Platinum Blue Core Plan with Rx (Cost)
BCBSM, Inc. · 2027 plan year
Plan ID H2461-008-000
1876 Cost★ 3.5 CMS Stars
- MOOP (in-network)
- $6,000
- MOOP (combined)
- —
- Monthly premium
- $79.80/mo
- Part C $48 + Part D $31.80, before Extra Help
- Prescription drugs
- Included
This plan in 2026
Plan information
- Contract / Plan / Segment
- H2461-008-000
- Medical deductible
- $0 — no deductible
- Part D premium
- $31.80/mo (part of the monthly premium above)Before Extra Help, which can lower or remove it for people with limited income.
- Part D deductible
- $700/yr
- Also owed
- Your Medicare Part B premium, paid separately
More BCBSM, Inc. plans in MN
Benefits & cost sharing
Hospital
| Benefit | In-network |
|---|---|
| Inpatient Hospital — Acute | $300/day for days 1–5, $0 after |
| Inpatient Hospital — Psychiatric | $300/day for days 1–5, $0 after |
Pharmacy
| Benefit | In-network |
|---|---|
| Chemotherapy & Radiation Drugs (Part B) | 0%-20% coinsurance |
| Other Part B Drugs | 0%-20% coinsurance |
| Part B Drugs | See plan details |
Mental Health
| Benefit | In-network |
|---|---|
| Mental Health Specialty Services | See plan details |
| Mental Health — Group Sessions | $20 |
| Supplemental Health Benefits | See plan details |
| Mental Health — Individual Sessions | $20 |
Other
| Benefit | In-network |
|---|---|
| Worldwide Emergency Coverage | $130 |
| Worldwide Emergency Transportation | 20% coinsurance |
| Intensive Outpatient Program (IOP) | $60 |
| Primary Care Physician Services | $20 |
| Physician Specialist Services | $45 |
| Opioid Treatment Program Services | 20% coinsurance |
| Laboratory Services | No charge |
| Radiological Services | See plan details |
| Diagnostic Radiology | $0-$200 |
| Therapeutic Radiology | 20% coinsurance |
| Outpatient Hospital Services | $30-$550 |
| Outpatient Substance Abuse Services | See plan details |
| Substance Abuse — Individual Sessions | $20 |
| Air Ambulance | $400 |
| Durable Medical Equipment (DME) | 20% coinsurance |
| Prosthetic Devices | 20% coinsurance |
| Medical Supplies | 20% coinsurance |
| Diabetic Supplies & Services | See plan details |
| Diabetic Supplies | No charge |
| Diabetic Therapeutic Shoes & Inserts | 20% coinsurance |
| Dialysis Services | 20% coinsurance |
| Acupuncture | $15 |
| Annual Physical Exam | No charge |
| Fitness Benefit | No charge |
| Kidney Disease Education Services | No charge |
| Glaucoma Screening | No charge |
| Dental — Medicare-Covered Services | 20% coinsurance |
| Vision — Eyewear | 20% coinsurance |
| Hearing — Exams | No charge |
| Hearing — Fitting & Evaluation for Hearing Aid | No charge |
| Skilled Nursing Facility (SNF) | $0/day for days 1–20, $221/day for days 21–100 |
| Cardiac Rehabilitation — Additional Sessions | No charge |
| Intensive Cardiac Rehabilitation — Additional Sessions | No charge |
| Pulmonary Rehabilitation — Additional Sessions | No charge |
| Supervised Exercise Therapy (SET) | No charge |
| Emergency Services | $130 |
| Urgently Needed Services | $50 |
| Worldwide Emergency & Urgent Coverage | See plan details |
| Partial Hospitalization Program | $60 |
| Home Health Services | No charge |
| Chiropractic Services | $15 |
| Occupational Therapy Services | $40 |
| Podiatry Services | $50 |
| Other Health Care Professional Services | $15-$40 |
| Psychiatric Services | See plan details |
| Psychiatric Services — Individual Sessions | $20 |
| Psychiatric Services — Group Sessions | $20 |
| Physical Therapy & Speech-Language Pathology | $40 |
| Diagnostic Tests & Lab Services | See plan details |
| Diagnostic Procedures & Tests | $0-$25 |
| X-Ray Services | $60 |
| Hospital Observation Services | $550 per stay |
| Ambulatory Surgical Center (ASC) | $300 |
| Substance Abuse — Group Sessions | $20 |
| Outpatient Blood Services | No charge |
| Ambulance Services | See plan details |
| Ground Ambulance | $400 |
| Prosthetics & Orthotics | See plan details |
| Diabetic Monitors | 0%-40% coinsurance |
| Medicare-Covered Preventive Services | See plan details |
| Remote Access Technologies | No charge |
| Diabetes Self-Management Training | No charge |
| Digital Rectal Exams | No charge |
| Welcome to Medicare EKG | No charge |
| Insulin (Part B) | $0-$35 |
| Vision — Eye Exams | No charge |
| Hearing — Exams | See plan details |
| Hearing — Routine Exams | No charge |
| Hearing — Prescription Hearing Aids | See plan details |
| Hearing — Hearing Aids (All Types) | $699-$999 |
| Cardiac & Pulmonary Rehabilitation | See plan details |
Service area
- MN: 21 counties
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