Medicare Plus Blue Value (PPO) (2027)

Medicare Advantage plan with drug coverage from Blue Cross Blue Shield of Michigan, plan ID H9572-010-000. Sold in 56 counties in Michigan.

★★★★★4.5

2027 costs

Monthly premium$0

Drug deductible$700

Medical deductible$525

Out-of-pocket maximum (in network)$6,750

Plan typeMedicare Advantage plan with drug coverage, PPO

Referral needed to see a specialistNo

Plan IDH9572-010-000

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$50

Preventive care$0

Urgent care$0–$50

Emergency room$130

Hospital stay$430/day

Outpatient surgery$400

Lab tests$0–$155

X-rays and scans$120

Mental health visit$50

Physical therapy$65

Medical equipment$0

TelehealthCovered

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

Extra benefits

DentalCovered — up to $750/yr allowance

VisionCovered — up to $100/yr allowance

HearingCovered — $495–$1695 copay per aid

Over-the-counter itemsCovered — up to $25/quarter allowance

FitnessCovered

Rides to appointmentsNot covered

Drug costs by tier

Tier	30 days, standard pharmacy	30 days, preferred pharmacy	90 days by mail
1 Preferred Generic	$9	$2	$6
2 Generic	$12	$7	$21
3 Preferred Brand	23%	23%	23%
4 Non-Preferred Drug	25%	25%	25%
5 Specialty Tier	25%	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

Michigan (56 counties)

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.