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

Medicare Plus Blue Value, 2027

H9572Contract010Plan

PPO · 56 counties in Michigan

Run by BCBS of Michigan Mutual Insurance Company (contract H9572), sold as Blue Cross Blue Shield of Michigan, owned by Blue Cross Blue Shield of Michigan Mutual Ins. Co.

Renews for 2027

2026 star rating, contract H9572: 4.5 of 5

Medicare Plus Blue Value (H9572-010) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $6,750.

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
Drug deductible	$615	$700	up $85
Part B premium reduction, monthly	$2	none	dropped
Medical deductible, in network	$675	$525	down $150
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
Comprehensive dental, yearly limit	not offered	$750 a year	added
Eyewear, yearly limit	not offered	$100 a year	added
Drug tier 1, preferred generic	$7	$9	up $2
Drug tier 2, generic	$20	$12	down $8
Drug tier 3, preferred brand	20% of the cost	23% of the cost	up 3 points
Drug tier 4, non-preferred drug	31% of the cost	25% of the cost	down 6 points
11 lines do not change
Monthly premium	$0	$0	no change
In-network out-of-pocket limit	$6,750	$6,750	no change
Primary care visit	$0 copay	$0 copay	no change
Specialist visit	$50 copay	$50 copay	no change
Emergency room	$130 copay	$130 copay	no change
Hospital stay, in network	$430 a day for days 1–7, then $0 a day for days 8–90	$430 a day for days 1–7, then $0 a day for days 8–90	no change
Ground ambulance, in network	$400 copay	$400 copay	no change
Hearing aids, yearly limit for both ears	not offered	not offered	no change
Over-the-counter items, yearly	$100 a year	$100 a year	no change
Counties served	56	56	no change
Drug tier 5, specialty tier	25% of the cost	25% of the cost	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	$7	$9	$2
Tier 2	Generic	$20	$12	$7
Tier 3	Preferred Brand	20% of the cost	23% of the cost	23% of the cost
Tier 4	Non-Preferred Drug	31% of the cost	25% of the cost	25% of the cost
Tier 5	Specialty Tier	25% 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, 68 plans open to everyone are sold for 2027, this one included. Against the others, 47 plans have a lower out-of-pocket limit, 4 the same, 16 a higher one. On the premium, 44 the same, 23 a higher one.

Out-of-pocket limits of the 68 plans open to everyone

$0 to under $2,0000 plans

$2,000 to under $4,0000 plans

$4,000 to under $6,00033 plans

$6,000 to under $8,000 (this plan)28 plans

$8,000 to $10,0007 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 56 counties: $0 a month and $6,750.

Michigan

Alcona Alger Alpena Antrim Arenac Baraga Bay Benzie Charlevoix Cheboygan Chippewa Clare Clinton Crawford Delta Dickinson Eaton Emmet Gladwin Gogebic Grand Traverse Houghton Huron Ingham Iosco Iron Isabella Kalkaska Keweenaw Lake Lapeer Leelanau Luce Mackinac Manistee Marquette Mason Mecosta Menominee Midland Missaukee Montmorency Newaygo Oceana Ogemaw Ontonagon Osceola Oscoda Otsego Presque Isle Roscommon Saginaw Sanilac Schoolcraft Tuscola Wexford

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: H9572-010
Legal name of the contract: BCBS of Michigan Mutual Insurance Company
Sold as: Blue Cross Blue Shield of Michigan
Parent company: Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Plan type: PPO
2026 star rating of the contract: 4.5 of 5 overall; health plan 4.5 of 5, drug plan 4.5 of 5
Members, September 2026: 4,853
Plan website, as filed with CMS: www.bcbsm.com/medicare

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 Ingham, MIWhere most of its members live; premiums and limits side by side
Every Blue Cross Blue Shield of Michigan plan for 2027Its contracts, counties and plans that end
The other 7 plans of contract H9572Same 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.