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Oct 15th - Dec 7th

Enroll for 2026 coverage

Blue Cross Medicare Advantage Protect (PPO)

Medicare Advantage Health Plan Details

Health insurance company offering plan: Blue Cross and Blue Shield of Texas

$0 /mo

monthly premium

Blue Cross Medicare Advantage Protect (PPO)

Additional Coverage

Overall Star Rating (2026)

Dental
Vision
Hearing

out of 5 stars

General Plan Details

Medical Deductible

$750

Out-of-Pocket Maximum

$6950

Rx Drug Coverage

Rx Deductible

Primary Doctor Office Visit

$0 copay

Specialist Office Visit

$55 copay

Additional Benefits

Dental Coverage

Yes

Vision Coverage

Yes

Mental Health Coverage

Yes

Transportation for non-emergency

Fitness Benefits

Yes

Worldwide emergency

Yes

Telehealth

Yes

Part B Premium Reduction

Yes $40 annually

Doctor & Hospital Coverage

Primary Doctor Office Visit

In-network: $0 copay
Out-of-network: 50% coinsurance

Specialist Office Visit

In-network: $55 copay
Out-of-network: 50% coinsurance

Periodic Exam Coverage

In-network: $0 copay
Out-of-network: $0 copay

Emergency Room

$110 copay

Ambulance Coverage

In-network: $275 copay
Out-of-network: $275 copay

Lab, X-Ray, Radiology Coverage

Diagnostic tests & procedures:
In-network: $0-$100 copay
Out-of-network: 50% coinsurance
Lab services:
In-network: $0-$55 copay
Out-of-network: 50% coinsurance
Diagnostic radiology services (e.g., CT, MRI, etc):
In-network: $0-$300 copay
Out-of-network: 50% coinsurance
Outpatient x-rays:
In-network: $0-$100 copay
Out-of-network: 50% coinsurance

Hospital Services

Inpatient hospital coverage:
In-network:
  Tier 1
  $370 per day for days 1-6
  $0 per day for days 7-90
  $0 per stay
Out-of-network:
  50% per stay
Outpatient hospital coverage:
In-network: $0-$375 copay
Out-of-network: 50% coinsurance

Rehabilitation Coverage

Occupational therapy services:
In-network: $35 copay
Out-of-network: 50% coinsurance

Urgent Care Coverage

$110 copay

Skilled Nursing Facility (SNF)

In-network:
  Tier 1
  $0 per day for days 1-20
  $218 per day for days 21-49
  $0 per day for days 50-100
Out-of-network:
  50% per stay

Mental Health Coverage

Outpatient group therapy with a psychiatrist:
In-network: $40 copay
Out-of-network: 50% coinsurance
Outpatient individual therapy with a psychiatrist:
In-network: $40 copay
Out-of-network: 50% coinsurance
Outpatient group therapy visits:
In-network: $40 copay
Out-of-network: 50% coinsurance
Outpatient individual therapy visit:
In-network: $40 copay
Out-of-network: 50% coinsurance

Dental, Vision, Hearing Benefits

Dental Services

Oral exams:
In-network: $0 copay
Out-of-network: $0 copay
Prophylaxis (cleaning):
In-network: $0 copay
Out-of-network: $0 copay
Dental x-rays:
In-network: $0 copay
Out-of-network: $0 copay

Vision Benefits

Routine eye exams:
In-network: $0 copay
Out-of-network: $0 copay
Contact Lenses:
In-network: $0 copay
Out-of-network: $0 copay
Eyeglasses:

Hearing Benefits

Hearing exam:
In-network: $0 copay
Out-of-network: $0 copay
Fitting/evaluation:
In-network: $0 copay
Out-of-network: $0 copay
Hearing aids - prescription:
In-network: $699-$999 copay
Out-of-network: $699-$999 copay

Additional Added Benefits

Annual physical exams

Yes

Chiropractic Coverage

Acupuncture

Massage Therapy

Health Education

Counseling Services

Support for Caregivers of Enrollees

Personal Emergency Response System (PERS)

In-home support services

Home and bathroom safety devices

Meals for short duration

Plan Links

Plan Link

Doctor Lookup

Drug Link

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(888) 311-4264

TTY 711

Mon-Fri: 8am-10pm, Sat-Sun: 8am-9pm ET

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Where This Plan is Available

State:

Texas

Counties:

Anderson, Aransas, Archer, Armstrong, Baylor, Bee, Bell, Blanco, Borden, Bosque, Brazos, Brewster, Briscoe, Burleson, Calhoun, Camp, Castro, Childress, Clay, Coleman, Collin, Concho, Coryell, Crane, Crosby, Culberson, Dallas, Dawson, Deaf Smith, Delta, De Witt, Dimmit, Duval, Ector, Edwards, Fisher, Floyd, Foard, Frio, Garza, Glasscock, Goliad, Grayson, Hale, Hall, Hamilton, Hansford, Hartley, Haskell, Henderson, Houston, Howard, Hudspeth, Hunt, Hutchinson, Jack, Jackson, Jim Hogg, Jim Wells, Kenedy, Kent, Kimble, Kinney, Kleberg, Knox, La Salle, Lavaca, Live Oak, Loving, Lynn, Martin, Maverick, Mcculloch, Menard, Mills, Montague, Moore, Morris, Motley, Oldham, Panola, Potter, Randall, Red River, Roberts, Runnels, Rusk, San Augustine, San Jacinto, San Patricio, Schleicher, Shackelford, Shelby, Sherman, Stephens, Sterling, Stonewall, Sutton, Swisher, Terry, Throckmorton, Titus, Trinity, Tyler, Upton, Van Zandt, Webb, Wheeler, Willacy, Yoakum, Young, Zapata, Zavala

View all plans in your Texas County

Additional Plan Info

Plan Year:

2026

Insurance Company Website:

Blue Cross and Blue Shield of Texas

Blue Cross Medicare Advantage Protect (PPO)

General Plan Details

Additional Benefits

Doctor & Hospital Coverage

Emergency Room

Ambulance Coverage

Lab, X-Ray, Radiology Coverage

Hospital Services

Rehabilitation Coverage

Urgent Care Coverage

Skilled Nursing Facility (SNF)

Mental Health Coverage

Dental, Vision, Hearing Benefits

Dental Services

Vision Benefits

Hearing Benefits

Additional Added Benefits

Plan Links

Where This Plan is Available

Additional Plan Info

Health Insurance Companies Offering Plans