MedicarePartD.guide

A non-government resource built from CMS public data

Blue Advantage Complete (PPO)

Available to residents of Covington County, AL for 2026. Contract H0104, plan 012, segment 0.

Plan details

Monthly premium$35.50
Drug deductible$200.00Tier 1, 2 and 3 exempt
Plan typeMedicare Advantage
Contract / planH0104-012-0
Offered byBlue Cross and Blue Shield of Alabama
Parent organizationBlueCross BlueShield of Alabama
Formulary drugs3,539

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)

Drug tiers — preferred pharmacy, initial coverage

TierCost-sharing
Tier 1$0.00
Tier 2$20.00
Tier 3$47.00
Tier 447%
Tier 530%

Also available in 59 other AL counties