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Medicare Plus Blue Giveback (PPO) (2027)

Medicare Advantage plan with drug coverage from Blue Cross Blue Shield of Michigan, plan ID H9572-008-000. Sold in 27 counties in Michigan.

★★★★★4.5

2027 costs

Monthly premium$0
Drug deductible$600
Medical deductible$650
Out-of-pocket maximum (in network)$9,250
Plan typeMedicare Advantage plan with drug coverage, PPO
Referral needed to see a specialistNo
Plan IDH9572-008-000

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$55
Preventive care$0
Urgent care$0–$40
Emergency room$115
Hospital stay$385/day
Outpatient surgery$425
Lab tests$0–$150
X-rays and scans$150
Mental health visit$50
Physical therapy$55
Medical equipment$0
TelehealthCovered

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

Extra benefits

DentalNot covered
VisionCovered
HearingCovered — $495–$1695 copay per aid
Over-the-counter itemsNot covered
FitnessNot covered
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$6$0$0
3 Preferred Brand20%20%20%
4 Non-Preferred Drug21%21%21%
5 Specialty Tier26%26%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 (27 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.