Blue adVantage Thrive (PPO) Medicare Advantage Plan H1248-014 • 2027
- Monthly Premium
- $0.00Plus Part B premium.
- Medical Deductible
- $1,000
- Maximum Out-of-Pocket
- $4900.00In-network
- Part B Giveback
- Not offered
- Prescription Coverage
- Enhanced, $700.00 deductible
- Additional Benefits
- Dental, Vision, Hearing
- Service Area
- See List
- Total Enrollment
- 4,179 beneficiaries
Blue adVantage Thrive (PPO) Introduction
Blue adVantage Thrive is a Medicare Advantage PPO plan offered by Blue Cross and Blue Shield of Louisiana. It uses a Preferred Provider Organization (PPO) provider network and comes with prescription drug coverage. For the 2027 plan year it has a $0.00 monthly premium, $1,000 medical deductible, and $4900.00 in-network maximum out-of-pocket. CMS Plan ID H1248-014 identifies this plan. The 2027 Part D prescription drug deductible is $700.00.
Plan Benefits
Blue adVantage Thrive includes cost-sharing, which refers to out-of-pocket expenses for covered healthcare services. The tables below outline the most common in-network out-of-pocket costs associated with plan H1248-014.
Compare 2027 plan benefits with 2026.
Office Visits
| Covered Service | 2027 | 2026 |
|---|---|---|
| Primary care | In-network: $0 copay Out-of-network: 50% coinsurance |
In-network: $0 copay Out-of-network: 50% coinsurance |
| Specialist | In-network: $45 copay Out-of-network: 50% coinsurance |
In-network: $35 copay Out-of-network: 50% coinsurance |
Preventive and Wellness Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Annual wellness exam | In-network: $0 copay Out-of-network: 50% coinsurance |
In-network: $0 copay |
| Telehealth benefit | In-network: $0-$45 copay | In-network: $0-$40 copay |
| Routine chiropractic | Not covered | Not covered |
| Fitness benefits | Coming soon | In-network: $0 copay Out-of-network: $0 copay, 0% coinsurance |
| Health education | Not covered | Not covered |
| Counseling services | Not covered | Not covered |
| Over-the-counter drug benefits | In-network: $0 copay Out-of-network: $0 copay, 0% coinsurance |
In-network: $0 copay Out-of-network: $0 copay, 0% coinsurance |
| Health transportation (non-emergency) | Coming soon | Not covered |
Diagnostic, Lab, and Imaging Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Diagnostic radiology services | In-network: $0-$280 copay Out-of-network: 50% coinsurance |
In-network: $0-$225 copay Out-of-network: 50% coinsurance |
| Lab services | In-network: $0-$35 copay Out-of-network: 50% coinsurance |
In-network: $0 copay Out-of-network: 50% coinsurance |
| Outpatient x-rays | In-network: $0-$75 copay Out-of-network: 50% coinsurance |
In-network: $0-$75 copay Out-of-network: 50% coinsurance |
| Diagnostic tests and procedures | In-network: $0-$30 copay Out-of-network: 50% coinsurance |
In-network: $0-$30 copay Out-of-network: 50% coinsurance |
Emergency and Urgent Care Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Emergency room care | $130 copay | $110 copay |
| Worldwide emergency care | Coming soon | $110 copay |
| Urgent care | $40 copay | $40 copay |
| Inpatient hospital care | In-network: Tier 1 $225 per day for days 1-7 $0 per day for days 8-90 $0 per stay Out-of-network: 50% per stay |
In-network: Tier 1 $225 per day for days 1-7 $0 per day for days 8-90 $0 per stay Out-of-network: 50% per stay |
| Skilled Nursing Facility | In-network: Tier 1 $0 per day for days 1-20 $200 per day for days 21-100 Out-of-network: 50% per stay |
In-network: Tier 1 $0 per day for days 1-20 $200 per day for days 21-100 Out-of-network: 50% per stay |
| Ground ambulance | In-network: $300 copay Out-of-network: $300 copay |
In-network: $300 copay Out-of-network: $300 copay |
Mental Health Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Outpatient individual therapy | In-network: $40 copay Out-of-network: 50% coinsurance |
In-network: $40 copay Out-of-network: 50% coinsurance |
| Outpatient group therapy | In-network: $40 copay Out-of-network: 50% coinsurance |
In-network: $40 copay Out-of-network: 50% coinsurance |
| Inpatient psychiatric hospital care | In-network: Tier 1 $225 per day for days 1-7 $0 per day for days 8-90 $0 per stay Out-of-network: 50% per stay |
In-network: Tier 1 $225 per day for days 1-7 $0 per day for days 8-90 $0 per stay Out-of-network: 50% per stay |
Rehabilitation Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Physical therapy and speech and language therapy | In-network: $35 copay Out-of-network: 50% coinsurance |
In-network: $35 copay Out-of-network: 50% coinsurance |
| Occupational therapy | In-network: $35 copay Out-of-network: 50% coinsurance |
In-network: $35 copay Out-of-network: 50% coinsurance |
Medical Equipment and Supplies
| Covered Service | 2027 | 2026 |
|---|---|---|
| Diabetes supplies | In-network: $0 copay Out-of-network: 50% coinsurance |
In-network: $0 copay Out-of-network: 50% coinsurance |
| Durable medical equipment | In-network: 20% coinsurance Out-of-network: 50% coinsurance |
In-network: 20% coinsurance Out-of-network: 50% coinsurance |
| Prosthetics | In-network: 20% coinsurance Out-of-network: 50% coinsurance |
In-network: 20% coinsurance Out-of-network: 50% coinsurance |
Medicare Part B Drugs
| Covered Service | 2027 | 2026 |
|---|---|---|
| Chemotherapy | In-network: 0%-20% coinsurance Out-of-network: 0%-50% coinsurance |
In-network: 0%-20% coinsurance Out-of-network: 0%-50% coinsurance |
| Other Part B drugs (Medicare-covered) | In-network: 0%-20% coinsurance Out-of-network: 0%-50% coinsurance |
In-network: 0%-20% coinsurance Out-of-network: 0%-50% coinsurance |
Dental Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Oral exam | In-network: $0 copay Out-of-network: 15% coinsurance |
In-network: $0 copay Out-of-network: 15% coinsurance |
| Dental x-rays | In-network: $0 copay Out-of-network: 15% coinsurance |
In-network: $0 copay Out-of-network: 15% coinsurance |
| Cleaning | In-network: $0 copay Out-of-network: 15% coinsurance |
In-network: $0 copay Out-of-network: 15% coinsurance |
| Periodontics | In-network: $0 copay Out-of-network: 15% coinsurance |
In-network: $0 copay Out-of-network: 15% coinsurance |
| Endodontics | In-network: $0 copay Out-of-network: 15% coinsurance |
In-network: $0 copay Out-of-network: 15% coinsurance |
| Restorative services | In-network: $0 copay Out-of-network: 15% coinsurance |
In-network: $0 copay Out-of-network: 15% coinsurance |
| Implant services | Not covered | In-network: $0 copay Out-of-network: 15% coinsurance |
| Orthodontics | Not covered | Not covered |
| Oral/Maxillofacial surgery | In-network: $0 copay Out-of-network: 15% coinsurance |
In-network: $0 copay Out-of-network: 15% coinsurance |
Vision Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Routine eye exam | In-network: $0 copay Out-of-network: $40 copay |
In-network: $0 copay Out-of-network: $40 copay |
| Contact lenses | In-network: $0 copay Out-of-network: $0 copay, 0% coinsurance |
In-network: $0 copay Out-of-network: $0 copay, 0% coinsurance |
| Eyeglass frames only | In-network: $0 copay Out-of-network: $0 copay, 0% coinsurance |
In-network: $0 copay Out-of-network: $0 copay, 0% coinsurance |
| Eyeglass lenses only | In-network: $0 copay Out-of-network: $0 copay, 0% coinsurance |
In-network: $0 copay Out-of-network: $0 copay, 0% coinsurance |
| Eyeglasses (frames & lenses) | In-network: $0 copay Out-of-network: $0 copay, 0% coinsurance |
In-network: $0 copay Out-of-network: $0 copay, 0% coinsurance |
| Upgrades | In-network: $0 copay Out-of-network: $0 copay, 0% coinsurance |
In-network: $0 copay Out-of-network: $0 copay, 0% coinsurance |
Hearing Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Hearing exam | In-network: $0 copay Out-of-network: 50% coinsurance |
In-network: $0 copay Out-of-network: 50% coinsurance |
| Fitting/evaluation | In-network: $0 copay Out-of-network: 80% coinsurance |
In-network: $0 copay Out-of-network: $0 copay, 0% coinsurance |
| Prescription hearing aids | In-network: $0 copay Out-of-network: 80% coinsurance |
In-network: $0 copay Out-of-network: $0 copay, 0% coinsurance |
| OTC hearing aids | In-network: $0 copay Out-of-network: $0 copay, 0% coinsurance |
In-network: $0 copay Out-of-network: $0 copay, 0% coinsurance |
Additional and Special Needs Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Adult day health services | Not covered | Not covered |
| Home-based palliative care | In-network: $0 copay Out-of-network: 50% coinsurance |
In-network: $0 copay Out-of-network: 50% coinsurance |
| Personal emergency response system | Coming soon | Not covered |
| Weight management programs | Not covered | Not covered |
| Wigs for chemotherapy-related hair loss | Coming soon | Not covered |
| Alternative therapies | Not covered | Not covered |
| Massage therapy | Not covered | Not covered |
| Home/bathroom safety devices | Not covered | Not covered |
Certain preventive services are covered 100% by Blue adVantage Thrive as a Part B benefit.
Prescription Drug Coverage
Blue adVantage Thrive includes a Medicare Part D prescription drug plan (PDP). Plan type and coverage level are defined by CMS and may vary between basic and enhanced benefit designs.
This plan includes an enhanced benefit Medicare Part D plan (PDP), providing coverage beyond the standard CMS-defined minimum.
Prescription Drug Plan Premium
The Part D prescription drug plan premium is included in the overall Medicare Advantage plan cost. Additional adjustments may apply through the Low-Income Subsidy (LIS) program, also known as Extra Help, administered by Social Security. LIS benefits are separate from Medicare Special Needs Plan coverage.
| Part D Premium Component | Amount |
|---|---|
| Basic Part D Premium: | $0.00 |
| Supplemental Part D Premium: | $$0.00 |
| Total Part D Premium: | $0.00 |
| Low-Income Premium Subsidy: | $17.03 |
| Low-Income Premium Subsidy Paid by CMS: | $0.00 |
| Low-Income Subsidy Premium: | $0.00 |
For more details, visit the Social Security Extra Help program .
Prescription Drug Plan Deductible
This plan has a $700.00 annual Part D deductible. You'll pay this deductible at the pharmacy before Blue Cross and Blue Shield of Louisiana starts contributing towards your prescription costs.
Prescription Drug Plan Out-of-Pocket Costs
Beyond premiums and deductibles, Blue adVantage Thrive may have additional costs at pharmacies. The table below outlines out-of-pocket expenses by drug tier.
| Drug Tier | Retail | Mail Order |
|---|---|---|
| Preferred Generic | $0.00 copay | Coming soon |
| Generic | $12.00 copay | Coming soon |
| Preferred Brand | $45.00 copay | Coming soon |
| Non-Preferred Drug | 50% coinsurance | Coming soon |
| Specialty Tier | 25% coinsurance | Coming soon |
| *Deductible does not apply. | ||
CMS 5-Star Performance Ratings (Contract ID: H1248)
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 |
|---|---|
| 2027 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 |
Contact Information for Blue Cross and Blue Shield of Louisiana
- Website
- Blue Cross and Blue Shield of Louisiana Plan Page
- Providers
- Blue Cross and Blue Shield of Louisiana Providers Page
- Formulary
- Blue Cross and Blue Shield of Louisiana Formulary Page
- Pharmacy
- Blue Cross and Blue Shield of Louisiana Pharmacy Page
- New Member Health Plan Help
- (800)363-9152
- New Member Health Plan TTY
- 711
- New Member Part D Help
- (800)363-9152
- New Member Part D TTY Users
- 711
Enrollment status and eligibility information are available through the Social Security Administration. Additional information about Medicare Advantage is available at Medicare.gov.
Plan Availability
Blue adVantage Thrive (H1248-014-0) is available in the following locations:
Louisiana Parishes Served
- Acadia
- Allen
- Avoyelles
- Beauregard
- Bienville
- Bossier
- Caddo
- Calcasieu
- Caldwell
- Cameron
- Catahoula
- Claiborne
- Concordia
- De Soto
- East Carroll
- Evangeline
- Franklin
- Grant
- Iberia
- Jackson
- Jefferson Davis
- La Salle
- Lafayette
- Lincoln
- Madison
- Morehouse
- Natchitoches
- Ouachita
- Rapides
- Red River
- Richland
- Sabine
- Saint Landry
- Saint Martin
- Saint Mary
- Tensas
- Union
- Vermilion
- Vernon
- Webster
- West Carroll
- Winn
Frequently Asked Questions
Here are some of the most frequently asked questions about this plan (click to open).
Frequently Asked Questions About Blue adVantage Thrive (PPO)
How much does plan H1248-014 cost per month?
For 2027, the monthly premium is $0.00. Medicare Part B premiums apply in addition to this amount.
What is the in-network MOOP for plan H1248-014?
The 2027 in-network MOOP is $4900.00. Once this limit is reached, covered in-network costs are fully covered.
What is the star rating for plan H1248-014 in 2027?
For 2027, plan H1248-014 has a CMS star rating of ★4.5 out of 5 stars.
What is the current enrollment for Blue adVantage Thrive?
Total enrollment is 4,179 beneficiaries based on the latest CMS data.
Is there a Part D deductible for this plan?
The plan’s Part D deductible is $700.00, applied to covered prescription drug costs.
Medicare Plan Data Sources and Methodology
| Data Source | Publisher | Last Accessed |
|---|---|---|
| Landscape Source Files | Centers for Medicare & Medicaid Services | October 5, 2026 |
| Medicare Part C & D Performance | Centers for Medicare & Medicaid Services | October 5, 2026 |
| Plan Benefits Package | Centers for Medicare & Medicaid Services | October 5, 2026 |
| Monthly Enrollment by Contract/Plan/State/County | Centers for Medicare & Medicaid Services | October 5, 2026 |
Data sources and methodology documentation.
| Publisher | Reference | Last Accessed |
|---|---|---|
| Blue Cross and Blue Shield of Louisiana (official source) | http://www.bcbsla.com/blueadvantage | October 4, 2026 |
| Medicare.gov | Compare types of Medicare Advantage Plans | 25 May, 2025 |
| AARP.org | The Big Choice: Original Medicare vs. Medicare Advantage | 25 May, 2025 |
| Medicare.gov | Your coverage options | 25 May, 2025 |
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Data provenance documentation is maintained in alignment with the U.S. Core Data for Interoperability (USCDI) Provenance standard.
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