Blue Cross of Idaho members with Medicare Part D drug coverage are eligible to sign up for the Medicare Prescription Payment Plan (sometimes called M3P or MPPP). This is a voluntary payment plan for Part D-covered drugs. Learn more about the program and how you can sign up below.
What is the Medicare Prescription Payment Plan?
The Medicare Prescription Payment Plan is a new voluntary payment option offered by Part D plans that allows you to spread your out-of-pocket Part D costs for covered prescription drugs throughout the calendar year (January-December). Instead of paying for your Part D prescription drugs at the pharmacy or when they're shipped, you'll be able to make a smaller, monthly payment.
Starting in 2025, anyone with a Medicare Part D drug plan will have their Part D out-of-pocket costs capped at $2,000 per calendar year. The Medicare Prescription Payment Plan might benefit you if you take high-cost Part D drugs and would reach the $2,000 cap early in the year. Instead of paying the full $2,000 up front, you can sign up for the Medicare Prescription Payment Plan and make monthly payments toward the $2,000 out-of-pocket cost cap.
You can also use this tool on the Medicare.gov website to help you find out if this program will benefit you.
To sign up for the Medicare Prescription Payment Plan, you’ll need to wait until after you are accepted into one of our Medicare Advantage plans and receive your post-enrollment kit.
After you receive your post-enrollment kit, you have three ways to opt in:
Current members have three ways to opt in:
Your monthly bill will be the sum of the cost of the prescriptions you filled in the current month, plus your last month's balance, divided by the remaining months left in the year.
Here is how costs will be calculated:
Visit the Medicare.gov website for examples of how payments may be calculated.
Important note: The amount of your monthly bill is recalculated each month. Future bills will increase when you fill a new Part D prescription or refill an existing prescription.
No, this program is a payment plan only and does not save you money and does not lower your drug costs.
This program is free. You will not be charged any fees to take part in this program and your monthly balance will not accrue any interest.
Blue Cross of Idaho Rx will send you a monthly payment plan invoice, which is separate from the bill you receive for your plan premium (if applicable).
You can pay your monthly invoice in one of three ways:
Paying your monthly payment plan bill is important. If you do not pay your bill, you may be terminated from the program. Additionally, you might not be able to participate in the program in the future if you have outstanding balances.
Call Blue Cross of Idaho Rx at the number listed on the back of your member ID card and a customer service agent will help you file a grievance.
Call Blue Cross of Idaho Rx at the number listed on the back of your member ID card.
Below are the approval timeframes for the program, depending on when you submit your request:
We will contact you if we need any additional information, which may delay the approval of your request.
If you had to fill a medication that you urgently needed and before your request to join the prescription payment plan was approved, you can request to retroactively join the program. To be retroactively opted in, you'll need to meet both these requirements:
Once your retroactive request is complete, you'll be refunded any cost sharing you paid at the pharmacy and will receive your monthly payment plan bill. Please know that you'll still have to pay the balance through monthly payments.
This program may not be right for you if you get Extra Help (also known as a low-income subsidy) from Medicare. Extra Help is a program that helps to lower your monthly drug costs, deductibles and plan premiums.
The new prescription drug law, the Inflation Reduction Act, expanded the Extra Help program, so more people may qualify than before.
Visit Social Security's Extra Help page for program information and to apply for the program. If you have additional questions about the Extra Help program or need help filling out the application, call 1-800-772-1213 (TTY: 1- 800- 325-0778).
To learn more about the Medicare Prescription Payment Plan, download our fact sheet or visit the Medicare.gov website for additional program information.
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