WyoBlue Advantage Essential PPO (PPO)
Available to residents of Washakie County, WY for 2026. Contract H9326, plan 001, segment 0.
Plan details
| Monthly drug premium | $33.70 |
|---|---|
| Drug deductible | $615.00Tier 1 exempt |
| Plan type | Medicare Advantage |
| Contract / plan | H9326-001-0 |
| Offered by | WyoBlue Advantage |
| Parent organization | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| Formulary drugs | 3,083 |
CMS star ratings
- Overall
- —
- Health plan (Part C)
- —
- Drug plan (Part D)
- —
Published per contract — every plan under contract H9326 shares this rating.
Drug tiers — preferred pharmacy, initial coverage
| Tier | Cost-sharing |
|---|---|
| Tier 1 | $4.00 |
| Tier 2 | $9.00 |
| Tier 3 | 20% |
| Tier 4 | 35% |
| Tier 5 | 25% |
Also available in 21 other WY counties
Plan facts come from the CMS quarterly prescription drug plan public use files.