Blue Cross and Blue Shield of Nebraska MA Core (HMO) — 2026 Medicare Advantage Prescription Drug Plan
Blue Cross and Blue Shield of Nebraska
Plan ID: H3170_003
Very Stable
What affects this score:
Monthly Premium
$0
Medical Deductible
N/A
Drug Deductible
$400
Max Out-of-Pocket
$4,100
Key Copays
—
Primary Care
—
Specialist
$135
Emergency Room
$55
Urgent Care
Supplemental Benefits
OTC Allowance: $50/quarter
Benefit Details
Drug Coverage Summary
Drug Deductible
$400
Drug Premium
$0/mo
This plan includes Part D prescription drug coverage. Drug costs depend on which tier your medications fall under. Use our comparison tool to estimate your specific drug costs.
Medical Benefits
Inpatient Hospital
inpatient
Inpatient Hospital
inpatient
Emergency Room
emergency
Urgent Care
urgent_care
Emergency Room
emergency
Urgent Care
urgent_care
Primary Care
primary_care
Specialist
specialist
Primary Care
primary_care
Specialist
specialist
Outpatient Hospital
outpatient
Outpatient Hospital
outpatient
Dental - Preventive
dental
Dental - Comprehensive
dental
Dental - Preventive
dental
Dental - Comprehensive
dental
Vision - Eye Exams
vision
Vision - Eye Exams
vision
Hearing - Exams & Aids
hearing
Hearing - Exams & Aids
hearing
Counties Served (76)
Nebraska
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