BlueAdvantage Diamond (PPO) - 2022
H7917-009-000 - BlueCross BlueShield of Tennessee - Local PPO
BlueAdvantage Diamond (PPO) is a Medicare Advantage plan with drug coverage provided by BlueCross BlueShield of Tennessee.
The drug plan portion of this plan provides Enhanced Alternative (EA) benefits, which are benefits that exceed the required standard.Check out the premium and drug details below for more information, or reach out to a licensed Medicare agent for help using the call number on this page. Alternatively, if you know what plan you want, you can enroll online yourself using our site as well.
Plan Basics
| Contract Year | 2022 |
| Medicare Type | Medicare Advantage Plan (Part C) |
| CMS Plan ID | H7917-009-000 |
| Plan Organization | BlueCross BlueShield of Tennessee |
| Plan Type | Local PPO |
| Plan Name | BlueAdvantage Diamond (PPO) |
| Plan Organization Type | Local CCP |
| Benefit Type | Enhanced Alternative |
| Special Needs Plan | No |
| Overall Star Rating | 4.5 |
Plan Cost Sharing
| Monthly Part C Premium | $164.40 |
| Monthly Part D Basic Premium | $30.00 |
| Monthly Part D Supplemental Premium | $6.60 |
| Monthly Part D Total Premium | $36.60 |
| Monthly Part D Premium Full Assistance | $6.60 |
| Monthly Part D Premium 75% Assistance | $14.10 |
| Monthly Part D Premium 50% Assistance | $21.60 |
| Monthly Part D Premium 25% Assistance | $29.10 |
| Part D Drug Deductible | $0.00 |
| Annual Drug Deductible | $0.00 |
| Maximum Out-of-Pocket Limit for Parts A & B (MOOP) | $3700.00 |
| Gap Coverage | Yes |
Official Medicare Contact
| Medicare Phone | 1-800-MEDICARE (1-800-633-4227) |
|---|---|
| Medicare TTY User | 1-877-486-2048 |
Plan Available in these Counties
Bedford County, Tennessee, Benton County, Tennessee, Carroll County, Tennessee, Cheatham County, Tennessee, Chester County, Tennessee, Coffee County, Tennessee, Crockett County, Tennessee, Davidson County, Tennessee, Decatur County, Tennessee, Dickson County, Tennessee, Dyer County, Tennessee, Fayette County, Tennessee, Gibson County, Tennessee, Giles County, Tennessee, Hardeman County, Tennessee, Hardin County, Tennessee, Haywood County, Tennessee, Henderson County, Tennessee, Henry County, Tennessee, Hickman County, Tennessee, Houston County, Tennessee, Humphreys County, Tennessee, Lake County, Tennessee, Lauderdale County, Tennessee, Lawrence County, Tennessee, Lewis County, Tennessee, Lincoln County, Tennessee, Madison County, Tennessee, Marshall County, Tennessee, Maury County, Tennessee, Mcnairy County, Tennessee, Montgomery County, Tennessee, Moore County, Tennessee, Obion County, Tennessee, Perry County, Tennessee, Robertson County, Tennessee, Rutherford County, Tennessee, Shelby County, Tennessee, Stewart County, Tennessee, Sumner County, Tennessee, Tipton County, Tennessee, Trousdale County, Tennessee, Wayne County, Tennessee, Weakley County, Tennessee, Williamson County, Tennessee, Wilson County, TennesseeNOTE: Information on MedicarePolicyHelper.com is for educational purposes only. We are not affiliated with Medicare, or CMS. Medicare has not reviewed or endorsed the information on our site. All plan data on our site comes directly from medicare.gov and is subject to change.