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Medicare Advantage without drug coverage · PPO · Plan ID H9326-003

WyoBlue Advantage Entrust PPO (PPO)

Offered by WyoBlue Advantage (Blue Cross Blue Shield of Michigan Mutual Ins. Co.) · available in 23 counties in WY

Monthly premium$0health coverage only
Yearly out-of-pocket max$6,750in network
Star RatingPlan Too New To Be Measured2027 CMS rating

Extra benefits listed in the CMS file

DentalPreventive and comprehensive dental
Visionroutine eye exam; eyewear
Hearingroutine hearing exam; hearing aids
Over-the-counter items$50 per quarter allowance
FitnessFitness benefit (gym membership or program)
Personal emergency response systemMedical alert device or service

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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