Illinois · 2027 prescription drug coverage
BCBSIL MedicareRx to HealthSpring in 2027: What to Check
Use your transition notice and this checklist to review your prescription coverage, payment arrangements and next steps for January.

Quick answer: BCBSIL says Blue Cross MedicareRx (PDP) members will move automatically to a HealthSpring Part D plan on January 1, 2027. No application is needed solely for this transition. Use Annual Enrollment to decide whether the coverage fits your needs.
This guide concerns standalone prescription drug coverage. A BCBSIL Medigap policy and a Medicare Advantage plan are different products; review their own notices separately. Read the official BCBSIL transition FAQ.
Your new plan year
Start with your 2027 notice
Your 2026 drug coverage continues through December 31. A new HealthSpring card will be mailed in November; your member ID stays the same.
Find the Annual Notice of Change, often called the ANOC, that your plan sends in September. It explains the coming January's changes in costs and coverage. Ask the plan for another copy if it is missing. Keep it beside your medication list as you review the new year.
Medicare's Annual Enrollment Period runs October 15 through December 7. A plan must receive an enrollment request by December 7 for a change made during this period to take effect January 1. Set aside time before that deadline to resolve questions and compare available choices.
Prescriptions and pharmacies
Check each drug and the pharmacy you actually use
Prepare a list with each prescription's name, strength, dosage form, quantity and refill frequency. Include occasional medications you expect to need. Check the exact product against the 2027 formulary, the plan's covered-drug list. A drug's tier affects its cost, and coverage can include requirements beyond appearing on that list.
Check whether your usual pharmacy participates in the specific plan and whether it offers preferred or standard cost sharing. A preferred pharmacy may charge less than another pharmacy in the same network. Compare the refill quantities you actually use, including a longer supply when appropriate and available.
Look at the monthly premium, deductible and estimated yearly prescription costs together. A lower premium can still leave you paying more overall. Use all your regular prescriptions in a comparison, then ask about any medication or pharmacy that does not appear as expected. Estimates help compare choices; they do not guarantee every future expense.
Payment checklist
Check how your premium is paid
Use the row matching your current payment arrangement:
| Payment method | Transition step |
|---|---|
| Bank autopay | Set up new automatic payments with HealthSpring. |
| Online bank bill pay | Change the payee to HealthSpring, PO Box 747102, Pittsburgh, PA 15274-7102. Keep your member ID as the account number. |
| Social Security or Railroad Retirement deduction | Existing deductions transfer automatically; no change is required. |
HealthSpring's premium-payment page accepts 2027 recurring-payment setup beginning October 1, 2026. HealthSpring premium payments.
Before changing a bank instruction, identify which coverage and payment month it applies to. Save the confirmation and check the first payment against the amount on your plan documents. Ask the plan to resolve a missing or duplicate charge. Keep a short record of the date, answer and any confirmation number.
Before your next refill
Resolve authorization questions before a refill is urgent
Existing coverage approvals usually transfer, but expiration dates and 2027 rules can require renewed authorization.
For a drug requiring prior authorization, ask about the approval's end date and whether your prescriber needs to provide information. Also check step therapy and quantity limits. An exception request may be available when your prescriber explains why a coverage rule or a different covered treatment is inappropriate for your condition.
If a current medication faces a coverage problem when the plan year begins, ask whether a temporary transition supply applies while you and your prescriber address it. Eligibility and coverage rules matter; a temporary supply does not settle long-term coverage. Make a note of the next refill date and the person handling any required request.
Questions before you decide
Frequently Asked Questions
Will I need new prescriptions?
Usually, existing prescriptions remain usable. Expired prescriptions, exhausted refills or medication changes may require a new prescription.
When should I register for myHealthSpring?
HealthSpring recommends waiting until January 1, 2027, because your plan information is unavailable there before coverage starts.
What should I bring to a prescription-plan review?
Bring the 2027 notice, your complete medication list, preferred pharmacy and any authorization letters. Flag upcoming refills and describe how you pay premiums. These details make it easier to identify the questions that matter to you.
Should I choose another plan because of the new name?
Base the decision on your prescriptions, pharmacy access, coverage rules and expected costs. If the incoming plan meets your needs, keeping it may be appropriate. If another available plan fits better, review the enrollment steps and effective date before deciding.
Primary references
Official Sources
- BCBSIL: 2027 MedicareRx transition FAQ
- Medicare: Open Enrollment
- Medicare: Plan Annual Notice of Change
- Medicare: How do drug plans work?
- Medicare: What pharmacies can I use?
- Medicare: Drug plan rules
- Medicare: Joining a plan
- Medicare: How much does Medicare drug coverage cost?
- Medicare: Choose how you get drug coverage
Sources checked October 28, 2026. Confirm your 2027 drug list, pharmacy, costs, payment instructions and coverage start date with the plan.
Independent Medicare guidance
Want help reviewing your 2027 drug coverage?
Thompson Medicare Brokerage can help Illinois residents review the notice and compare their prescription needs with available plans we represent. A review can support keeping appropriate coverage or choosing a better fit. Bring your questions and medication list so the conversation starts with your needs.
Use the callback form to request contact. Keep Medicare numbers, medication lists and medical details out of the general message; we can arrange an appropriate way to review them.
Thompson Medicare Brokerage is an independent, non-government insurance agency. This educational guide is not issued or endorsed by Blue Cross and Blue Shield of Illinois or HealthSpring, and does not imply a carrier partnership. We are not connected with or endorsed by the U.S. government or the federal Medicare program. We do not offer every plan available in every area. Contact Medicare.gov, 1-800-MEDICARE or your State Health Insurance Assistance Program for information about all available options. Drug coverage, pharmacy access, costs and enrollment eligibility depend on the exact plan and circumstances.