What you need to know...
about your 2013 Blue MedicareRX^SM coverage

You should have recently received your 2013 Blue MedicareRx information package. Be sure to review all documents, especially the Annual Notice of Change letter for 2013. This letter summarizes the changes to your Blue MedicareRx plan benefits and costs, which become effective January 1, 2013.

Your information package also contains the Evidence of Coverage. It explains your rights and the rules you need to follow when using your Blue MedicareRx coverage. We’ve also included a copy of the 2013 Comprehensive Drug List, as well as a Pharmacy Directory.

Here are some helpful tips to make the most of your plan in 2013:

• New for 2013: Blue MedicareRx now features five tiers, including Preferred Generic Drugs and Non-Preferred Generic Drugs. The copay for a 30-day supply of a Preferred Generic Drug is just $3.
• Check the Drug List to be sure your drugs are covered.
• Always use Blue MedicareRx network pharmacies or our mail-order service, PrimeMail, except in an emergency. Otherwise, your benefits may not be covered.
• Save money by switching to a generic drug. Or, use a preferred network pharmacy
  or PrimeMail mail-order service. You may purchase a 90-day supply of an eligible
  prescription drug and pay only two and a half months of copays instead of three.
• Review your Explanation of Benefits (EOB) to see if you’re close to reaching the coverage gap.

PrimeMail is offered by Prime Therapeutics. Prime Therapeutics is a separate company from Blue Cross and Blue Shield of Illinois and provides pharmacy benefit management services for Blue MedicareRx.

Remember! Medicare's Part D annual enrollment season for 2013 runs from October 15 through December 7. This is the time to evaluate your current coverage and decide if you need to enroll in a different Blue MedicareRx plan. If you're satisfied with your plan, do nothing. Your coverage will continue automatically.

Here is a brief look at the Blue MedicareRx plan choices for 2013.

If you have reached or will reach the coverage gap in 2012 you may want to consider switching to the Plus Plan.

* You must continue to pay your Medicare Part B premium.

The benefit information provided is a brief summary, not a complete description of benefits. Limitations, copays, and restrictions may apply. Please refer to our Comprehensive Formulary to help determine in which tier your medications are listed (Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, or Specialty). Benefits, formulary, pharmacy network, premium and/or copays/coinsurance may change on January 1 of each year. For more detailed information, contact us at 1-877-260-0298, TTY/TDD 711, 8 a.m. - 8 p.m., local time, 7 days a week.

® Registered Service Marks of the Blue Cross and Blue Shield Association, an Association of Independent Blue Cross and Blue Shield Plans

Blue MedicareRx (PDP) is a stand-alone prescription drug plan with a Medicare contract offered by HCSC Insurance Services Company, an Independent Licensee of the Blue Cross and Blue Shield Association under contract S5715 with the Centers for Medicare and Medicaid Services.

A stand-alone prescription drug plan with a Medicare contract.

S5715_MRK_TMP_IL_LFTMSAEP13
Approved 07172012