BlueMedicare Classic (HMO) Medicare Advantage Plan H1035-019 • 2026 • Sumter County, FL

BlueMedicare Classic Overview

Plan Overview for BlueMedicare Classic

BlueMedicare Classic is a Medicare Advantage Prescription Drug (MAPD) Health Maintenance Organization (HMO) plan that includes hospital, medical, and prescription drug coverage under Medicare Parts A and B. The monthly premium is $0.00, and services are generally covered when received from in-network providers, except in emergency situations. The annual Part D deductible is $615.00.

Primary care visits have a $0 copay, specialist visits come with a $40-$55 copay, urgent care services carry a $50 copay, and ambulance transportation is $0-$310 copay. These costs apply toward the maximum out-of-pocket (MOOP) limit of $6750.00. After this limit is reached, in-network services are fully covered for the remainder of the year.

This plan is listed by CMS under Plan ID H1035-019. Cost-sharing details for key services are provided below.

Cost Sharing Expenses

BlueMedicare Classic has cost-sharing, meaning there are out-of-pocket costs when receiving covered healthcare services. The table below details the most common in-network out-of-pocket expenses for plan H1035-019.

Certain preventive services are covered 100% by BlueMedicare Classic as a Part B benefit.

Prescription Drug Coverage

CMS Star Ratings

The Centers for Medicare & Medicaid Services (CMS) rates Medicare Advantage (Part C) and Part D prescription drug plans each year using a 5-star system. These ratings measure plan performance in areas such as preventive care, management of chronic conditions, and member experience.