Medicare Plus Blue Giveback (PPO)
Available to residents of Macomb County, MI for 2026. Contract H9572, plan 008, segment 0.
Plan details
| Monthly drug premium | $0.00 |
|---|---|
| Drug deductible | $150.00Tier 1 and 2 exempt |
| Plan type | Medicare Advantage |
| Contract / plan | H9572-008-0 |
| 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 | $0.00 |
| Tier 2 | $7.00 |
| Tier 3 | 20% |
| Tier 4 | 30% |
| Tier 5 | 31% |
Also available in 26 other MI counties
Plan facts come from the CMS quarterly prescription drug plan public use files.