MedicarePartD.guide

A non-government resource built from CMS public data

BlueAdvantage Extra (PPO)

Available to residents of DeKalb County, TN for 2026. Contract H7917, plan 041, segment 0.

Plan details

Monthly premium$27.60
Drug deductible$615.00
Plan typeMedicare Advantage
Contract / planH7917-041-0
Offered byBlueCross BlueShield of Tennessee
Parent organizationBlueCross BlueShield of Tennessee
Formulary drugs3,455

CMS star ratings

Overall
4 out of 5 stars for Overall
Health plan (Part C)
4 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 125%
Tier 225%
Tier 325%
Tier 425%
Tier 525%

Also available in 94 other TN counties