Blue Cross Medicare Advantage Dental Premier (PPO)
Available to residents of Willacy County, TX for 2026. Contract H8634, plan 024, segment 0.
Plan details
| Monthly drug premium | $0.00 |
|---|---|
| Drug deductible | $615.00Tier 1 and 2 exempt |
| Plan type | Medicare Advantage |
| Contract / plan | H8634-024-0 |
| Offered by | Blue Cross and Blue Shield of IL, NM, OK, TX |
| Parent organization | Health Care Service Corporation |
| 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)
- 2.5 out of 5 stars for Drug plan (Part D)
Published per contract — every plan under contract H8634 shares this rating.
Drug tiers — preferred pharmacy, initial coverage
| Tier | Cost-sharing |
|---|---|
| Tier 1 | $0.00 |
| Tier 2 | $1.00 |
| Tier 3 | 17% |
| Tier 4 | 36% |
| Tier 5 | 25% |
Also available in 112 other TX counties
- Anderson
- Aransas
- Archer
- Armstrong
- Baylor
- Bee
- Bell
- Blanco
- Borden
- Bosque
- Brazos
- Brewster
- Briscoe
- Burleson
- Calhoun
- Camp
- Castro
- Childress
- Clay
- Coleman
- Collin
- Concho
- Coryell
- Crane
- Crosby
- Culberson
- Dallas
- Dawson
- Deaf Smith
- Delta
- DeWitt
- Dimmit
- Duval
- Ector
- Edwards
- Fisher
- Floyd
- Foard
- Frio
- Garza
- Glasscock
- Goliad
- Grayson
- Hale
- Hall
- Hamilton
- Hansford
- Hartley
- Haskell
- Henderson
- Houston
- Howard
- Hudspeth
- Hunt
- Hutchinson
- Jack
- Jackson
- Jim Hogg
- Jim Wells
- Kenedy
Plan facts come from the CMS quarterly prescription drug plan public use files.