Blue Advantage Complete (PPO) in Madison County, Alabama — 2026 plan details

Last updated Jul 18, 2026

Reviewed by Jason Burns, Editorial Steward

Published by Senior Direct Answers · Licensed under Citation License 1.0

Blue Advantage Complete (PPO) (H0104-012) is a $36-premium Medicare Advantage PPO from BlueCross BlueShield of Alabama available in Madison County, Alabama in 2026, with a 3.5-star overall rating, a $5,900 in-network out-of-pocket maximum, and a $200 annual Part D drug deductible.

Plan facts (CMS CY2026 Landscape file)

OrganizationBlueCross BlueShield of Alabama
Plan nameBlue Advantage Complete (PPO)
Contract IDH0104
Plan ID012
Segment ID0
Contract year2026
Contract categoryMA-PD
Plan typePPO
SNPNo
Monthly consolidated premium$35.50
Part C premium$0.00
Part D basic premium$35.50
Part D total premium$35.50
Annual Part D deductible$200.00
Maximum out-of-pocket (in-network)$5900.00
Overall star rating3.5

How this plan is structured

How it compares in Madison County

The CMS CY2026 Landscape file lists 66 Medicare Advantage plans in Madison County, Alabama, of which 0 carry a 5.0-star overall rating and 34 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $163.00 per month, and in-network out-of-pocket maximums range from $1800.00 to $9250.00.

For the full county plan directory, see all Medicare plans in Madison County, Alabama.

How to verify your doctors take this plan

Network participation changes throughout the year; we hold no provider-network data, so verify directly with these three sources before you decide:

  1. Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H0104-012.
  2. Call the plan (BlueCross BlueShield of Alabama) using the member-services number listed on that plan page and ask whether each doctor, hospital, and pharmacy is in-network for 2026.
  3. Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.

What H0104-012 means

CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H0104-012, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 0104 are the contract number issued to the organization, and the three-digit 012 is the plan benefit package under that contract. The segment ID 0 identifies the service-area segment within the plan (0 = the default single segment).

Frequently asked questions

Is Blue Advantage Complete (PPO) an HMO or PPO?

Blue Advantage Complete (PPO) is a PPO Medicare Advantage plan.

Does Blue Advantage Complete (PPO) include prescription drug coverage?

Yes — Blue Advantage Complete (PPO) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $200.00 annual Part D drug deductible for 2026.

What is the maximum out-of-pocket cost for Blue Advantage Complete (PPO)?

The 2026 in-network maximum out-of-pocket limit for Blue Advantage Complete (PPO) is $5900.00, per the CMS CY2026 Landscape file.

What counties offer Blue Advantage Complete (PPO) (H0104-012)?

Blue Advantage Complete (PPO) (H0104-012) is offered in 60 Alabama counties: Autauga County, Barbour County, Blount County, Bullock County, Butler County, Calhoun County, Chambers County, Cherokee County, Choctaw County, Clarke County, Clay County, Cleburne County, Coffee County, Colbert County, Conecuh County, Coosa County, Covington County, Crenshaw County, Cullman County, Dale County, Dallas County, DeKalb County, Elmore County, Escambia County, Etowah County, Fayette County, Franklin County, Geneva County, Greene County, Hale County, Henry County, Houston County, Jackson County, Lamar County, Lauderdale County, Lawrence County, Lee County, Limestone County, Lowndes County, Macon County, Madison County, Marengo County, Marion County, Marshall County, Monroe County, Montgomery County, Morgan County, Perry County, Pickens County, Pike County, Randolph County, Russell County, St. Clair County, Sumter County, Talladega County, Tallapoosa County, Tuscaloosa County, Washington County, Wilcox County, and Winston County.

Sources