/TDD users should call 1-800-325-0778 between 8 a.m. and 7 p.m., Monday through Friday.
Medicare Advantage Plans
If you have any questions, please call Member Service at 1-800-200-4255 (TTY: 711), from 8:00 a.m. to 8:00 p.m. ET, 7 days a week from October 1 through March 31, and 8:00 a.m. to 8:00 p.m. ET, Monday through Friday, from April 1 through September 30.
Stand Alone Prescription Drug Plans
If you have any questions, please call Member Service at 1-888-543-4917 (TTY: 711), 24 hours a day, 7 days a week.
Best Available Evidence Policy
If you believe you qualified for extra help and that you are paying an incorrect copayment amount when you get your prescription at a pharmacy, Blue Cross Blue Shield of Massachusetts has established a process that will allow you to either request assistance in obtaining evidence of your proper copayment level, or, if you already have the evidence, to provide this evidence to us. This is known as the Best Available Evidence Policy. Please contact Member Services for a complete list of acceptable forms of evidence or view the CMS Best Available Evidence Policy.
This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Premium may change on January 1 of each year.
Home Delivery
Learn how you can get prescription medications shipped right to your home.
Formulary Overview
View a list of medications covered under a Medicare Advantage Part D plan.
Coverage Requirements
Explore additional coverage requirements for certain prescriptions.
Formulary Changes
See a list of the latest changes to prescription drug coverage.
*This does not include any Medicare Part B premium you may have to pay.
