Medicare Plus Blue Value (PPO)
Available to residents of Iron County, MI for 2026. Contract H9572, plan 010, segment 0.
Plan details
| Monthly drug premium | $0.00 |
|---|---|
| Drug deductible | $615.00Tier 1 exempt |
| Plan type | Medicare Advantage |
| Contract / plan | H9572-010-0 |
| Offered by | Blue Cross Blue Shield of Michigan |
| Parent organization | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| Formulary drugs | 3,083 |
CMS star ratings
- Overall
- 4.5 out of 5 stars for Overall
- Health plan (Part C)
- 4.5 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 H9572 shares this rating.
Drug tiers — preferred pharmacy, initial coverage
| Tier | Cost-sharing |
|---|---|
| Tier 1 | $2.00 |
| Tier 2 | $15.00 |
| Tier 3 | 20% |
| Tier 4 | 31% |
| Tier 5 | 25% |
Also available in 55 other MI counties
- Alcona
- Alger
- Alpena
- Antrim
- Arenac
- Baraga
- Bay
- Benzie
- Charlevoix
- Cheboygan
- Chippewa
- Clare
- Clinton
- Crawford
- Delta
- Dickinson
- Eaton
- Emmet
- Gladwin
- Gogebic
- Grand Traverse
- Houghton
- Huron
- Ingham
- Iosco
- Isabella
- Kalkaska
- Keweenaw
- Lake
- Lapeer
- Leelanau
- Luce
- Mackinac
- Manistee
- Marquette
- Mason
- Mecosta
- Menominee
- Midland
- Missaukee
- Montmorency
- Newaygo
- Oceana
- Ogemaw
- Ontonagon
- Osceola
- Oscoda
- Otsego
- Presque Isle
- Roscommon
- Saginaw
- Sanilac
- Schoolcraft
- Tuscola
- Wexford
Plan facts come from the CMS quarterly prescription drug plan public use files.