BlueMedicare Value (PFFS) in Marion County, Arkansas — 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

BlueMedicare Value (PFFS) (H4213-019) is a $0-premium Medicare Advantage PFFS from USAble Mutual Insurance Company available in Marion County, Arkansas in 2026, with a 3.5-star overall rating, a $7,500 in-network out-of-pocket maximum, and a $0 annual Part D drug deductible.

Plan facts (CMS CY2026 Landscape file)

OrganizationUSAble Mutual Insurance Company
Plan nameBlueMedicare Value (PFFS)
Contract IDH4213
Plan ID019
Segment ID0
Contract year2026
Contract categoryMA
Plan typePFFS
SNPNo
Monthly consolidated premium
Part C premium$39.00
Part D basic premium
Part D total premium
Annual Part D deductible
Maximum out-of-pocket (in-network)$7500.00
Overall star rating3.5

How this plan is structured

How it compares in Marion County

The CMS CY2026 Landscape file lists 56 Medicare Advantage plans in Marion County, Arkansas, of which 0 carry a 5.0-star overall rating and 36 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $106.00 per month, and in-network out-of-pocket maximums range from $3700.00 to $9250.00.

For the full county plan directory, see all Medicare plans in Marion County, Arkansas.

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 — H4213-019.
  2. Call the plan (USAble Mutual Insurance Company) 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 H4213-019 means

CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H4213-019, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 4213 are the contract number issued to the organization, and the three-digit 019 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 BlueMedicare Value (PFFS) an HMO or PPO?

BlueMedicare Value (PFFS) is a PFFS Medicare Advantage plan.

Does BlueMedicare Value (PFFS) include prescription drug coverage?

BlueMedicare Value (PFFS) does not include Part D prescription drug coverage in its consolidated benefits.

What is the maximum out-of-pocket cost for BlueMedicare Value (PFFS)?

The 2026 in-network maximum out-of-pocket limit for BlueMedicare Value (PFFS) is $7500.00, per the CMS CY2026 Landscape file.

What counties offer BlueMedicare Value (PFFS) (H4213-019)?

BlueMedicare Value (PFFS) (H4213-019) is offered in 39 Arkansas counties: Baxter County, Benton County, Boone County, Carroll County, Clark County, Cleburne County, Conway County, Craighead County, Crawford County, Faulkner County, Franklin County, Fulton County, Garland County, Greene County, Hot Spring County, Izard County, Jefferson County, Johnson County, Logan County, Lonoke County, Madison County, Marion County, Newton County, Ouachita County, Perry County, Poinsett County, Polk County, Pope County, Pulaski County, Saline County, Scott County, Searcy County, Sebastian County, St. Francis County, Van Buren County, Washington County, White County, Woodruff County, and Yell County.

Sources