NextBlue Summit PPO (PPO)
Available to residents of Eddy County, ND for 2026. Contract H6202, plan 005, segment 0.
Plan details
| Monthly drug premium | $59.70 |
|---|---|
| Drug deductible | $300.00Tier 1 and 2 exempt |
| Plan type | Medicare Advantage |
| Contract / plan | H6202-005-0 |
| Offered by | NextBlue of North Dakota |
| Parent organization | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| Formulary drugs | 3,083 |
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)
- 4 out of 5 stars for Drug plan (Part D)
Published per contract — every plan under contract H6202 shares this rating.
Drug tiers — preferred pharmacy, initial coverage
| Tier | Cost-sharing |
|---|---|
| Tier 1 | $0.00 |
| Tier 2 | $3.00 |
| Tier 3 | 20% |
| Tier 4 | 25% |
| Tier 5 | 29% |
Also available in 52 other ND counties
- Adams
- Barnes
- Benson
- Billings
- Bottineau
- Bowman
- Burke
- Burleigh
- Cass
- Cavalier
- Dickey
- Divide
- Dunn
- Emmons
- Foster
- Golden Valley
- Grand Forks
- Grant
- Griggs
- Hettinger
- Kidder
- LaMoure
- Logan
- McHenry
- McIntosh
- McKenzie
- McLean
- Mercer
- Morton
- Mountrail
- Nelson
- Oliver
- Pembina
- Pierce
- Ramsey
- Ransom
- Renville
- Richland
- Rolette
- Sargent
- Sheridan
- Sioux
- Slope
- Stark
- Steele
- Stutsman
- Towner
- Traill
- Walsh
- Ward
- Wells
- Williams
Plan facts come from the CMS quarterly prescription drug plan public use files.