BlueMedicare Premier (HMO) in Clay County, Florida — 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 Premier (HMO) (H1035-033) is a $0-premium Medicare Advantage HMO from Guidewell Mutual Holding Corporation available in Clay County, Florida in 2026, with a 4.0-star overall rating, a $5,500 in-network out-of-pocket maximum, and a $615 annual Part D drug deductible.
Plan facts (CMS CY2026 Landscape file)
| Organization | Guidewell Mutual Holding Corporation |
|---|---|
| Plan name | BlueMedicare Premier (HMO) |
| Contract ID | H1035 |
| Plan ID | 033 |
| Segment ID | 0 |
| Contract year | 2026 |
| Contract category | MA-PD |
| Plan type | HMO |
| SNP | No |
| Monthly consolidated premium | $0.00 |
| Part C premium | $0.00 |
| Part D basic premium | $0.00 |
| Part D total premium | $0.00 |
| Annual Part D deductible | $615.00 |
| Maximum out-of-pocket (in-network) | $5500.00 |
| Overall star rating | 4.0 |
How this plan is structured
- $0 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.
- HMO plan type. In an HMO-style Medicare Advantage plan, in-network care and primary-care referral rules generally apply. See how Medicare Advantage HMO and PPO plans differ.
- $5,500 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 = Clay 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 Clay County
The CMS CY2026 Landscape file lists 85 Medicare Advantage plans in Clay County, Florida, of which 9 carry a 5.0-star overall rating and 62 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $184.00 per month, and in-network out-of-pocket maximums range from $500.00 to $9250.00.
Other 5.0-star Medicare Advantage plans in Clay County (first three alphabetically):
| Plan | Organization | Premium | MOOP |
|---|---|---|---|
| DEVOTED C-SNP PLUS 090 FL (HMO C-SNP) | Devoted Health, Inc. | $4.80 | $9250.00 |
| DEVOTED C-SNP PREMIUM 071 FL (HMO C-SNP) | Devoted Health, Inc. | $4.80 | $4900.00 |
| DEVOTED CORE 029 FL (HMO) | Devoted Health, Inc. | $0.00 | $4900.00 |
For the full county plan directory, see all Medicare plans in Clay County, Florida.
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 — H1035-033.
- Call the plan (Guidewell Mutual Holding Corporation) 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 H1035-033 means
CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H1035-033, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 1035 are the contract number issued to the organization, and the three-digit 033 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 Premier (HMO) an HMO or PPO?
BlueMedicare Premier (HMO) is an HMO — a Health Maintenance Organization-style Medicare Advantage plan, meaning in-network care and referral rules generally apply.
Does BlueMedicare Premier (HMO) include prescription drug coverage?
Yes — BlueMedicare Premier (HMO) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $615.00 annual Part D drug deductible for 2026.
What is the maximum out-of-pocket cost for BlueMedicare Premier (HMO)?
The 2026 in-network maximum out-of-pocket limit for BlueMedicare Premier (HMO) is $5500.00, per the CMS CY2026 Landscape file.
What counties offer BlueMedicare Premier (HMO) (H1035-033)?
BlueMedicare Premier (HMO) (H1035-033) is offered in two Florida counties: Clay County and Duval 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.