Blue Advantage Complete (PPO) in Pickens 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 Pickens 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)
| Organization | BlueCross BlueShield of Alabama |
|---|---|
| Plan name | Blue Advantage Complete (PPO) |
| Contract ID | H0104 |
| Plan ID | 012 |
| Segment ID | 0 |
| Contract year | 2026 |
| Contract category | MA-PD |
| Plan type | PPO |
| SNP | No |
| 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 rating | 3.5 |
How this plan is structured
- $36 consolidated premium. A $0 or near-$0 consolidated premium does not remove the Part B premium — the standard 2026 Part B premium is $202.90 per month and still applies. See the 2026 Medicare Part B premium.
- PPO plan type. Plan-type rules determine in-network use and referrals. See how Medicare Advantage HMO and PPO plans differ.
- $5,900 in-network out-of-pocket maximum. The MOOP is the annual cap on what a member pays in-network for covered Part A and Part B services. See how the Medicare Advantage MOOP works.
- Service area = Pickens County. Medicare Advantage plans are sold by service area; moving out of the plan's service area triggers a Special Enrollment Period to switch plans. See how moving changes your Medicare options.
How it compares in Pickens County
The CMS CY2026 Landscape file lists 42 Medicare Advantage plans in Pickens County, Alabama, of which 0 carry a 5.0-star overall rating and 21 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 $2900.00 to $9250.00.
For the full county plan directory, see all Medicare plans in Pickens 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:
- Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H0104-012.
- 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.
- 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
- CMS, Plan Year 2026 Medicare Advantage & Part D Landscape source file (March 2026) — retrieved 2026-07-18. Overall star rating year: 2026.
- Medicare.gov Plan Finder — compare plans and enroll.