WyoBlue Advantage Enhanced PPO (PPO) Medicare Advantage Plan H9326-002 • 2027 • Goshen County, WY
- Monthly Premium
- $169.00Plus Part B premium.
- Medical Deductible
- $0.00
- Maximum Out-of-Pocket
- $7150.00In-network
- Part B Giveback
- Not offered
- Prescription Coverage
- Basic, $700.00 deductible
- Additional Benefits
- Dental, Vision, Hearing
- Service Area
- Goshen County, WY
- Local Enrollment
- 24 beneficiaries in Goshen County
WyoBlue Advantage Enhanced PPO (PPO) Introduction
This Medicare Advantage PPO plan, WyoBlue Advantage Enhanced PPO, is offered by WyoBlue Advantage and uses a Preferred Provider Organization (PPO) provider network. It comes with prescription drug coverage. For the 2027 plan year, the monthly premium is $169.00, the medical deductible is $0.00, and the in-network maximum out-of-pocket is $7150.00. The plan is identified by CMS Plan ID H9326-002. The 2027 Part D prescription drug deductible is $700.00.
Enrollment in this plan requires residence in Goshen County, Wyoming. CMS enrollment data reports 24 plan members in Goshen County. New members can call the plan directly at (888)468-0179 (TTY 711) for assistance.
Compare Similar Plans in Goshen County
Compare this plan with the two most-enrolled PPO plans available in Goshen County, Wyoming. Enrollment is based on CMS local enrollment data.
| Plan Detail | WyoBlue Advantage Enhanced PPO | WyoBlue Advantage Essential PPO | HumanaChoice H5525-054 |
|---|---|---|---|
| CMS Plan ID | H9326-002-0 |
H9326-001-0 |
H5525-054-0 |
| Local Enrollment | 24 | 328 | 121 |
| Monthly Premium | $169.00 | $69.00 | $70.00 |
| Medical Deductible | $0.00 | $200 | $500 |
| Maximum Out-of-Pocket | $7,150.00 | $9,850.00 | $7,150.00 |
| Part B Giveback | Not offered | Not offered | Not offered |
| Primary Care | $0 copay | $0 copay | $0 copay |
| Specialist | $50 copay | $55 copay | $45 copay |
| Part D Deductible | $700.00 | $700.00 | $700.00 |
| CMS Star Rating | Not yet rated | Not yet rated | 4.0 |
| Dental | $0 copay | $0 copay | $0 copay |
| Vision | $0 copay | $15 copay | $0 copay |
| Hearing | $0 copay | $0 copay | $0 copay |
Want to explore more options? Browse all Medicare Advantage plans in Goshen County, or compare Medicare Advantage plans across Wyoming, including premiums, out-of-pocket costs, CMS ratings, and enrollment.
Plan Benefits
WyoBlue Advantage Enhanced PPO 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 H9326-002.
You can also compare 2027 costs and coverage with last year, side-by-side: Plan H9326-002-0 Cost Compare.
Office Visits
- Primary care
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance - Specialist
- In-network: $50 copay
Out-of-network: $50 copay
Preventive and Wellness Services
- Annual wellness exam
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance - Telehealth benefit
- In-network: $0-$50 copay
- Routine chiropractic
- In-network: $45 copay
Out-of-network: $45 copay - Fitness benefits
- Coming soon
- Health education
- Not covered
- Counseling services
- Not covered
- Over-the-counter drug benefits
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance - Health transportation (non-emergency)
- Coming soon
Diagnostic, Lab, and Imaging Services
- Diagnostic radiology services
- In-network: $0-$400 copay
Out-of-network: $0-$400 copay - Lab services
- In-network: $25 copay
Out-of-network: $20 copay - Outpatient x-rays
- In-network: $20 copay
Out-of-network: $20 copay - Diagnostic tests and procedures
- In-network: $0-$200 copay
Out-of-network: $0-$200 copay
Emergency and Urgent Care Services
- Emergency room care
- $110 copay
- Worldwide emergency care
- Coming soon
- Urgent care
- $50 copay
- Inpatient hospital care
- In-network:
Tier 1
$450 per day for days 1-4
$0 per day for days 5-90
$0 per stay
Out-of-network:
$450 per day for days 1-4
$0 per day for days 5-90
$0 per stay - Skilled Nursing Facility
- In-network:
Tier 1
$0 per day for days 1-20
$200 per day for days 21-55
$0 per day for days 56-100
Out-of-network:
$0 per day for days 1-20
$200 per day for days 21-55
$0 per day for days 56-100
$0 per stay - Ground ambulance
- In-network: $475 copay
Out-of-network: $400 copay
Mental Health Services
- Outpatient individual therapy
- In-network: $50 copay
Out-of-network: $50 copay - Outpatient group therapy
- In-network: $50 copay
Out-of-network: $50 copay - Inpatient psychiatric hospital care
- In-network:
Tier 1
$450 per day for days 1-4
$0 per day for days 5-90
$0 per stay
Out-of-network:
$450 per day for days 1-4
$0 per day for days 5-90
$0 per stay
Rehabilitation Services
- Physical therapy and speech and language therapy
- In-network: $50 copay
Out-of-network: $50 copay - Occupational therapy
- In-network: $40 copay
Out-of-network: $40 copay
Medical Equipment and Supplies
- Diabetes supplies
- In-network: $0 copay
Out-of-network: 20% coinsurance - Durable medical equipment
- In-network: 20% coinsurance
Out-of-network: 30% coinsurance - Prosthetics
- In-network: 20% coinsurance
Out-of-network: 30% coinsurance
Medicare Part B Drugs
- Chemotherapy
- In-network: 0%-20% coinsurance
Out-of-network: 20% coinsurance - Other Part B drugs (Medicare-covered)
- In-network: 0%-20% coinsurance
Out-of-network: 35% coinsurance
Dental Services
- Oral exam
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance - Dental x-rays
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance - Cleaning
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance - Periodontics
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance - Endodontics
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance - Restorative services
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance - Implant services
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance - Orthodontics
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance - Oral/Maxillofacial surgery
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance
Vision Services
- Routine eye exam
- In-network: $0 copay
Out-of-network: 50% coinsurance - Contact lenses
- 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 - Eyeglass lenses only
- 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 - Upgrades
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance
Hearing Services
- Hearing exam
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance - Fitting/evaluation
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance - Prescription hearing aids
- 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
Additional and Special Needs Services
- Adult day health services
- Not covered
- Home-based palliative care
- Not covered
- Personal emergency response system
- Coming soon
- Weight management programs
- Not covered
- Wigs for chemotherapy-related hair loss
- Coming soon
- Alternative therapies
- Not covered
- Massage therapy
- Not covered
- Home/bathroom safety devices
- Not covered
Certain preventive services are covered 100% by WyoBlue Advantage Enhanced PPO as a Part B benefit.
Prescription Drug Coverage
WyoBlue Advantage Enhanced PPO 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 a basic benefit Medicare Part D plan (PDP), meeting the minimum coverage requirements defined by CMS.
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: | $40.50 |
| Supplemental Part D Premium: | $$0.00 |
| Total Part D Premium: | $40.50 |
| Low-Income Premium Subsidy: | $24.60 |
| Low-Income Premium Subsidy Paid by CMS: | $24.60 |
| Low-Income Subsidy Premium: | $15.90 |
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 WyoBlue Advantage starts contributing towards your prescription costs.
Prescription Drug Plan Out-of-Pocket Costs
Beyond premiums and deductibles, WyoBlue Advantage Enhanced PPO may have additional costs at pharmacies. The table below outlines out-of-pocket expenses by drug tier.
| Drug Tier | Retail | Mail Order |
|---|---|---|
| Preferred Generic | $5.00 copay | Coming soon |
| Generic | $9.00 copay | Coming soon |
| Preferred Brand | 21% coinsurance | Coming soon |
| Non-Preferred Drug | 29% coinsurance | Coming soon |
| Specialty Tier | 25% coinsurance | Coming soon |
| *Deductible does not apply. | ||
CMS 5-Star Performance Ratings (Contract ID: H9326)
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 | Plan too new to be measured |
| Managing Chronic (Long Term) Conditions | Plan too new to be measured |
| Member Experience with Health Plan | Plan too new to be measured |
| Complaints and Changes in Plans Performance | Plan too new to be measured |
| Health Plan Customer Service | Plan too new to be measured |
| Drug Plan Customer Service | Plan too new to be measured |
| Complaints and Changes in the Drug Plan | Plan too new to be measured |
| Member Experience with the Drug Plan | Plan too new to be measured |
| Drug Safety and Accuracy of Drug Pricing | Plan too new to be measured |
Contact Information for WyoBlue Advantage
- Website
- WyoBlue Advantage Plan Page
- Providers
- WyoBlue Advantage Providers Page
- Formulary
- WyoBlue Advantage Formulary Page
- Pharmacy
- WyoBlue Advantage Pharmacy Page
- New Member Health Plan Help
- (888)468-0179
- New Member Health Plan TTY
- 711
- New Member Part D Help
- (888)468-0179
- 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.
Medicare Advantage Plan Availability
WyoBlue Advantage Enhanced PPO is available to eligible Medicare beneficiaries residing in Goshen County, Wyoming, including communities such as Torrington, and other areas throughout the county. Enrollment eligibility is based on county of residence, not city.
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 |
|---|---|---|
| WyoBlue Advantage (official source) | http://WyoBlueAdvantage.com | October 4, 2026 |
| 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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Provenance documentation for this data is maintained under the U.S. Core Data for Interoperability (USCDI) Provenance standard.
Page content independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate, non-commercial Medicare plan interpretation and resolution.