2026 Medicare plan code

S5715-001-000

Blue Cross MedicareRx Value (PDP) · Blue Cross and Blue Shield of IL, NM, OK, TX · State of Illinois

Compact plan code: S5715001000

2026

Spaces or dashes work: H5216-435-002 · S2135 802

● CMS 2026 plan record

Blue Cross MedicareRx Value (PDP)

S5715-001-000 State of Illinois Medicare Prescription Drug Plan
Open in quick lookup

Plan classification

Medicare Prescription Drug Plan (PDP)

This plan provides prescription drug coverage. It does not report the member’s hospital or medical cost sharing and does not identify their primary medical or supplemental coverage.

OrganizationBlue Cross and Blue Shield of IL, NM, OK, TX
AvailabilityState of Illinois
Employer-onlyNo
Part D premium $119.70 / month

Source trail

Official CMS, Contract Year 2026

Plan identity and benefits come from CMS PBP data. Premium and MOOP figures are cross-checked against the August 2026 Landscape release. Quick-reference values should be confirmed in current official plan documents.

About this code

What S5715-001-000 identifies

S5715-001-000 is a Contract Year 2026 Medicare plan segment code. The compact form S5715001000 refers to the same normalized contract, plan, and segment shown on this page.

Medicare Plan Lookup uses official CMS data as a quick reference. Benefit details, eligibility, service-area rules, and cost sharing should be confirmed in the current Summary of Benefits or Evidence of Coverage.