BlueCross Blue Basic (PPO) Medicare Advantage Plan H8003-007 • 2026 • Dorchester County, SC
CMS Plan ID H8003-007 identifies the Medicare Advantage plan BlueCross Blue Basic, a PPO Part C plan offered by Blue Cross Blue Shield of South Carolina for the 2026 plan year. This plan uses a Preferred Provider Organization (PPO) provider network and comes without Part D prescription drug coverage.
BlueCross Blue Basic Overview
Plan Overview for
H8003-007-0
|
|
|---|---|
| CMS Plan ID: |
H8003-007-0
|
| Plan Type: | PPO |
| Plan Year: | 2026 |
| Monthly Premium: |
$0.00
Plus your Medicare Part B premium. |
| Medical Deductible: | $0.00 |
| Maximum Out-of-Pocket: | $5900.00 (In-Network) |
| Part B Give Back: | Not offered |
| Prescription Drug Coverage: | Not Included |
| Additional Benefits: | Dental, Vision, Hearing |
| Service Area: | Dorchester County, SC |
| Enrollment (Nationwide): | 577 beneficiaries |
| Enrollment (CMS – Local) | 18 beneficiaries in Dorchester County |
| Provided By: | Blue Cross Blue Shield of South Carolina |
Plan Details for BlueCross Blue Basic
This Medicare Advantage Preferred Provider Organization (PPO) plan provides access to Medicare-approved providers and covers Medicare Part A and Part B services. The monthly premium is $0.00, with lower costs when using in-network providers.
Primary care visits have a $0 copay | Out-of-network: $30 copay, specialist visits come with a $35 copay | Out-of-network: $45 copay, urgent care services carry a $10 copay, and ambulance transportation is $275 copay | Out-of-network: $275 copay. These costs apply toward the annual maximum out-of-pocket (MOOP) limit of $5900.00. Once this limit is reached, in-network services are fully covered.
This plan is listed by CMS under Plan ID H8003-007. Cost-sharing details for key services are provided below.
Cost Sharing Expenses
Cost-sharing for BlueCross Blue Basic includes out-of-pocket expenses for covered healthcare services. The table below provides a summary of typical in-network out-of-pocket costs for plan H8003-007.
Certain preventive services are covered 100% by BlueCross Blue Basic as a Part B benefit.
Prescription Drug Coverage
This plan does not include a Medicare Part D plan for prescriptions.
CMS Star Ratings
Medicare Advantage (Part C) and Part D plans are rated each year by CMS on a 5-star scale. Ratings summarize plan performance across clinical care and member experience measures.
| 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?
The plan’s monthly premium is $0.00 for 2026. The Part B premium is not included.
What is the in-network MOOP for plan H8003-007?
For 2026, the in-network maximum out-of-pocket is $5900.00. The plan pays 100% of covered in-network services beyond this amount.
What is the total enrollment for plan H8003-007?
The plan has 577 enrolled beneficiaries according to CMS.
What is the Part D deductible for plan H8003-007?
The Part D deductible is $0.00.
Contact Information for Blue Cross Blue Shield of South Carolina
| Contact Type | Details |
|---|---|
| Website: | Blue Cross Blue Shield of South Carolina Plan Page |
| New Members: | 1-888-639-0704 |
| Existing Members: | 1-855-204-2744 |
| Plan Address: | P.O Box 100191 | Columbia, SC 29202 |
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 |
|---|---|---|
| Blue Cross Blue Shield of South Carolina (official source) | http://www.scbluesmedadvantage.com | October 13, 2025 |
| Medicare.gov | Compare types of Medicare Advantage Plans | 25 May, 2025 |
| NCOA.org | 5 Steps to Choosing the Right Medicare Plan for You | 25 May, 2025 |
| Medicare.gov | Compare Original Medicare & Medicare Advantage | 25 May, 2025 |
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