Blue Cross and Blue Shield of Nebraska MA Connect (PPO)
Available to residents of Thayer County, NE for 2026. Contract H8181, plan 002, segment 0.
Plan details
| Monthly drug premium | $0.00 |
|---|---|
| Drug deductible | $400.00Tier 1, 2 and 3 exempt |
| Plan type | Medicare Advantage |
| Contract / plan | H8181-002-0 |
| Offered by | Blue Cross and Blue Shield of Nebraska |
| Parent organization | Blue Cross Blue Shield of Nebraska |
| Formulary drugs | 3,247 |
CMS star ratings
- Overall
- 3 out of 5 stars for Overall
- Health plan (Part C)
- 3 out of 5 stars for Health plan (Part C)
- Drug plan (Part D)
- 3.5 out of 5 stars for Drug plan (Part D)
Published per contract — every plan under contract H8181 shares this rating.
Drug tiers — preferred pharmacy, initial coverage
| Tier | Cost-sharing |
|---|---|
| Tier 1 | $0.00 |
| Tier 2 | $14.00 |
| Tier 3 | $47.00 |
| Tier 4 | $100.00 |
| Tier 5 | 28% |
Also available in 75 other NE counties
- Adams
- Antelope
- Arthur
- Blaine
- Boone
- Buffalo
- Burt
- Butler
- Cass
- Cedar
- Chase
- Clay
- Colfax
- Cuming
- Custer
- Dawson
- Deuel
- Dodge
- Douglas
- Dundy
- Fillmore
- Franklin
- Frontier
- Furnas
- Gage
- Garden
- Garfield
- Gosper
- Grant
- Greeley
- Hall
- Hamilton
- Harlan
- Hayes
- Hitchcock
- Holt
- Hooker
- Howard
- Jefferson
- Johnson
- Kearney
- Keith
- Knox
- Lancaster
- Lincoln
- Logan
- Loup
- McPherson
- Madison
- Merrick
- Nance
- Nemaha
- Nuckolls
- Otoe
- Pawnee
- Perkins
- Phelps
- Pierce
- Platte
- Polk
Plan facts come from the CMS quarterly prescription drug plan public use files.