WyoBlue Advantage Entrust PPO (PPO) Medicare Advantage Plan H9326-003 • 2027 • Platte County, WY
- 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
- Platte County, WY
- Local Enrollment
- 63 beneficiaries in Platte County
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 Platte County, Wyoming to enroll in this plan. CMS reports 63 beneficiaries enrolled in this plan in Platte County. For assistance with this plan, new members can call (888)468-0179 (TTY 711).
Compare Similar Plans in Platte County
Compare this plan with the two most-enrolled PPO plans available in Platte County, Wyoming. Enrollment is based on CMS local enrollment data.
| Plan Detail | WyoBlue Advantage Entrust PPO | WyoBlue Advantage Essential PPO | WyoBlue Advantage Enhanced PPO |
|---|---|---|---|
| CMS Plan ID | H9326-003-0 |
H9326-001-0 |
H9326-002-0 |
| Local Enrollment | 63 | 285 | 26 |
| Monthly Premium | $0.00 | $69.00 | $169.00 |
| Medical Deductible | $0.00 | $200 | $0.00 |
| 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 | $50 copay |
| Part D Deductible | Not Applicable | $700.00 | $700.00 |
| CMS Star Rating | Not yet rated | Not yet rated | Not yet rated |
| 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 Platte 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.
| 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
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 Entrust PPO is available to eligible Medicare beneficiaries residing in Platte County, Wyoming, including communities such as Wheatland, 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 |
| 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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