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Medicare Advantage Plan H8181-003-0 in Merrick County, NE Blue Cross and Blue Shield of Nebraska MA Secure (PPO) • 2026

CMS Rating:☆☆☆☆☆(3.0 out of 5 stars*)

Blue Cross and Blue Shield of Nebraska MA Secure (PPO), CMS Plan-ID H8181-003-0, is a 2026 Medicare Advantage Plan (Part C), with prescription drug coverage, by Blue Cross and Blue Shield of Nebraska. The plan uses a Preferred Provider Organization (PPO) provider network structure.

Based on the most recent CMS data, plan enrollments topped 2,556 members, with 26 in Merrick County, Nebraska.

Last update:

Blue Cross and Blue Shield of Nebraska MA Secure Overview

2026 Medicare Advantage Plan Overview for H8181-003-0
Plan Overview for H8181-003-0
CMS Plan ID: H8181-003-0
Plan Type: PPO
Plan Year: 2026
Monthly Premium: $91.00
Plus your Medicare Part B premium.
Medical Deductible: $0.00
Maximum Out-of-Pocket: $2500.00 (In-Network)
Part B Give Back: Not offered
Prescription Drug Coverage: Enhanced, $400.00 deductible
Additional Benefits: Dental, Vision, Hearing
Service Area: Merrick County, NE
Enrollment (Nationwide): 2,556 beneficiaries
Enrollment (CMS – Local)26 beneficiaries in Merrick County
Provided By: Blue Cross and Blue Shield of Nebraska
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).

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Frequently Asked Questions About Blue Cross and Blue Shield of Nebraska MA Secure (PPO)

Here are some of the most frequently asked questions people have about Plan ID H8181-003-0:

What is the 2026 premium for Plan ID H8181-003-0?

The 2026 monthly premium is $91.00, in addition to any Medicare Part B premium you must pay.

What is the out-of-pocket maximum for Plan ID H8181-003-0?

The 2026 in-network maximum out-of-pocket (MOOP) limit is $2500.00. After you reach this limit, the plan pays covered in-network Part A and Part B costs for the remainder of the year.

Does Plan ID H8181-003-0 cover prescription drugs?

Yes. Plan ID H8181-003-0 includes Medicare Part D prescription drug coverage, with a $400.00 deductible for 2026.

What is the CMS Star Rating for Blue Cross and Blue Shield of Nebraska MA Secure?

Contract H8181, which includes this plan, has a ★3.0 out of 5 CMS Star Rating for 2026.

Is Blue Cross and Blue Shield of Nebraska MA Secure an HMO, PPO, or another type of Medicare Advantage plan?

Blue Cross and Blue Shield of Nebraska MA Secure is a Preferred Provider Organization (PPO) Medicare Advantage plan.

How many people are enrolled in Blue Cross and Blue Shield of Nebraska MA Secure?

The most recent CMS enrollment data shows approximately 2,556 beneficiaries enrolled in Plan ID H8181-003-0.

Who provides Blue Cross and Blue Shield of Nebraska MA Secure (PPO)?

Blue Cross and Blue Shield of Nebraska MA Secure is offered by Blue Cross and Blue Shield of Nebraska.

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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 Nebraska plan.

2026 Medicare Star Ratings for Contract H8181
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 ☆☆☆☆☆

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: $15 copay
Specialist: In-network: $20 copay | Out-of-network: $40 copay

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: In-network: $0-$50 copay
Routine chiropractic: In-network: $20 copay | Out-of-network: $20 copay
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: $0-$195 copay | Out-of-network: $0-$195 copay
Lab services: In-network: $0 copay | Out-of-network: $20 copay
Outpatient x-rays: In-network: $20 copay | Out-of-network: $30 copay
Diagnostic tests and procedures: In-network: $0-$175 copay | Out-of-network: $0-$175 copay

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: $115 copay
Worldwide emergency care: $115 copay
Urgent care: $50 copay
Inpatient hospital care: In-network: | Tier 1 | $250 per day for days 1-4 | $0 per day for days 5-90 | $0 per stay | Out-of-network: | $250 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 | $204 per day for days 21-60 | $0 per day for days 61-100 | Out-of-network: | $0 per day for days 1-20 | $204 per day for days 21-80 | $0 per day for days 81-100 | $0 per stay
Ground ambulance: In-network: $350 copay | Out-of-network: $350 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: $20 copay | Out-of-network: $20 copay
Outpatient group therapy: In-network: $20 copay | Out-of-network: $20 copay
Inpatient psychiatric hospital care: In-network: | Tier 1 | $250 per day for days 1-4 | $0 per day for days 5-90 | $0 per stay | Out-of-network: | $250 per day for days 1-4 | $0 per day for days 5-90 | $0 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: $20 copay | Out-of-network: $20 copay
Occupational therapy: In-network: $20 copay | Out-of-network: $40 copay

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: 0%-20% coinsurance
Durable medical equipment: In-network: 20% coinsurance | Out-of-network: 20% coinsurance
Prosthetics: In-network: 20% coinsurance | Out-of-network: 20% 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: 0%-20% coinsurance
Other Part B drugs (Medicare-covered): In-network: 0%-20% coinsurance | Out-of-network: 0%-20% 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: $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: Not covered
Oral/Maxillofacial surgery: In-network: $0 copay | Out-of-network: $0 copay, 0% 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: $0 copay, 0% 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 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: $0 copay, 0% 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 Cross and Blue Shield of Nebraska MA Secure covers 100% of certain preventive services as a required Part B benefit.

Prescription Drug Coverage

Part D Coverage Level (Benefit Design)

Blue Cross and Blue Shield of Nebraska MA Secure 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 Cross and Blue Shield of Nebraska MA Secure (PPO)
Part D Premium Component Amount
Basic Part D Premium: $91.00
Supplemental Part D Premium: $0.00
Total Part D Premium: $91.00
Low Income Premium Subsidy: $41.47
Low Income Premium Subsidy CMS Pays: $41.50
Low Income Subsidy Premium: $49.50

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 $400.00. This is the amount you must pay at the pharmacy before Blue Cross and Blue Shield of Nebraska begins paying its share.

Out-of-Pocket Costs

In addition to the plan's monthly premium and deductible, Blue Cross and Blue Shield of Nebraska MA Secure 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 Cross and Blue Shield of Nebraska MA Secure (PPO)
Drug Tier Retail Mail Order
Preferred Generic$0.00 copayComing soon
Generic$14.00 copayComing soon
Preferred Brand$47.00 copayComing soon
Non-Preferred Drug$100.00 copayComing soon
Specialty Tier28% coinsuranceComing soon
*Deductible does not apply.

Contact Blue Cross and Blue Shield of Nebraska

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 Nebraska Plan Contact Details for Blue Cross and Blue Shield of Nebraska MA Secure (PPO)
Contact Type Details
Website: Blue Cross and Blue Shield of Nebraska Plan Page
New Members: 1-844-899-6060
Existing Members: 1-888-488-9850
Plan Address: PO Box 3248 | Omaha, NE 68105
Medicare Plan Data Sources and Methodology
Primary CMS datasets used to compile information about Plan ID H8181-003-0
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 Nebraska (official source) https://Medicare.NebraskaBlue.com October 13, 2025
CMS.gov Medicare Advantage Plan Fact Sheet 25 May, 2025
AARP.org The Big Choice: Original Medicare vs. Medicare Advantage 25 May, 2025
Medicare.gov Compare Original Medicare & Medicare Advantage 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.