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Medicare Advantage · Local PPO · 2027

WyoBlue Advantage Essential PPO (PPO)

WyoBlue Advantage H9326-001
Is it offered where you live?

No referral needed to see a specialist

At a glance: $69 monthly premium and $0 primary care visits.

Monthly premium
$69
Part B premium separate
Yearly limit
$9,850
Most you’d pay for in-network care
Dental
$625/yr
Preventive & comprehensive dental allowance
Doctor visits
$0
Primary care · specialists $55

Check this plan for you

Add your doctors and prescriptions to see how they work with this plan.

Your doctors
Not checked yetSee if they’re in this plan’s network
Your prescriptions
Not checked yetSee your drug tier and monthly cost
Extra benefits
3 includedDental · Vision · Hearing

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A licensed agent can review this plan and other plans in your area that fit your needs.

TTY: 711 · Monday to Friday, 8:00 AM to 6:00 PM CST

Costs and copays

Deductibles, yearly limit, visits, hospital stays and drug tiers
DeductiblesMedical · $700 for drugs
$200
Yearly limitIn-network care, not counting drugs
$9,850
Yearly limit, in and out of networkCombined, not counting drugs
$9,850
Primary doctorPer visit
$0
SpecialistPer visit · no referral needed
$55
Hospital stayNo limit on covered hospital days
Days 1-4: $485/day, Days 5-90: $0/day
Inpatient mental healthHospital stay
Days 1-4: $485/day, Days 5-90: $0/day
Outpatient surgeryPer procedure
$450–$550
Emergency roomPer visit
$115
Urgent carePer visit
$40
Tier 1 · Preferred Generic30-day supply at a retail pharmacy
$5
Tier 2 · Generic30-day supply at a retail pharmacy
$10
Tier 3 · Preferred Brand30-day supply at a retail pharmacy, after deductible
21%
Tier 4 · Non-Pref Brand30-day supply at a retail pharmacy, after deductible
31%
Tier 5 · Specialty30-day supply at a retail pharmacy, after deductible
25%

Our take

Where this plan shines, and what to know

Where this plan shines

  • See your primary doctor for $0.

Things to know before you enroll

  • This plan’s out-of-pocket maximum is above the national median.
  • The specialist copay ($55) is on the higher side. Compare it if you see specialists often.
  • Limited coverage while traveling outside the plan’s service area.

Similar plans

Other Medicare Advantage plans offered in Wyoming

Browse the full 2027 Medicare Advantage with drug coverage directory. This plan is offered in Wyoming. Plan availability can vary by county.

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These plans are offered in at least one of the same states. Check your ZIP or county before choosing a plan.

Common questions

6 answers about this plan

What does WyoBlue Advantage Essential PPO (PPO) (Local PPO) cover?

WyoBlue Advantage Essential PPO (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. Its published drug benefit lists 5 formulary tiers. Published supplemental benefits include dental ($625/yr preventive & comprehensive dental allowance), vision (Routine vision benefit ($15 exam copay)), and hearing (Hearing aid benefit). Review the plan documents for covered services, limits, and rules. Coverage can change each plan year.

Learn about Medicare Advantage

How much does WyoBlue Advantage Essential PPO (PPO) (Local PPO) cost in 2027?

The published 2027 monthly plan premium for WyoBlue Advantage Essential PPO (PPO) (Local PPO) is $69. Any Medicare premiums you owe are separate from the listed plan premium. The listed medical deductible is $200. The listed Part D deductible is $700. The in-network medical out-of-pocket maximum is $9,850; it does not include Part D drug spending. Published visit costs include primary care $0 and specialist visits $55. These figures are plan data, not a personal yearly-cost estimate.

Understand Medicare drug-cost limits

Can I use my current doctors with WyoBlue Advantage Essential PPO (PPO) (Local PPO)?

CMS lists WyoBlue Advantage Essential PPO (PPO) (Local PPO) as a Local PPO plan. The plan record says specialist referrals are not required. 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 doctors

Does WyoBlue Advantage Essential PPO (PPO) (Local PPO) cover my prescriptions?

WyoBlue Advantage Essential PPO (PPO) (Local PPO) has 5 published formulary tiers in the current plan record. Published preferred-pharmacy 30-day retail costs include Tier 1 at $5, Tier 2 at $10, Tier 3 at 21%, Tier 4 at 31%, and Tier 5 at 25%. The listed Part D deductible is $700. 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 prescriptions

What dental, vision, and hearing benefits does WyoBlue Advantage Essential PPO (PPO) (Local PPO) include?

The current plan record for WyoBlue Advantage Essential PPO (PPO) (Local PPO) lists dental ($625/yr preventive & comprehensive dental allowance), vision (Routine vision benefit ($15 exam copay)), and hearing (Hearing aid benefit). 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 WyoBlue Advantage Essential PPO (PPO) (Local PPO)?

WyoBlue Advantage Essential PPO (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 periods

Plan documents

How to get this plan’s documents

Talk to a licensed agent

Talk with a licensed advisor

A licensed agent can review this plan and other plans in your area that fit your needs.

TTY: 711 · Monday to Friday, 8:00 AM to 6:00 PM CST

WyoBlue Advantage Essential PPO H9326-001 (PPO) — 2027 Medicare Plan