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WyoBlue Advantage Entrust PPO (PPO) Medicare Advantage Plan H9326-003 • 2027 • Goshen County, WY

CMS Rating: Not yet rated by CMS.
Monthly Premium
$0.00Plus Part B premium.
Medical Deductible
$0.00
Maximum Out-of-Pocket
$6750.00In-network
Part B Giveback
Not offered
Prescription Coverage
Not Included
Additional Benefits
Dental, Vision, Hearing
Service Area
Goshen County, WY
Local Enrollment
25 beneficiaries in Goshen County
Last update:

WyoBlue Advantage Entrust PPO (PPO) Introduction

WyoBlue Advantage Entrust PPO is a Medicare Advantage PPO plan offered by WyoBlue Advantage. It uses a Preferred Provider Organization (PPO) provider network and comes without prescription drug coverage. For the 2027 plan year it has a $0.00 monthly premium, $0.00 medical deductible, and $6750.00 in-network maximum out-of-pocket. CMS Plan ID H9326-003 identifies this plan.

You must live in Goshen County, Wyoming to enroll in this plan. CMS reports 25 beneficiaries enrolled in this plan in Goshen County. For assistance with this plan, new members can call (888)468-0179 (TTY 711).

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.

PPO plan comparison for Goshen County, Wyoming
Plan Detail WyoBlue Advantage Entrust PPO WyoBlue Advantage Essential PPO HumanaChoice H5525-054
CMS Plan ID H9326-003-0 H9326-001-0 H5525-054-0
Local Enrollment 25 328 121
Monthly Premium $0.00 $69.00 $70.00
Medical Deductible $0.00 $200 $500
Maximum Out-of-Pocket $6,750.00 $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 Not Applicable $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 Entrust PPO has cost-sharing, meaning there are out-of-pocket costs when receiving covered healthcare services. The tables below detail the most common in-network out-of-pocket expenses for plan H9326-003.

You can also compare 2027 costs and coverage with last year, side-by-side: Plan H9326-003-0 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-$500 copay
Out-of-network: $0-$500 copay
Lab services
In-network: $20 copay
Out-of-network: $20 copay
Outpatient x-rays
In-network: $30 copay
Out-of-network: $30 copay
Diagnostic tests and procedures
In-network: $0-$200 copay
Out-of-network: $0-$200 copay

Emergency and Urgent Care Services

Emergency room care
$125 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
$218 per day for days 21-100
Out-of-network:
$0 per day for days 1-20
$218 per day for days 21-100
$0 per stay
Ground ambulance
In-network: $400 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: $50 copay
Out-of-network: $50 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: 35% coinsurance
Prosthetics
In-network: 20% coinsurance
Out-of-network: 35% 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 Entrust PPO as a Part B benefit.

Prescription Drug Coverage

This plan does not include a Medicare Part D plan for prescriptions.

CMS 5-Star Performance Ratings (Contract ID: H9326)

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.

2027 Medicare Star Ratings for Contract H9326
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
Medicare Advantage Plan Availability

WyoBlue Advantage Entrust 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
Primary CMS datasets used for this Medicare Advantage Plan resource.
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.

Official plan information and secondary Medicare references.
Publisher Reference Last Accessed
WyoBlue Advantage (official source) http://WyoBlueAdvantage.com October 4, 2026
Medicare.gov Understanding Medicare Advantage Plans 25 May, 2025
NCOA.org 5 Steps to Choosing the Right Medicare Plan for You 25 May, 2025
Medicare.gov Explore your Medicare coverage options 25 May, 2025

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Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard.