MedicareCommons™

Neutral. Transparent. Retrieval-first.

Blue Cross Medicare Advantage Dental Premier (PPO) (PPO) 2025 Plan Details for Anderson County, Texas Residents

Blue Cross Medicare Advantage Dental Premier (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: H8634-024-0. 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 Dental Premier (PPO) (PPO) Overview

Key Facts and Costs for Blue Cross Medicare Advantage Dental Premier (PPO) (2026)
CMS FactLandscape Value
Health Plan ID:H8634-024-0
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:$6750.00 (In-Network)
Part B Give Back:$0.00/mo
Part D Drug Plan Benefit:Enhanced, $615.00 deductible
Additional Benefits:None
Availability:Anderson County, TX
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

Blue Cross Medicare Advantage Dental Premier (PPO) includes an enhanced benefit Medicare Part D plan (PDP), which offers greater coverage than basic plans. An enhanced benefit plan has a higher actuarial value, meaning it covers a larger percentage of your healthcare costs.

Part D Plan Premium

The Part D prescription drug plan premium is included in your overall Medicare Advantage plan cost. However, additional expenses or subsidies may apply through the Low-Income Subsidy (LIS) program, also known as Extra Help. LIS, provided by Social Security, helps those with limited income and resources to lower or eliminate Part D costs. LIS benefits are not part of Medicare Advantage coverage.

Blue Cross Medicare Advantage Dental Premier (PPO) Prescription Drug Plan Premium Details
Basic Part D Premium: $$0.00
Supplemental Part D Premium: $$0.00
Total Part D Premium: $$0.00
Low-Income Premium Subsidy: ${part_d_lips_amount}
Low-Income Premium Subsidy Paid by CMS: $$0.00
Low-Income Subsidy Premium: $$0.00

For more details, visit the Social Security Extra Help program.

Prescription Drug Plan Deductible

This plan has a $615.00 annual Part D deductible. You'll pay this deductible at the pharmacy before Blue Cross and Blue Shield of IL, NM starts contributing towards your prescription costs.

Prescription Drug Plan Out-of-Pocket Costs

Beyond premiums and deductibles, Blue Cross Medicare Advantage Dental Premier (PPO) may have additional costs at pharmacies. The table below outlines out-of-pocket expenses by drug tier.

Blue Cross Medicare Advantage Dental Premier (PPO) Pharmacy Out-of-Pocket Costs by Drug Tier
Drug Tier Retail Mail Order
Cost data not available.
*Deductible does not apply.

Need Help Enrolling?

Contact and Resource 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
Formulary: Blue Cross and Blue Shield of IL, NM Formulary Page
Pharmacy: Blue Cross and Blue Shield of IL, NM Pharmacy Page
New Member Health Plan Help: {pbp_a_prombr_phone}
New Member Health Plan TTY: {pbp_a_ttytdd_prombr_phone}
New Member Part D Help: {pbp_a_pd_prombr_phone}
New Member Part D TTY Users: {pbp_a_pd_ttytdd_prombr_phone}

Frequently Asked Questions

📘 What does Medicare plan code H8634 024 mean?

Blue Cross Medicare Advantage Dental Premier (PPO) is a Medicare Advantage plan by Blue Cross and Blue Shield of IL, NM. The code H8634 is the CMS contract ID, whereas 024 is its plan ID.

  • Plan Name: Blue Cross Medicare Advantage Dental Premier (PPO)
  • Plan Type: PPO
  • Premium: $0.00/mo + your monthly Part B premium
  • Out-of-Pocket Max: $6750.00 (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 024?

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 Dental Premier (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 024?

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: Enhanced, $615.00 deductible
  • 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
{health_plan_schema}