BlueAdvantage Ruby (PPO)
Available to residents of Van Buren County, TN for 2026. Contract H7917, plan 014, segment 0.
Plan details
| Monthly drug premium | $92.00 |
|---|---|
| Drug deductible | $250.00Tier 1 and 2 exempt |
| Plan type | Medicare Advantage |
| Contract / plan | H7917-014-0 |
| Offered by | BlueCross BlueShield of Tennessee |
| Parent organization | BlueCross BlueShield of Tennessee |
| Formulary drugs | 3,455 |
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)
Published per contract — every plan under contract H7917 shares this rating.
Drug tiers — preferred pharmacy, initial coverage
| Tier | Cost-sharing |
|---|---|
| Tier 1 | $0.00 |
| Tier 2 | $5.00 |
| Tier 3 | $28.00 |
| Tier 4 | 50% |
| Tier 5 | 30% |
Also available in 40 other TN counties
Plan facts come from the CMS quarterly prescription drug plan public use files.