Blue Cross MA Dual Care Plus Preferred (PPO D-SNP) is a Medicare Advantage Special Needs Plan by Blue Cross and Blue Shield of IL, NM, OK, TX.
This page features plan details for 2026 Blue Cross MA Dual Care Plus Preferred (PPO D-SNP) H8634 – 009 – 0.
Blue Cross MA Dual Care Plus Preferred (PPO D-SNP) is offered in the following locations.
Blue Cross MA Dual Care Plus Preferred (PPO D-SNP) offers the following coverage and cost-sharing.
| Special Needs Plan Type: | Dual-Eligible |
| Conditions Covered: | Not ApplicableNot Applicable |
| Insurer: | Blue Cross and Blue Shield of IL, NM, OK, TX |
| Health Plan Deductible: | |
| MOOP: | $9,250.00 |
| Drugs Covered: | Yes |
Ready to sign up for Blue Cross MA Dual Care Plus Preferred (PPO D-SNP) ?
Get help from a licensed insurance agent.
Call 1-877-354-4611 / TTY 711.
M-F: 8:00 am – 10:00 pm EST
Sat-Sun: 8:00 am – 9:00 pm EST
| Part B | Part C | Part D | Part B Give Back | Total |
|---|---|---|---|---|
| $206.50 | $0.00 | $0.00 | $ | $ |
Blue Cross MA Dual Care Plus Preferred (PPO D-SNP) provides the following cost-sharing on drugs. Please check the plan’s formulary for specific drugs covered.
| Drug Deductible: | $615.00 |
| Drug Out-Of-Pocket maximum: | $2100.00 |
| Drug Benefit Type: | Defined Standard |
The Low-Income Subsidy (also known as LIS or “Extra Help”) helps people with Medicare lower the cost of prescription drugs.
The table below shows how the LIS impacts the Part D premium of this plan.
| Part D | LIS Full |
|---|---|
| $0.00 | $0.00 |
After you pay your $615.00 drug deductible, you will pay the following costs for drugs in each tier until your total drug costs (including what this plan has paid and what you have paid) reach $2100.00. Once you reach that amount, you will enter the next coverage phase.
After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $2100.00, you pay nothing for Medicare Part D covered drugs.
Ready to sign up for Blue Cross MA Dual Care Plus Preferred (PPO D-SNP) ?
Get help from a licensed insurance agent.
Call 1-877-354-4611 / TTY 711.
M-F: 8:00 am – 10:00 pm EST
Sat-Sun: 8:00 am – 9:00 pm EST