Blue Cross Medicare Advantage Premier (PPO) H5959-021
Your costs at a glanceIn-network, for the 2027 plan year
What's included, and what it's actually worth5 benefits included. Tap any card for the detail
Dental
$1,000/yr preventive dental allowance
Hearing
$499–$799copay per hearing aid
Vision
$250/yr eyewear allowance
See more details about this plan
Doctor Visits: PCP$0 copay
Doctor Visits: Specialist$35 copay
Inpatient Hospital$400 per stay
Outpatient Surgery$300 copay
Mental Health$400 per stay
Your coverageCheck your coverageFrom the doctors and prescriptions you added
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Plan questions
Common questions about Blue Cross Medicare Advantage Premier (PPO) (Local PPO)
What does Blue Cross Medicare Advantage Premier (PPO) (Local PPO) cover?
Blue Cross Medicare Advantage Premier (PPO) (Local PPO) is a Medicare Advantage plan that the current plan record identifies as including Part D prescription drug coverage. The plan record also identifies Part D prescription drug coverage. Published supplemental benefits include dental ($1,000/yr preventive dental allowance), vision ($250/yr eyewear allowance), hearing ($499–$799 copay per hearing aid), and fitness ($0 fitness benefit). Review the plan documents for covered services, limits, and rules. Coverage can change each plan year.
Learn about Medicare AdvantageHow much does Blue Cross Medicare Advantage Premier (PPO) (Local PPO) cost in 2027?
The published 2027 monthly plan premium for Blue Cross Medicare Advantage Premier (PPO) (Local PPO) is $189. Any Medicare premiums you owe are separate from the listed plan premium. The listed medical deductible is $0. The listed Part D deductible is $500. The in-network medical out-of-pocket maximum is $4,900; it does not include Part D drug spending. Published visit costs include primary care $0 and specialist visits $35. These figures are plan data, not a personal yearly-cost estimate.
Understand Medicare drug-cost limitsCan I use my current doctors with Blue Cross Medicare Advantage Premier (PPO) (Local PPO)?
CMS lists Blue Cross Medicare Advantage Premier (PPO) (Local PPO) as a Local PPO plan. A network label alone does not confirm that a specific doctor participates. Use the doctor lookup tool, then confirm with the doctor's office and the plan before receiving care. Provider networks and member costs can change. Emergency care and travel coverage can follow different network rules.
Check your doctorsDoes Blue Cross Medicare Advantage Premier (PPO) (Local PPO) cover my prescriptions?
The current plan record for Blue Cross Medicare Advantage Premier (PPO) (Local PPO) does not include tier-level formulary costs. The listed Part D deductible is $500. A tier listing does not confirm that a specific prescription is covered. Check each medication against the plan's current formulary, restrictions, pharmacy network, and costs before enrolling.
Check your prescriptionsWhat dental, vision, and hearing benefits does Blue Cross Medicare Advantage Premier (PPO) (Local PPO) include?
The current plan record for Blue Cross Medicare Advantage Premier (PPO) (Local PPO) lists dental ($1,000/yr preventive dental allowance), vision ($250/yr eyewear allowance), and hearing ($499–$799 copay per hearing aid). Benefit allowances, frequency, eligibility, and participating providers can have additional limits, so review the Summary of Benefits or Evidence of Coverage for the complete rules.
When can I enroll in Blue Cross Medicare Advantage Premier (PPO) (Local PPO)?
Blue Cross Medicare Advantage Premier (PPO) (Local PPO) is a 2027 Medicare Advantage plan. The Annual Enrollment Period runs from October 15 through December 7, with changes taking effect January 1. The Medicare Advantage Open Enrollment Period runs from January 1 through March 31 for people already enrolled in Medicare Advantage. A qualifying circumstance may create a Special Enrollment Period outside those dates. Confirm the enrollment window and effective date that apply to you before changing coverage.
Review Medicare enrollment periodsMore plan options
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