MedicarePartD.guide

A non-government resource built from CMS public data

Blue Cross Medicare Advantage Optimum (PPO)

Available to residents of Granite County, MT for 2026. Contract H0107, plan 004, segment 0.

Plan details

Monthly premium$40.60
Drug deductible$300.00Tier 1 and 2 exempt
Plan typeMedicare Advantage
Contract / planH0107-004-0
Offered byBlue Cross and Blue Shield of Montana
Parent organizationHealth Care Service Corporation
Formulary drugs3,539

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)
3.5 out of 5 stars for Drug plan (Part D)

Drug tiers — preferred pharmacy, initial coverage

TierCost-sharing
Tier 1$0.00
Tier 2$1.00
Tier 318%
Tier 439%
Tier 529%

Also available in 38 other MT counties