Blue Cross Medicare Advantage Basic (HMO)
Available to residents of Kane County, IL for 2026. Contract H3822, plan 001, segment 0.
Plan details
| Monthly drug premium | $0.00 |
|---|---|
| Drug deductible | $450.00Tier 1 and 2 exempt |
| Plan type | Medicare Advantage |
| Contract / plan | H3822-001-0 |
| Offered by | Blue Cross and Blue Shield of IL, NM |
| Parent organization | Health Care Service Corporation |
| Formulary drugs | 3,539 |
CMS star ratings
- Overall
- 3.5 out of 5 stars for Overall
- Health plan (Part C)
- 3.5 out of 5 stars for Health plan (Part C)
- Drug plan (Part D)
- 3 out of 5 stars for Drug plan (Part D)
Published per contract — every plan under contract H3822 shares this rating.
Drug tiers — preferred pharmacy, initial coverage
| Tier | Cost-sharing |
|---|---|
| Tier 1 | $0.00 |
| Tier 2 | $1.00 |
| Tier 3 | 19% |
| Tier 4 | 40% |
| Tier 5 | 27% |
Also available in 7 other IL counties
Plan facts come from the CMS quarterly prescription drug plan public use files.