H8634-026 — Blue Cross Medicare Advantage Protect (PPO) — 2026 Medicare Advantage Plan
Blue Cross and Blue Shield of IL, NM, OK, TX
Plan ID: H8634-026 · Contract: H8634
Use this Medicare plan ID to verify you are comparing the exact 2026 plan before checking benefits, county availability, drug coverage, provider networks, and costs.
Declined from 3.5 stars last year
Plan history signals: Very Stable
A plain-language summary of year-over-year CMS plan data, not a CMS rating or guarantee.
What the available history shows:
How this PPO works
A PPO generally lets you use in-network or out-of-network providers that accept the plan, but out-of-network care can cost more. You usually do not need a referral for specialists. Always confirm that a provider accepts this specific plan.
Monthly Premium
$0/mo
This is the plan premium shown in CMS data. You must continue paying your Medicare Part B premium unless another program pays it for you.
Medical Deductible
Not available
CMS data does not list a medical deductible for this plan. This does not mean the cost is $0.
Drug Deductible
Not available
CMS data does not list a drug deductible for this plan. This does not mean the cost is $0.
Max Out-of-Pocket
$6,950
Common Medical Cost Sharing
A copay is a fixed dollar amount. Coinsurance is a percentage of the allowed cost. The amount you owe can depend on the service, provider, network, and plan rules.
$0 copay
Primary Care
Not available in the CMS data
Specialist
$110 copay
Emergency Room
$40 copay
Urgent Care
Supplemental Benefits
Benefit Details
Medical Benefits
Inpatient Hospital
inpatient
Emergency Room
emergency
Urgent Care
urgent_care
Primary Care
primary_care
Specialist
specialist
Outpatient Hospital
outpatient
Dental - Preventive
dental
Dental - Comprehensive
dental
Vision - Eye Exams
vision
Hearing - Exams & Aids
hearing
Counties Served (113)
Texas
Data Source and Verification
Source: Centers for Medicare & Medicaid Services (CMS) public-use plan, benefit, service-area, formulary, and Star Ratings data.
Data vintage: 2026 plan-year data. CMS may revise files during the year.
Last reviewed: July 30, 2026.
Verify before enrolling: Confirm premiums, benefits, drugs, pharmacies, providers, eligibility, and service area with Medicare.gov Plan Compare or the plan. Read our methodology and editorial policy, or visit the Medicare plan FAQ.
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