Blue Medicare Advantage PPO (PPO) in Jones County, Iowa — 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 Medicare Advantage PPO (PPO) (H5900-001) is a $0-premium Medicare Advantage PPO from Blue Cross Blue Shield of Michigan Mutual Ins. Co. available in Jones County, Iowa in 2026, with a 3.5-star overall rating, a $4,150 in-network out-of-pocket maximum, and a $300 annual Part D drug deductible.
Plan facts (CMS CY2026 Landscape file)
| Organization | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
|---|---|
| Plan name | Blue Medicare Advantage PPO (PPO) |
| Contract ID | H5900 |
| Plan ID | 001 |
| Segment ID | 0 |
| Contract year | 2026 |
| Contract category | MA-PD |
| Plan type | PPO |
| 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 | $300.00 |
| Maximum out-of-pocket (in-network) | $4150.00 |
| Overall star rating | 3.5 |
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.
- PPO plan type. Plan-type rules determine in-network use and referrals. See how Medicare Advantage HMO and PPO plans differ.
- $4,150 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 = Jones 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 Jones County
The CMS CY2026 Landscape file lists 40 Medicare Advantage plans in Jones County, Iowa, of which 0 carry a 5.0-star overall rating and 22 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $138.00 per month, and in-network out-of-pocket maximums range from $3900.00 to $9250.00.
For the full county plan directory, see all Medicare plans in Jones County, Iowa.
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 — H5900-001.
- Call the plan (Blue Cross Blue Shield of Michigan Mutual Ins. Co.) 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 H5900-001 means
CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H5900-001, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 5900 are the contract number issued to the organization, and the three-digit 001 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 Medicare Advantage PPO (PPO) an HMO or PPO?
Blue Medicare Advantage PPO (PPO) is a PPO Medicare Advantage plan.
Does Blue Medicare Advantage PPO (PPO) include prescription drug coverage?
Yes — Blue Medicare Advantage PPO (PPO) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $300.00 annual Part D drug deductible for 2026.
What is the maximum out-of-pocket cost for Blue Medicare Advantage PPO (PPO)?
The 2026 in-network maximum out-of-pocket limit for Blue Medicare Advantage PPO (PPO) is $4150.00, per the CMS CY2026 Landscape file.
What counties offer Blue Medicare Advantage PPO (PPO) (H5900-001)?
Blue Medicare Advantage PPO (PPO) (H5900-001) is offered in 81 Iowa counties: Appanoose County, Audubon County, Benton County, Black Hawk County, Boone County, Buchanan County, Buena Vista County, Butler County, Calhoun County, Carroll County, Cedar County, Cerro Gordo County, Cherokee County, Clarke County, Clay County, Clayton County, Clinton County, Crawford County, Dallas County, Decatur County, Delaware County, Des Moines County, Dickinson County, Emmet County, Fayette County, Floyd County, Franklin County, Greene County, Grundy County, Hamilton County, Hancock County, Hardin County, Harrison County, Henry County, Howard County, Humboldt County, Ida County, Iowa County, Jackson County, Jasper County, Jefferson County, Johnson County, Jones County, Keokuk County, Kossuth County, Lee County, Linn County, Louisa County, Lucas County, Madison County, Mahaska County, Marion County, Marshall County, Mitchell County, Monona County, Monroe County, Montgomery County, Muscatine County, O'Brien County, Osceola County, Palo Alto County, Plymouth County, Pocahontas County, Polk County, Pottawattamie County, Poweshiek County, Ringgold County, Sac County, Scott County, Shelby County, Story County, Tama County, Taylor County, Warren County, Washington County, Wayne County, Webster County, Winnebago County, Woodbury County, Worth County, and Wright 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.