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BlueAdvantage Total Heart and Diabetes (PPO C-SNP) (2027)

Chronic Condition Special Needs Plan (Medicare Advantage) from BlueCross BlueShield of Tennessee, plan ID H7917-045-000. Sold in 46 counties in Tennessee.

★★★★★3.5

Who can join

Only for people with certain chronic conditions; the plan checks your diagnosis.

2027 costs

Monthly premium$0
Drug deductible$700
Medical deductible$0
Out-of-pocket maximum (in network)$9,850
Plan typeChronic Condition Special Needs Plan (Medicare Advantage), PPO
Referral needed to see a specialistNo
Plan IDH7917-045-000

With a Medicare Advantage plan you also keep paying your Medicare Part B premium.

What this plan would cost for your prescriptions

Add your prescriptions to see this plan's estimated yearly cost for them, which of them are on its drug list, and how each compares with Cost Plus Drugs prices.

See this plan with my prescriptions

What you pay for medical care

Primary care visit$0
Specialist visit$30
Preventive care$0
Urgent care$40
Emergency room$115
Hospital stay$405/day
Outpatient surgery$445
Lab tests$0–$100
X-rays and scans$225
Mental health visit$25
Physical therapy$25
Medical equipment20%
TelehealthCovered

In-network amounts. A range means it depends on the service or provider.

Extra benefits

DentalCovered — up to $1000 allowance
VisionCovered — up to $250 every 2 yrs allowance
HearingCovered — $399–$899 copay per aid
Over-the-counter itemsCovered — up to $40/mo allowance
FitnessCovered
Rides to appointmentsCovered — 24 one-way trips/yr

Drug costs by tier

Tier30 days, standard pharmacy30 days, preferred pharmacy90 days by mail
1 Preferred Generic$6$0$0
2 Generic$15$0$0
3 Preferred Brand22%22%22%
4 Non-Preferred Drug40%40%N/A
5 Specialty Tier25%25%N/A

A percentage is coinsurance: your share of the drug's price. The drug deductible may apply first, depending on the tier. Your Part D out-of-pocket costs are capped at $2,400 for 2027.

Where it's sold

Tennessee (46 counties)

Other 2027 BlueCross BlueShield of Tennessee plans in Tennessee

Plan costs and benefits are from CMS's 2027 Medicare plan data (data as of October 27, 2026). Star ratings are CMS's 2027 Star Ratings. Every year, Medicare evaluates plans based on a 5-star rating system. Benefits, premiums and copays can change from year to year; check the plan's Evidence of Coverage, call the plan, or use Medicare.gov before you enroll.