Blue adVantage Premier (PPO)
Available to residents of Jackson County, LA for 2026. Contract H1248, plan 004, segment 0.
Plan details
| Monthly drug premium | $57.60 |
|---|---|
| Drug deductible | $300.00Tier 1 and 2 exempt |
| Plan type | Medicare Advantage |
| Contract / plan | H1248-004-0 |
| Offered by | Blue Cross and Blue Shield of Louisiana |
| Parent organization | Louisiana Health Service & Indemnity Company |
| Formulary drugs | 3,500 |
CMS star ratings
- Overall
- 4.5 out of 5 stars for Overall
- Health plan (Part C)
- 4 out of 5 stars for Health plan (Part C)
- Drug plan (Part D)
- 4.5 out of 5 stars for Drug plan (Part D)
Published per contract — every plan under contract H1248 shares this rating.
Drug tiers — preferred pharmacy, initial coverage
| Tier | Cost-sharing |
|---|---|
| Tier 1 | $0.00 |
| Tier 2 | $12.00 |
| Tier 3 | $45.00 |
| Tier 4 | 50% |
| Tier 5 | 29% |
Also available in 63 other LA counties
- Acadia
- Allen
- Ascension
- Assumption
- Avoyelles
- Beauregard
- Bienville
- Bossier
- Caddo
- Calcasieu
- Caldwell
- Cameron
- Catahoula
- Claiborne
- Concordia
- De Soto
- East Baton Rouge
- East Carroll
- East Feliciana
- Evangeline
- Franklin
- Grant
- Iberia
- Iberville
- Jefferson
- Jefferson Davis
- Lafayette
- Lafourche
- LaSalle
- Lincoln
- Livingston
- Madison
- Morehouse
- Natchitoches
- Orleans
- Ouachita
- Plaquemines
- Pointe Coupee
- Rapides
- Red River
- Richland
- Sabine
- St. Bernard
- St. Charles
- St. Helena
- St. James
- St. John the Baptist
- St. Landry
- St. Martin
- St. Mary
- St. Tammany
- Tangipahoa
- Tensas
- Terrebonne
- Union
- Vermilion
- Vernon
- Washington
- Webster
- West Baton Rouge
Plan facts come from the CMS quarterly prescription drug plan public use files.