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Blue Cross Medicare Advantage Protect (PPO) (PPO) 2025 Plan Details for Washington County, Oklahoma Residents

Blue Cross Medicare Advantage Protect (PPO) is a PPO Medicare Advantage plan, from Blue Cross and Blue Shield of IL, NM, {with_without_pdp} a prescription drug plan. It's CMS Plan ID is: H8634-028-0. It is not available in all areas. The list of locations where this plan is available can be found below.

According to CMS enrollment data (July, 2025), there are approximately 0 members enrolled in this plan.

Blue Cross Medicare Advantage Protect (PPO) (PPO) Overview

Key Facts and Costs for Blue Cross Medicare Advantage Protect (PPO) (2026)
CMS FactLandscape Value
Health Plan ID:H8634-028-0
CMS Overall Rating:☆☆☆☆☆
0.0 out of 5 stars*
Medicare Advantage Plan Type:PPO
Coverage Year:CY2026
Monthly Premium:$0.00
Plus your Medicare Part B premium.
Health Plan Deductible:$0.00
Annual Out-of-Pocket Maximum:$7350.00 (In-Network)
Part B Give Back:$0.00/mo
Part D Drug Plan Benefit:Not Included
Additional Benefits:None
Availability:Washington County, OK
Insured By:Blue Cross and Blue Shield of IL, NM
Last Plan Content Update:

Plan Availability by Location

Health Plan Out-of-Pocket Costs

Prescription Drug Costs & Benefits

This plan does not include a Medicare Part D plan for prescriptions.

Need Help Enrolling?

Plan Resources and Contact Information for Blue Cross and Blue Shield of IL, NM
Website: Blue Cross and Blue Shield of IL, NM Plan Page
Providers: Blue Cross and Blue Shield of IL, NM Providers Page
New Member Health Plan Help: {pbp_a_prombr_phone}
New Member Health Plan TTY: {pbp_a_ttytdd_prombr_phone}

Frequently Asked Questions

📘 What does Medicare plan code H8634 028 mean?

Blue Cross Medicare Advantage Protect (PPO) is a Medicare Advantage plan by Blue Cross and Blue Shield of IL, NM. The code H8634 is the CMS contract ID, whereas 028 is its plan ID.

  • Plan Name: Blue Cross Medicare Advantage Protect (PPO)
  • Plan Type: PPO
  • Premium: $0.00/mo + your monthly Part B premium
  • Out-of-Pocket Max: $7350.00 (in-network)
  • Drug Coverage: {pdp_faq_summary}
  • CMS Star Rating: 0.0 out of 5
  • Contract Year: 2026

This information is based on official CMS data and is provided for educational purposes. Always review your plan’s official documents or contact the provider directly before making enrollment decisions.

📋 What type of plan is H8634 028?

This plan is a PPO — specifically, it's an PPO plan with a Medicare Advantage contract that's offered by Blue Cross and Blue Shield of IL, NM. It comes with defined provider network rules you should be aware of.

  • Plan Marketing Name: Blue Cross Medicare Advantage Protect (PPO)
  • Network Type: {plan_type_expanded}
  • Referral Requirement: {referral_required_expanded}
  • Prescription Coverage: {pdp_faq_summary}

Plan types like HMOs and PPOs determine whether you can go out-of-network or need referrals to see specialists.

📦 What benefits are included in H8634 028?

This plan covers all Medicare Part A and Part B services. Depending on the plan, it may also include valuable extras like dental, vision, and hearing benefits.

  • Medical Services: Hospital, doctor visits, preventive care
  • Prescription Drugs: Not Included
  • Dental: {dental_benefit}
  • Vision: {vision_benefit}
  • Hearing: {hearing_benefit}

Benefit availability may vary by location and plan version. Confirm specific details in your plan's Evidence of Coverage (EOC).

📌 Additional Plan Options
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