Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026

BlueAdvantage Total Heart and Diabetes, 2027

H7917Contract045Plan

PPO C-SNP · special needs plan, chronic or disabling condition · 46 counties in Tennessee

Run by BlueCross BlueShield of Tennessee, Inc. (contract H7917), sold as BlueCross BlueShield of Tennessee, owned by BlueCross BlueShield of Tennessee

Renews for 2027

2026 star rating, contract H7917: 4 of 5

BlueAdvantage Total Heart and Diabetes (H7917-045) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $9,850 ($6,700 in 2026).

What changes from 2026 to 2027?

The changed lines are marked and come first. In-network amounts; members keep paying the Part B premium unless the plan reduces it.
What you pay or get	2026	2027	Change
In-network out-of-pocket limit	$6,700	$9,850	up $3,150
Drug deductible	$250	$700	up $450
Specialist visit	$15 copay	$30 copay	up $15
Emergency room	$130 copay	$115 copay	down $15
Hospital stay, in network	$390 a day for days 1–6, then $0 a day for days 7–90	$405 a day for days 1–6, then $0 a day for days 7–90	up $75for a 5-day stay
Skilled nursing facility, in network	$0 a day for days 1–20, then $218 a day for days 21–100	$0 a day for days 1–20, then $221 a day for days 21–100	up $30for a 30-day stay
Over-the-counter items, yearly	$720 a year	$480 a year	down $240
Drug tier 3, preferred brand	$47	22% of the cost	changed
Drug tier 4, non-preferred drug	50% of the cost	40% of the cost	down 10 points
Drug tier 5, specialty tier	30% of the cost	25% of the cost	down 5 points
11 lines do not change
Monthly premium	$0	$0	no change
Part B premium reduction, monthly	none	none	no change
Primary care visit	$0 copay	$0 copay	no change
Medical deductible, in network	none	none	no change
Ground ambulance, in network	$295 copay	$295 copay	no change
Comprehensive dental, yearly limit	not offered	not offered	no change
Eyewear, yearly limit	$125 a year	$125 a year	no change
Hearing aids, yearly limit for both ears	not offered	not offered	no change
Counties served	46	46	no change
Drug tier 1, preferred generic	$6	$6	no change
Drug tier 2, generic	$15	$15	no change

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026; CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026). Plan details can change during the year; confirm on Medicare Plan Finder.

What will prescriptions cost?

Your share for a 30-day supply at a retail pharmacy, as filed with CMS; tiers whose share changes are marked. The plan charges less at its preferred pharmacies
Tier	What the tier holds	2026, standard pharmacy	2027, standard pharmacy	2027, preferred pharmacy
Tier 1	Preferred Generic	$6	$6	$0
Tier 2	Generic	$15	$15	$0
Tier 3	Preferred Brand	$47	22% of the cost	22% of the cost
Tier 4	Non-Preferred Drug	50% of the cost	40% of the cost	40% of the cost
Tier 5	Specialty Tier	30% of the cost	25% of the cost	25% of the cost

Source: CMS plan benefit package files, 2027 and 2026. Insulin is capped at $35 a month by law. A drug's tier is set by the plan's formulary.

How does it compare with plans sold where it is?

In the counties it serves, 19 chronic or disabling condition special needs plans are sold for 2027, this one included. Against the others, 15 plans have a lower out-of-pocket limit, 3 the same. On the premium, 15 the same, 3 a higher one.

Out-of-pocket limits of the 19 chronic or disabling condition special needs plans

$0 to under $2,0000 plans

$2,000 to under $4,0000 plans

$4,000 to under $6,0002 plans

$6,000 to under $8,00012 plans

$8,000 to $10,000 (this plan)5 plans

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

Where is it sold, and what does it cost there?

The premium and the out-of-pocket limit are the same in all 46 counties: $0 a month and $9,850.

Tennessee

Bedford Benton Carroll Cheatham Chester Coffee Crockett Davidson Decatur Dickson Dyer Fayette Gibson Giles Hardeman Hardin Haywood Henderson Henry Hickman Houston Humphreys Lake Lauderdale Lawrence Lewis Lincoln Madison Marshall Maury McNairy Montgomery Moore Obion Perry Robertson Rutherford Shelby Stewart Sumner Tipton Trousdale Wayne Weakley Williamson Wilson

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

Who runs this plan?

Plan ID: H7917-045
Legal name of the contract: BlueCross BlueShield of Tennessee, Inc.
Sold as: BlueCross BlueShield of Tennessee
Parent company: BlueCross BlueShield of Tennessee
Plan type: PPO C-SNP
2026 star rating of the contract: 4 of 5 overall; health plan 4 of 5, drug plan 4 of 5
Members, September 2026: 1,352
Plan website, as filed with CMS: medicare.bcbst.com

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS 2026 Star Ratings (October 2025); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11). CMS publishes the 2027 Star Ratings in October 2026.

What else should you check?

Other 2027 plans in Shelby, TNWhere most of its members live; premiums and limits side by side
Every BlueCross BlueShield of Tennessee plan for 2027Its contracts, counties and plans that end
The other 19 plans of contract H7917Same company, same contract
Is your prescription covered?Coverage share and tier for 2,259 drugs

Data, not advice. These are the plan's filed amounts, not a quote for you; confirm on Medicare Plan Finder or call the plan before you enroll.