MedicarePartD.guide

A non-government resource built from CMS public data

Blue Medicare Advantage Enhanced PPO (PPO)

Available to residents of Charles Mix County, SD for 2026. Contract H5900, plan 004, segment 0.

Plan details

Monthly premium$17.00
Drug deductible$300.00Tier 1 and 2 exempt
Plan typeMedicare Advantage
Contract / planH5900-004-0
Offered byWellmark Advantage Health Plan
Parent organizationBlue Cross Blue Shield of Michigan Mutual Ins. Co.
Formulary drugs3,320

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)

Drug tiers — preferred pharmacy, initial coverage

TierCost-sharing
Tier 1$0.00
Tier 2$5.00
Tier 320%
Tier 425%
Tier 529%

Also available in 42 other SD counties