Anthem Medicare Part D 2024-2025 Review

Anthem plans get good ratings for members’ happiness and helping with medication management, but they’re priced high and not available in most states.

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Written by Alex Rosenberg
Lead Writer
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Edited by Holly Carey
Assigning Editor
Fact Checked

The bottom line: Anthem MediBlue Rx Medicare Part D plans have above-average ratings from the Centers for Medicare & Medicaid Services (CMS). Premiums are on the higher side, but Anthem’s Part D plans receive few complaints, and the plans score well for helping members get and take their medications. Jump to: Full Review

Anthem Medicare Part D - Healthpilot

Anthem

3.28

CMS Star Rating

(855) 922-5051

TTY 711

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Anthem Medicare Part D pros and cons

Pros

Happy members: Anthem scores well for receiving few complaints about its plans and members rarely choosing to leave.

Medication management: Anthem gets above average ratings for helping members fill their prescriptions and manage their drugs.

Cons

High premiums: Many competitors offer significantly lower prices, on average, compared to Anthem plans.

Limited availability: Anthem’s stand-alone Medicare Part D plans are available in only 13 states.

Compare against other providers

Wellcare Medicare Part D - Healthpilot

Wellcare

3.5

CMS Star Rating

(855) 922-5051

TTY 711

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Cigna Medicare Part D - Healthpilot

Cigna

2.96

CMS Star Rating

(855) 922-5051

TTY 711

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on Healthpilot

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Humana Medicare Part D - Healthpilot

Humana

3.48

CMS Star Rating

(855) 922-5051

TTY 711

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AARP/UnitedHealthcare Medicare Part D - Healthpilot

UnitedHealthcare

3.16

CMS Star Rating

(855) 922-5051

TTY 711

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» More options in our roundup of the best Medicare Part D plans

Compare against other providers

Wellcare Medicare Part D - Healthpilot

Wellcare

3.5

CMS Star Rating

(855) 922-5051

TTY 711

Speak to a licensed insurance agent on Healthpilot.com
GET A QUOTE

on Healthpilot

M-F 9am-6pm, CT

Speak to a licensed insurance agent on Healthpilot.com
(855) 922-5051

TTY 711

IS THIS PROVIDER AVAILABLE IN MY STATE?
Humana Medicare Part D - Healthpilot

Humana

3.48

CMS Star Rating

(855) 922-5051

TTY 711

Speak to a licensed insurance agent on Healthpilot.com
Compare My Rates

on Healthpilot

M-F 9am-6pm, CT

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(855) 922-5051

TTY 711

IS THIS PROVIDER AVAILABLE IN MY STATE?

» More options in our roundup of the best Medicare Part D plans

Our full review

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Anthem Medicare Part D star ratings

Average Part D star rating, weighted by enrollment: 3.28 stars

Anthem MediBlue Rx stand-alone Medicare Part D plans get an average star rating of 3.28 out of 5 stars from CMS in 2025, weighted by enrollment

NerdWallet analysis of CMS data. 2025 Star Ratings Data Tables. Accessed Oct 15, 2024.
. For comparison, the weighted average star rating for all stand-alone Part D plans is 3.11 stars.

The Centers for Medicare & Medicaid Services rates Medicare Part D plans on 12 quality measures

Centers for Medicare & Medicaid Services. Medicare 2025 Part C & D Star Ratings Technical Notes. Accessed Oct 15, 2024.
. (You can find definitions for each of these factors in the CMS Star Ratings Technical Notes.)

These ratings use a 5-point scale where 5 is the best and 1 is the worst. The agency bases its ratings on drug plans’ quality of service and customer experiences, and ratings are updated annually

Centers for Medicare & Medicaid Services. Fact Sheet 2025 Medicare Advantage and Part D Star Ratings. Accessed Oct 15, 2024.
.

Anthem Medicare Part D prescription drug plans

In most states where Anthem operates, it offers these two stand-alone MediBlue Rx prescription drug plans in 2025

:

  • MediBlue Rx Standard: Anthem recommends this plan for “those who take fewer medications.”

  • MediBlue Rx Plus: Anthem recommends this plan for “those who take multiple medications.”

In a couple of states, the plan names are different. In Connecticut, there’s Blue MedicareRx Value Plus and Blue MedicareRx Premier. In Missouri, there’s Blue MedicareRx Value and Blue MedicareRx Plus. There are also some state-by-state variations on whether “Blue Cross” appears in the plans’ names

Medicare beneficiaries with Original Medicare (Part A and/or Part B) can purchase a Medicare Part D plan for prescription drug coverage. Part D plans are sold by private insurance companies. The costs and coverage can vary significantly, so it’s important to compare options.

With about 405,000 stand-alone Medicare Part D members, Anthem’s parent company Elevance Health is the seventh-largest company offering Medicare Part D plans

Centers for Medicare & Medicaid Services. PDP Plan Directory. Accessed Oct 15, 2024.
.

💬 From our Nerds: Are Anthem MediBlue Rx plans a good Medicare Part D option?

"Anthem MediBlue Rx and Blue MedicareRx Part D plans score well on measures of members’ happiness with their plans and how the plan helps members get and take medications. The catch is cost: Anthem’s Medicare Part D plans are often priced higher than competitors’ plans.

“But whether and how your prescription drugs are covered is a more fundamental consideration than factors like cost or quality ratings. So before choosing your 2025 Medicare Part D plan, confirm that your medications are included on the plan’s formulary with out-of-pocket costs you can afford.”

Alex Rosenberg, lead writer covering Medicare

Anthem Medicare Part D cost

Anthem Medicare Part D premiums and deductibles

Here are the 2025 premiums and deductibles for Anthem’s stand-alone Medicare prescription drug plans

Centers for Medicare & Medicaid Services. CY2025 Landscape (202409.1). Accessed Oct 15, 2024.
:

Plan

Pricing

Anthem MediBlue Rx Standard*

Monthly premiums:

  • Lowest: $49.60.

  • Average: $105.45.

  • Highest: $144.30.

Annual deductible: $590.

Anthem MediBlue Rx Plus*

Monthly premiums:

  • Lowest: $39.30.

  • Average: $108.45.

  • Highest: $190.80.

Annual deductible:

  • Lowest: $0.

  • Average: $375.38.

  • Highest: $590.

* Figures for the MediBlue Rx Standard plan include Blue MedicareRx Value Plus in CT and Blue MedicareRx Value in MO. Figures for the MediBlue Rx Plus plan include Blue MedicareRx Premier in CT and Blue MedicareRx Plus in MO.

» If you have concerns about affording Medicare Part D, look into Medicare Extra Help.

Here’s how Anthem Medicare Part D pricing has changed for 2025:

  • The higher-level MediBlue Rx Plus* plan no longer has a $0 deductible in most states.

  • Premiums for the lower-level MediBlue Rx Standard* plan are up by nearly $28 per month, on average.

  • Premiums for the higher-level MediBlue Rx Plus* plan are about the same, on average. 

$0-deductible options

In most states, Anthem’s higher-level plan is the only one with $0-deductible options in 2025

Anthem. Summary of Benefits documents. Accessed Oct 15, 2024.
. The Anthem MediBlue Rx Plus plan has a $0 deductible for Tier 1-2 drugs. The deductible is $590 for Tier 3-5 drugs.

The Anthem MediBlue Rx Standard plan has a $590 deductible for Tier 1-5 drugs in 2025.

In Connecticut, the Blue MedicareRx Value Plus plan has no deductible for Tier 1 drugs, and Tiers 2-5 have a $590 deductible. The Blue MedicareRx Premier plan has no deductible for all covered drugs.

$0-copay options

Anthem’s lower-level plans don’t have any $0-copay tiers in 2025

Anthem. Summary of Benefits documents. Accessed Oct 15, 2024.
.

In all of its states except Connecticut, Anthem’s higher-level MediBlue Rx Plus plan has a $0 copay for Tier 1 drugs from preferred pharmacies.

In Connecticut, the higher-level Blue MedicareRx Premier plan has no $0-copay tiers.

Coinsurance vs. copay requirements

You’ll want to check whether you’ll pay a copay or coinsurance for your medications. Copays are set dollar amounts, so it’s easy to know what you’ll pay. Coinsurance is a percentage of the price for your medications, so coinsurance requirements can be less predictable and more expensive.

In all of its states except Connecticut, both the higher-level and lower-level plans have copays for Tiers 1-2 and coinsurance for Tiers 3-5

Anthem. Summary of Benefits documents. Accessed Oct 15, 2024.
.

In Connecticut, the Blue MedicareRx Value Plus plan has copays for Tiers 1-2 and coinsurance for Tiers 3-5. The Blue MedicareRx Premier plan has copays for Tiers 1-3 and coinsurance for Tiers 4-5.

Anthem Medicare Part D service area

Stand-alone Medicare prescription drug plans from Anthem are available in 13 states

Centers for Medicare & Medicaid Services. CY2025 Landscape (202409.1). Accessed Oct 15, 2024.
.

Anthem offers one basic and one higher-end plan in each of its markets.

About Anthem

Anthem's parent company, Elevance Health, is headquartered in Indianapolis and was formed in 2004 out of a merger between WellPoint Health Networks and Anthem. In 2022, the company changed its name to Elevance Health, but it continues to sell Medicare products under the Anthem brand.

Elevance Health offers commercial health insurance for individuals and employers; Medicare Advantage, Medicare Supplement Insurance and Medicaid plans; life, disability, dental and vision insurance; and services for other government health insurance programs.

Read the NerdWallet reviews of these other Anthem Medicare offerings:

Compare Medicare Part D companies

Get more information below about some of the major Medicare Part D companies. These insurers offer plans in most states, but specifics may vary depending on your location.

Find the right Medicare Part D prescription drug plan

The interactive tool on Medicare.gov can help you find a Medicare Part D plan that covers your prescriptions. It also helps you compare costs among Medicare Part D and Medicare Advantage plans available to you.

Here are some things to keep in mind when comparing plans:

  • Check the formulary: You’ll want to make sure the medicines you currently take and, importantly, any you think you might need in the future, are covered under each of the plans you’re considering. Talk to your health care providers about what brand-name and generic medicines to look for and any alternatives that may also work in case you can’t find your current medicines on the plans available in your area.

  • Look for plan changes: Formularies change frequently. Your insurer should send you a Notice of Plan Change when the formulary changes. Read that document carefully.

  • Check the pharmacy network: Most Medicare Part D plans negotiate with a network of pharmacies for the lowest cost. Check to see if your pharmacy or an equally convenient one is in the plan’s network. Also, compare prices for using mail order.

If your plan does change, and the change affects the prescription drugs you need, you can switch plans during Medicare's open enrollment period, Oct. 15 to Dec. 7. Changes go into effect on the following Jan. 1.

If you have additional questions about Medicare, visit Medicare.gov or call 800-MEDICARE (800-633-4227, TTY 877-486-2048).
Anthem Medicare Part D - Healthpilot

Anthem

3.28

CMS Star Rating

Anthem has above-average star ratings, but its Part D plans can be expensive, and it serves only 13 states.

(855) 922-5051 / TTY 711

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Out-of-pocket costs

Higher than average


Member experience

3.0 (Average)

IS THIS PROVIDER AVAILABLE IN MY STATE?

Out-of-pocket costs

Higher than average


Member experience

3.0 (Average)

IS THIS PROVIDER AVAILABLE IN MY STATE?

Pros

  • Members have few complaints and rarely choose to leave.
  • Strong ratings for medication management.

Cons

  • High premiums.
  • Available in only 13 states.

Medicare Part D plan review methodology

NerdWallet’s Medicare Part D reviews are based on ratings data from the Centers for Medicare & Medicaid Services (CMS), pricing, cost-sharing requirements, formulary design, consumer experience and more.

NerdWallet reviewed eight Medicare Part D insurance companies based on highest enrollment and greatest online search volume. Together, these eight companies cover about 92% of Medicare beneficiaries with stand-alone Medicare Part D plans, according to CMS data. We review at least five major Medicare Part D companies in every state in the United States.

These reviews are a guide, but we encourage you to shop around and compare several plans to find the best coverage and rate for you. NerdWallet does not receive compensation for any reviews. Read our editorial guidelines for additional information.

Medicare will have big changes in 2025. Compare Medicare Part D Plans