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Medicare Plus Blue Vitality (PPO) (2027)

Medicare Advantage plan with drug coverage from Blue Cross Blue Shield of Michigan, plan ID H9572-002-003. Sold in 29 counties in Michigan.

★★★★★4.5

2027 costs

Monthly premium$100 ($44.50 of it for drug coverage)
Drug deductible$250
Medical deductible$0
Out-of-pocket maximum (in network)$5,000
Plan typeMedicare Advantage plan with drug coverage, PPO
Referral needed to see a specialistNo
Plan IDH9572-002-003

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$0–$50
Emergency room$130
Hospital stay$250/day
Outpatient surgery$150–$220
Lab tests$0–$150
X-rays and scans$100
Mental health visit$20
Physical therapy$40
Medical equipment$0
TelehealthCovered

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

Extra benefits

DentalCovered — up to $1500 allowance
VisionCovered — up to $150/yr allowance
HearingCovered — $495–$1695 copay per aid
Over-the-counter itemsCovered — up to $40/quarter allowance
FitnessCovered
Rides to appointmentsNot covered

Drug costs by tier

Tier30 days, standard pharmacy30 days, preferred pharmacy90 days by mail
1 Preferred Generic$5$0$0
2 Generic$16$5$0
3 Preferred Brand22%20%20%
4 Non-Preferred Drug25%25%25%
5 Specialty Tier30%30%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

Michigan (29 counties)

Other 2027 Blue Cross Blue Shield of Michigan plans in Michigan

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.