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Medicare Advantage with drug coverage · HMO-POS · Plan ID H5883-014-4

BCN Advantage Prime Value (HMO-POS)

Offered by Blue Care Network (Blue Cross Blue Shield of Michigan Mutual Ins. Co.) · available in 4 counties in MI

Monthly premium$39.30health + drug coverage
Yearly out-of-pocket max$6,000in network
Drug deductible$600Enhanced Alternative
Star Rating★★★★½ 4.5 out of 52027 CMS rating

Extra benefits listed in the CMS file

Part B premium reductionGives back $6 a month toward your Part B premium
DentalPreventive and comprehensive dental
Visionroutine eye exam

Allowances and limits come from the plan's filing with CMS and are simplified here. Some benefits are only for members with certain chronic conditions. The plan's Evidence of Coverage is the final word.

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