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Medicare Advantage Plan H7063-007-0 in Lincoln County, KS Blue Medicare Advantage Comprehensive (PPO) • 2026

CMS Rating:☆☆☆☆☆(3.5 out of 5 stars*)

Plan H7063-007-0, marketed as Blue Medicare Advantage Comprehensive (PPO), is a Medicare Advantage Plan offered by Blue Cross and Blue Shield of Kansas, with prescription drug coverage. This 2026 Part C plan has a Preferred Provider Organization (PPO) provider network.

The latest CMS enrollment data shows an estimated 718 Medicare beneficiaries are enrolled in this plan, with 0 members in Lincoln County, KS.

Last update:

Blue Medicare Advantage Comprehensive Overview

2026 Medicare Advantage Plan Overview for H7063-007-0
Plan Overview for H7063-007-0
CMS Plan ID: H7063-007-0
Plan Type: PPO
Plan Year: 2026
Monthly Premium: $35.00
Plus your Medicare Part B premium.
Medical Deductible: $0.00
Maximum Out-of-Pocket: $5000.00 (In-Network)
Part B Give Back: Not offered
Prescription Drug Coverage: Enhanced, $300.00 deductible
Additional Benefits: Dental, Vision, Hearing
Service Area: Lincoln County, KS
Enrollment (Nationwide): 718 beneficiaries
Enrollment (CMS – Local)0 beneficiaries in Lincoln County
Provided By: Blue Cross and Blue Shield of Kansas
If you qualify for Original Medicare and a Medicare Advantage Plan but don't know where to begin, our HealthCompare licensed insurance agents[1] are available at 1-833-748-3201 (TTY 711) to answer your questions (M-F 8AM-10PM, Sat 9AM-8PM EST) and help you enroll. There's no obligation.

To learn more about your plan options, costs, and enrollment periods without agent assistance, try our helpful Medicare Resources below (click to open).

Frequently Asked Questions About Blue Medicare Advantage Comprehensive (PPO)

Here are some of the most frequently asked questions people have about Plan ID H7063-007-0:

How much does Blue Medicare Advantage Comprehensive cost per month?

The 2026 monthly premium is $35.00, in addition to any Medicare Part B premium you must pay.

What is the maximum out-of-pocket limit for Blue Medicare Advantage Comprehensive?

The in-network maximum out-of-pocket (MOOP) limit for Blue Medicare Advantage Comprehensive is $5000.00 in 2026. After you reach this limit, the plan pays covered in-network Part A and Part B costs for the remainder of the year.

Does Blue Medicare Advantage Comprehensive include Medicare Part D prescription drug coverage?

Yes. Plan ID H7063-007-0 includes Medicare Part D prescription drug coverage, with a $300.00 deductible for 2026.

How is Plan ID H7063-007-0 rated by CMS?

Plan ID H7063-007-0 is included under contract H7063, which has a ★3.5 out of 5 CMS Star Rating for 2026.

What type of network does Plan ID H7063-007-0 have?

Blue Medicare Advantage Comprehensive uses a Preferred Provider Organization (PPO) provider network.

What is the enrollment for Plan ID H7063-007-0?

The most recent CMS enrollment data shows approximately 718 beneficiaries enrolled in this plan.

Who offers Blue Medicare Advantage Comprehensive?

Blue Cross and Blue Shield of Kansas provides Blue Medicare Advantage Comprehensive (PPO).

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Covered Services & Costs

Office Visits

This plan lists in-network cost sharing for primary care and specialist visits, along with related office-based services.

Primary care and specialist visit costs for this plan.
Covered Service In-Network Cost
Primary: In-network: $0 copay | Out-of-network: 30% coinsurance
Specialist: In-network: $35 copay | Out-of-network: 30% coinsurance

Preventive and Wellness Services

Preventive and wellness benefits may include routine exams, telehealth, fitness programs, health education, and other in-network services.

Preventive and wellness service costs and benefits for this plan.
Covered Service In-Network Cost
Annual wellness exam: In-network: $0 copay
Telehealth benefit: Not covered
Routine chiropractic: Not covered
Fitness benefits: In-network: $0 copay | Out-of-network: $0 copay, 0% coinsurance
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): Not covered

Diagnostic, Lab, and Imaging Services

Diagnostic coverage includes in-network cost sharing for lab tests, x-rays, radiology, and other diagnostic procedures used to evaluate health conditions.

Diagnostic, laboratory, and imaging service costs for this plan.
Covered Service In-Network Cost
Diagnostic radiology services: In-network: $35-$250 copay | Out-of-network: 30% coinsurance
Lab services: In-network: $0 copay | Out-of-network: 30% coinsurance
Outpatient x-rays: In-network: $0 copay | Out-of-network: 30% coinsurance
Diagnostic tests and procedures: In-network: $0 copay | Out-of-network: 30% coinsurance

Emergency and Urgent Care Services

Emergency and inpatient coverage includes cost sharing for urgent care, emergency room visits, ambulance transportation, hospital stays, and skilled nursing facility care.

Emergency, urgent care, hospital, ambulance, and skilled nursing costs for this plan.
Covered Service In-Network Cost
Emergency room care: $130 copay
Worldwide emergency care: $130 copay
Urgent care: $30 copay
Inpatient hospital care: In-network: | Tier 1 | $300 per day for days 1-6 | $0 per day for days 7-90 | $0 per stay | Out-of-network: | 30% per stay
Skilled Nursing Facility: In-network: | Tier 1 | $10 per day for days 1-20 | $218 per day for days 21-100 | Out-of-network: | 30% per stay
Ground ambulance: In-network: $300 copay | Out-of-network: $300 copay

Mental Health Services

Mental health coverage includes in-network cost sharing for outpatient individual and group therapy, as well as inpatient psychiatric hospital care.

Mental health therapy and inpatient psychiatric care costs for this plan.
Covered Service In-Network Cost
Outpatient individual therapy: In-network: $40 copay | Out-of-network: 30% coinsurance
Outpatient group therapy: In-network: $40 copay | Out-of-network: 30% coinsurance
Inpatient psychiatric hospital care: In-network: | Tier 1 | $300 per day for days 1-6 | $0 per day for days 7-90 | $0 per stay | Out-of-network: | 30% per stay

Rehabilitation Services

Rehabilitation coverage includes in-network cost sharing for physical therapy, speech and language therapy, and occupational therapy services.

Physical, speech, and occupational therapy costs for this plan.
Covered Service In-Network Cost
Physical therapy and speech and language therapy: In-network: $40 copay | Out-of-network: 30% coinsurance
Occupational therapy: In-network: $40 copay | Out-of-network: 30% coinsurance

Medical Equipment and Supplies

Medical equipment coverage includes in-network cost sharing for diabetes supplies, durable medical equipment, prosthetics, and related supplies.

Diabetes supplies, durable medical equipment, and prosthetic costs for this plan.
Covered Service In-Network Cost
Diabetes supplies: In-network: 0%-20% coinsurance | Out-of-network: 30% 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

Medicare Part B drug coverage includes in-network cost sharing for chemotherapy and other medications covered under Medicare Part B.

Chemotherapy and other Medicare Part B-covered drug costs for this plan.
Covered Service In-Network Cost
Chemotherapy: In-network: 0%-20% coinsurance | Out-of-network: 30% coinsurance
Other Part B drugs (Medicare-covered): In-network: 0%-20% coinsurance | Out-of-network: 30% coinsurance

Dental Services

Dental coverage includes in-network cost sharing for preventive care, exams, x-rays, cleanings, and comprehensive dental procedures.

Preventive and comprehensive dental service costs for this plan.
Covered Service In-Network Cost
Oral exam: In-network: $0 copay | Out-of-network: 30% coinsurance
Dental x-rays: In-network: $0 copay | Out-of-network: 30% coinsurance
Cleaning: In-network: $0 copay | Out-of-network: 30% coinsurance
Periodontics: In-network: $0 copay | Out-of-network: 30% coinsurance
Endodontics: In-network: $0 copay | Out-of-network: 30% coinsurance
Restorative services: In-network: $0 copay | Out-of-network: 30% coinsurance
Implant services: Not covered
Orthodontics: Not covered
Oral/Maxillofacial surgery: In-network: $0 copay | Out-of-network: 30% coinsurance

Vision Services

Vision coverage includes in-network cost sharing for routine eye exams, contact lenses, eyeglass frames and lenses, and related eyewear services.

Routine eye exams, contact lenses, and eyewear costs for this plan.
Covered Service In-Network Cost
Routine eye exam: In-network: $0 copay | Out-of-network: 30% coinsurance
Contact lenses: In-network: $0 copay | Out-of-network: 30% coinsurance
Eyeglass frames only: In-network: $0 copay | Out-of-network: 30% coinsurance
Eyeglass lenses only: In-network: $0 copay | Out-of-network: 30% coinsurance
Eyeglasses (frames & lenses): In-network: $0 copay | Out-of-network: 30% coinsurance
Upgrades: Not covered

Hearing Services

Hearing coverage includes in-network cost sharing for hearing exams, fittings and evaluations, prescription hearing aids, and over-the-counter hearing aids.

Hearing exams, fittings, and hearing aid costs for this plan.
Covered Service In-Network Cost
Hearing exam: In-network: $0 copay | Out-of-network: 30% coinsurance
Fitting/evaluation: In-network: $0 copay | Out-of-network: $0 copay, 0% coinsurance
Prescription hearing aids: In-network: $295-$1495 copay | Out-of-network: $0 copay, 0% coinsurance
OTC hearing aids: Not covered

Additional and Special Needs Services

Additional benefits may include in-network services for adult day health, palliative care, personal emergency response systems, weight management, alternative therapies, and home safety needs.

Additional and special needs service costs and benefits for this plan.
Covered Service In-Network Cost
Adult day health services: Not covered
Home-based palliative care: Not covered
Personal emergency response system: Not covered
Weight management programs: Not covered
Wigs for chemotherapy-related hair loss: Not covered
Alternative therapies: Not covered
Massage therapy: Not covered
Home/bathroom safety devices: Not covered

Blue Medicare Advantage Comprehensive covers 100% of certain preventive services as a required Part B benefit.

Prescription Drug Coverage

Part D Coverage Level (Benefit Design)

Blue Medicare Advantage Comprehensive includes an enhanced benefit Medicare Part D plan (PDP). Enhanced plans have a higher actuarial value than basic plans. Actuarial value simply refers to the percentage of cost that's covered by the plan.

Plan Premium

The following table outlines the prescription drug plan premium details of this plan.

Medicare Part D Premium Breakdown for Blue Medicare Advantage Comprehensive (PPO)
Part D Premium Component Amount
Basic Part D Premium: $35.00
Supplemental Part D Premium: $0.00
Total Part D Premium: $35.00
Low Income Premium Subsidy: $55.20
Low Income Premium Subsidy CMS Pays: $35.00
Low Income Subsidy Premium: $0.00

For more information about the Low Income Subsidy, refer to the Social Security Extra Help page.

Plan Deductible

The Medicare Part D annual deductible with this plan is $300.00. This is the amount you must pay at the pharmacy before Blue Cross and Blue Shield of Kansas begins paying its share.

Out-of-Pocket Costs

In addition to the plan's monthly premium and deductible, Blue Medicare Advantage Comprehensive has out-of-pocket costs that you must pay when you pick up your prescriptions. The following table shows you those costs.

Prescription Drug Tier Pricing for Blue Medicare Advantage Comprehensive (PPO)
Drug Tier Retail Mail Order
Preferred Generic$0.00 copayComing soon
Generic$0.00 copayComing soon
Preferred Brand24% coinsuranceComing soon
Non-Preferred Drug31% coinsuranceComing soon
Specialty Tier29% coinsuranceComing soon
*Deductible does not apply.

CMS Medicare Star Ratings

Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates Medicare Advantage PPOs across nine broad categories using a 5-star rating system. These star ratings provide insight into the quality of care and service you can expect from this Blue Cross and Blue Shield of Kansas plan.

2026 Medicare Star Ratings for Contract H7063
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 Not enough data available
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 Blue Cross and Blue Shield of Kansas

Call 833-748-3201 (TTY 711) to speak with a licensed HealthCompare insurance agent (M-F 8AM-10PM, Sat 9AM-8PM EST) and learn more about this plan and other plans on this site. You may also Enroll Online .

Blue Cross and Blue Shield of Kansas Plan Contact Details for Blue Medicare Advantage Comprehensive (PPO)
Contact Type Details
Website: Blue Cross and Blue Shield of Kansas Plan Page
New Members: 1-866-943-4144
Existing Members: 1-800-222-7645
Plan Address: 1133 SW Topeka Blvd | Topeka, KS 66629
Medicare Plan Decision Resources
Medicare Plan Data Sources and Methodology
Primary CMS datasets used to compile information about Plan ID H7063-007-0
Data Source Publisher CMS Version
Landscape Source Files Centers for Medicare & Medicaid Services 202608
Medicare Part C & D Performance Centers for Medicare & Medicaid Services 2026
Plan Benefits Package Centers for Medicare & Medicaid Services 2026
Monthly Enrollment by Contract/Plan/State/County Centers for Medicare & Medicaid Services 2026-08
Official plan information and secondary Medicare references.
Publisher Reference Last Accessed
Blue Cross and Blue Shield of Kansas (official source) http://www.bcbsks.com/medicare/ma-welcome October 13, 2025
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

Medicare.org independently compiles and interprets Medicare plan information using data published by the Centers for Medicare & Medicaid Services (CMS), official plan information, and other authoritative Medicare sources. The sources used for this plan are documented below.

Medicare.org is an independent Medicare information and enrollment resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program. Enrollment assistance is provided through HealthCompare, an Allstate company.