Blue Advantage Complete (PPO)
Available to residents of Chilton County, AL for 2026. Contract H0104, plan 014, segment 0.
Plan details
| Monthly drug premium | $0.00 |
|---|---|
| Drug deductible | $370.00Tier 1 and 2 exempt |
| Plan type | Medicare Advantage |
| Contract / plan | H0104-014-0 |
| Offered by | Blue Cross and Blue Shield of Alabama |
| Parent organization | BlueCross BlueShield of Alabama |
| Formulary drugs | 3,539 |
CMS star ratings
- Overall
- 4 out of 5 stars for Overall
- Health plan (Part C)
- 4 out of 5 stars for Health plan (Part C)
- Drug plan (Part D)
- 3.5 out of 5 stars for Drug plan (Part D)
Published per contract — every plan under contract H0104 shares this rating.
Drug tiers — preferred pharmacy, initial coverage
| Tier | Cost-sharing |
|---|---|
| Tier 1 | $0.00 |
| Tier 2 | $20.00 |
| Tier 3 | $45.00 |
| Tier 4 | 44% |
| Tier 5 | 28% |
Also available in 6 other AL counties
Plan facts come from the CMS quarterly prescription drug plan public use files.