Title: Blue HowTo: FEP Medicare Prescription Drug Program
Speaker(s): Announcer
Date: March 19, 2024
Length: 4 minutes, 21 seconds


Visual:
On screen text: Blue How To
A Closer Look at the FEP Medicare Prescription Drug Program
Brought to you by 
BlueCross BlueShield
Federal Employee Program 
fepblue.org


Visual:
On screen text: What’s the FEP Medicare Prescription Drug Program?


Visual:
Animation of a senior smiling and pulling two health cards from his pockets, one after the other.


Announcer:
The FEP Medicare Prescription Drug Program, or MPDP, is a prescription drug benefit exclusively for Blue Cross and Blue Shield Federal Employee Program members with Medicare. We're always looking for ways to help reduce your out-of-pocket costs. 


Visual:
Animation of healthcare icons appearing next to the man, like a stethoscope, a doctor, a smart watch, a syringe, a heart on a screen, a health card, and hands around a heart. The RX logo then appears on the other side of the man.


Announcer:
With MPDP, you get the same FEP health-plan benefits you're used to now, plus more prescription benefits that can help you save. 


Visual:
Animation of prescription drugs, a dollar sign with a down arrow, and a bar chart above the man’s head.


Announcer:
This includes more approved prescription drugs in some tiers than your current benefit, lower out-of-pocket costs for higher-cost drugs, and a cap on the amount you pay out-of-pocket on prescriptions annually.


Visual:
The man gives a thumbs up. Animation of a dollar sign being crossed out next to the man. The man pulls out his member ID card.


Announcer:
Even better, you don't pay a separate premium for MPDP. It's part of your Blue Cross and Blue Shield Service Benefit Plan coverage. 


Visual:
On screen text: Eligibility
Animation of an FEP member ID card, the text Part A and Part B, and an American flag.


Announcer:
You're eligible for MPDP if you are an FEP member enrolled in Medicare Part A and/or Part B primary and live in the U.S. or a U.S. territory. 


Visual:
On screen text lists the options mentioned. 


Announcer:
MPDP has four drug tiers. Tier 1: Generics. Tier 2: Preferred brand name. Tier 3: Non-preferred brand name. Tier 4: Specialty drugs. The amount you pay for a drug depends on the tier. In general, the lower the drug tier, the less you pay. 


Visual:
Animation of a dollar sign appearing below tier 1, followed by dots going up to two dollar signs below tier 4.
On screen text: Note: Only drugs with negotiated prices that exceed $950 per month (established by CMS for CY24) may be placed in the specialty tier.


Announcer:
Please note that with MPDP, specialty drugs are considered tier 4 drugs.


Visual:
On screen text: Annual Pharmacy Out-of-Pocket Maximum.


Announcer:
A unique benefit of MPDP is that you have an annual pharmacy out-of-pocket maximum.


Visual:
Animation of the man at a pharmacy giving his member ID card to the pharmacist giving him his prescription drugs.


Announcer:
An out-of-pocket maximum is a cap, or maximum, on the amount you'll pay in copays and allowance. In the case of MPDP, it's a cap on the amount you'll pay on prescription drugs for the year.


Visual:
Animation of bars showing the maximum for each option.


Announcer:
That means if you're in Standard Option, you'd pay no more than $2,000 annually on prescriptions per member in MPDP, and for Basic Option and FEP Blue Focus, you'd pay no more than $3,250 per member.


Visual:
Animation of a prescription drug bottle with a checkmark next to it.


Announcer:
Once you reach the maximum for the year, you pay nothing for your prescriptions for the rest of the year.


Visual:
Animation of two bars partially filled, one with a stethoscope icon next to it, and one with an RX logo next to it.


Announcer:
You still have an overall medical out-of-pocket maximum. Your MPDP pharmacy out-of-pocket maximum is part of it, not added to it.


Visual:
On screen text: Filling Your Prescriptions.


Announcer:
With MPDP, there are two ways to fill your prescription drugs: at an in-network retail pharmacy or through the MPDP Mail Service Pharmacy.


Visual:
Animation of the man getting his prescription drug at a pharmacy, and then getting a box delivered at home.
Animation of a map of the United States with dots connecting different locations.


Announcer:
You have access to a larger pharmacy network than the traditional FEP pharmacy benefit. Over 65,000 Preferred, or in-network, retail pharmacies across the U.S. 


Visual:
Animation of a prescription drug bottle coming out of a cardboard box.
On screen text: MPDP Mail Service Pharmacy is available to Basic Option and Standard Option members only.


Announcer:
And with the MPDP Mail Service Pharmacy, you can fill up to a 90-day supply of your medications and have them delivered right to your home. Want to see how much a specific drug will cost at local pharmacies or with the MPDP Mail Service Pharmacy? Check out the FEP Prescription Drug Cost tool at fepblue.org/medicarerx. 


Visual:
Animation of the website displayed on a computer screen.


Announcer:
You can also compare the cost of medications to the traditional FEP prescription drug benefits.


Visual:
On screen text: Automatic Enrollment.


Announcer:
You might be wondering about enrollment in MPDP. We will automatically enroll members who meet the following criteria:


Visual:
Animation of a clipboard with a list of items checked. On screen text lists the options mentioned.


Announcer:
You have Medicare Part A and Part B primary. You do not have Medicare because of End-Stage Renal Disease. You live in the U.S. or a U.S. territory. 


Visual:
On screen text: If you are enrolled in an existing Part D plan, enrolling in MPDP will disenroll you from that plan.


Announcer:
If you want MPDP, you don't need to do anything! You'll receive a letter letting you know that you're in the automatic enrollment. 


Visual:
Animation of the man getting a letter, smiling, and giving a thumbs up, with a checkmark above his head.


Announcer:
If we need any additional information, we'll send you a separate letter. If you don't want MPDP, you can opt out and keep your current FEP prescription drug benefits. 


Visual:
Animation of the man reading the letter, looking unhappy, with a cross mark above his head.


Announcer:
The automatic enrollment letter will provide instructions on how to opt out. 


Visual:
On screen text: What You Need to Know.
Animation of a letter folding and getting into an envelope addressed to FEP MPDP.


Announcer:
If you miss the opt-out deadline in the letter, you can tell us at any point that you want the traditional FEP prescription drug benefits instead of MPDP. 


Visual:
Animation of a hand taking the envelope.
Animation of a calendar with pages turning.


Announcer:
If you decide you don't want MPDP and later change your mind, you can get it during Open Season in a future year. Additionally, if you are not automatically enrolled and have Medicare Part A and/or Part B primary and live in the U.S., you can also enroll in MPDP. Simply download and complete the voluntary enrollment form for the plan you're enrolled in at fepblue.org/medicarerx. 


Visual:
Animation of the website displayed on a computer screen.
Animation of the man with prescription drugs in his hand.


Announcer:
We're here to help our members save money on the prescriptions they need most. If you have a question about the FEP Medicare Prescription Drug Program, you can call 1-888-338-7737. Or visit fepblue.org/medicarerx.  


Visual:
The phone number and website URL appear on screen.
Animation of the man smiling and giving a thumbs up.


End credits:
Blue How To
A Closer Look at the FEP Medicare Prescription Drug Program
Brought to you by 
BlueCross BlueShield
Federal Employee Program 
fepblue.org