Medicare BlueSalute (PPO) Medicare Advantage Plan H3335-044 • 2026 • Fulton County, NY
Medicare BlueSalute is a Medicare Advantage PPO plan offered by Excellus Health Plan, Inc for the 2026 plan year. It is identified by CMS Plan ID H3335-044 and uses a Preferred Provider Organization (PPO) provider network. The plan comes without prescription drug coverage.
Medicare BlueSalute Overview
Plan Overview for
H3335-044-0
|
|
|---|---|
| CMS Plan ID: |
H3335-044-0
|
| Plan Type: | PPO |
| Plan Year: | 2026 |
| Monthly Premium: |
$0.00
Plus your Medicare Part B premium. |
| Medical Deductible: | $0.00 |
| Maximum Out-of-Pocket: | $4500.00 (In-Network) |
| Part B Give Back: | −$35.00 reduction |
| Prescription Drug Coverage: | Not Included |
| Additional Benefits: | Dental, Vision, Hearing |
| Service Area: | Fulton County, NY |
| Enrollment (Nationwide): | 26 beneficiaries |
| Enrollment (CMS – Local) | 0 beneficiaries in Fulton County |
| Provided By: | Excellus Health Plan, Inc |
Coverage Overview for Medicare BlueSalute
As a Medicare Advantage PPO plan, Medicare BlueSalute covers Medicare Part A and Part B services and allows access to Medicare-approved providers. The monthly premium is $0.00, with lower costs when using in-network providers.
Primary care visits have a $5 copay | Out-of-network: 30% coinsurance, specialist visits come with a $35 copay | Out-of-network: 30% coinsurance, urgent care services carry a $40 copay, and ambulance transportation is $200 copay | Out-of-network: $200 copay. These expenses apply toward the annual maximum out-of-pocket (MOOP) limit of $4500.00. After this limit is reached, in-network services are fully covered.
This plan is registered with CMS under Plan ID H3335-044. Cost-sharing details are outlined below.
Out-of-Pocket Costs
Medicare BlueSalute includes cost-sharing, which refers to out-of-pocket expenses for covered healthcare services. The table below outlines the most common in-network out-of-pocket costs associated with plan H3335-044.
Certain preventive services are covered 100% by Medicare BlueSalute as a Part B benefit.
Prescription Drug Coverage
This plan does not include a Medicare Part D plan for prescriptions.
CMS 5-Star Ratings
CMS evaluates Medicare Advantage (Part C) and Part D plans annually using a 5-star rating system. Ratings reflect performance in preventive care, chronic condition management, and member experience.
| CMS Measure | Star Rating |
|---|---|
| 2026 Overall Rating | |
| Staying Healthy: Screenings, Tests, Vaccines | |
| Managing Chronic (Long Term) Conditions | |
| Member Experience with Health Plan | |
| Complaints and Changes in Plans Performance | |
| Health Plan Customer Service | |
| Drug Plan Customer Service | |
| Complaints and Changes in the Drug Plan | |
| Member Experience with the Drug Plan | |
| Drug Safety and Accuracy of Drug Pricing |
Is there a monthly premium for this plan in 2026?
For 2026, the monthly premium is $0.00. Medicare Part B premiums apply in addition to this amount.
What is the in-network MOOP for plan H3335-044?
For 2026, the in-network maximum out-of-pocket is $4500.00. The plan pays 100% of covered in-network services beyond this amount.
What is the total enrollment for plan H3335-044?
Total enrollment is 26 beneficiaries based on the latest CMS data.
Is there a Part D deductible for this plan?
The Part D deductible is $0.00.
Contact Information for Excellus Health Plan, Inc
| Contact Type | Details |
|---|---|
| Website: | Excellus Health Plan, Inc Plan Page |
| New Members: | 1-800-659-1986 |
| Existing Members: | 1-877-883-9577 |
| Plan Address: | P.O. Box 211316 | Eagan, MN 55121 |
Enrollment status and eligibility information are available through the Social Security Administration. Additional information about Medicare Advantage is available at medicare.gov.
| Data Source | Publisher | Last Accessed |
|---|---|---|
| Landscape Source Files | Centers for Medicare & Medicaid Services | September 8, 2026 |
| Medicare Part C & D Performance | Centers for Medicare & Medicaid Services | September 8, 2026 |
| Plan Benefits Package | Centers for Medicare & Medicaid Services | September 8, 2026 |
| Monthly Enrollment by Contract/Plan/State/County | Centers for Medicare & Medicaid Services | September 8, 2026 |
Data sources and methodology documentation.
| Publisher | Reference | Last Accessed |
|---|---|---|
| Excellus Health Plan, Inc (official source) | http://www.ExcellusMedicare.com | October 13, 2025 |
| CMS.gov | Medicare Advantage Plan Fact Sheet | 25 May, 2025 |
| Medicare.gov | Joining a plan | 25 May, 2025 |
| Medicare.gov | Your coverage options | 25 May, 2025 |
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