BlueCare Plus (HMO D-SNP) in Claiborne County, Tennessee — 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

BlueCare Plus (HMO D-SNP) (H3259-001) is a $28-premium Medicare Advantage HMO D-SNP from BlueCross BlueShield of Tennessee available in Claiborne County, Tennessee in 2026, with a 3.5-star overall rating, a $9,250 in-network out-of-pocket maximum, and a $615 annual Part D drug deductible.

Plan facts (CMS CY2026 Landscape file)

OrganizationBlueCross BlueShield of Tennessee
Plan nameBlueCare Plus (HMO D-SNP)
Contract IDH3259
Plan ID001
Segment ID0
Contract year2026
Contract categorySNP
Plan typeHMO D-SNP
SNPYes — Dual-Eligible
Monthly consolidated premium$27.70
Part C premium$0.00
Part D basic premium$27.70
Part D total premium$27.70
Annual Part D deductible$615.00
Maximum out-of-pocket (in-network)$9250.00
Overall star rating3.5

How this plan is structured

  • $28 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 D-SNP 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.
  • $9,250 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 = Claiborne 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 Claiborne County

The CMS CY2026 Landscape file lists 56 Medicare Advantage plans in Claiborne County, Tennessee, of which 0 carry a 5.0-star overall rating and 26 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $147.00 per month, and in-network out-of-pocket maximums range from $1900.00 to $9250.00.

For the full county plan directory, see all Medicare plans in Claiborne County, Tennessee.

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 — H3259-001.
  2. Call the plan (BlueCross BlueShield of Tennessee) 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 H3259-001 means

CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H3259-001, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 3259 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 BlueCare Plus (HMO D-SNP) an HMO or PPO?

BlueCare Plus (HMO D-SNP) is an HMO D-SNP — a Health Maintenance Organization-style Medicare Advantage plan, meaning in-network care and referral rules generally apply.

Does BlueCare Plus (HMO D-SNP) include prescription drug coverage?

Yes — BlueCare Plus (HMO D-SNP) 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 BlueCare Plus (HMO D-SNP)?

The 2026 in-network maximum out-of-pocket limit for BlueCare Plus (HMO D-SNP) is $9250.00, per the CMS CY2026 Landscape file.

What counties offer BlueCare Plus (HMO D-SNP) (H3259-001)?

BlueCare Plus (HMO D-SNP) (H3259-001) is offered in 95 Tennessee counties: Anderson County, Bedford County, Benton County, Bledsoe County, Blount County, Bradley County, Campbell County, Cannon County, Carroll County, Carter County, Cheatham County, Chester County, Claiborne County, Clay County, Cocke County, Coffee County, Crockett County, Cumberland County, Davidson County, Decatur County, DeKalb County, Dickson County, Dyer County, Fayette County, Fentress County, Franklin County, Gibson County, Giles County, Grainger County, Greene County, Grundy County, Hamblen County, Hamilton County, Hancock County, Hardeman County, Hardin County, Hawkins County, Haywood County, Henderson County, Henry County, Hickman County, Houston County, Humphreys County, Jackson County, Jefferson County, Johnson County, Knox County, Lake County, Lauderdale County, Lawrence County, Lewis County, Lincoln County, Loudon County, Macon County, Madison County, Marion County, Marshall County, Maury County, McMinn County, McNairy County, Meigs County, Monroe County, Montgomery County, Moore County, Morgan County, Obion County, Overton County, Perry County, Pickett County, Polk County, Putnam County, Rhea County, Roane County, Robertson County, Rutherford County, Scott County, Sequatchie County, Sevier County, Shelby County, Smith County, Stewart County, Sullivan County, Sumner County, Tipton County, Trousdale County, Unicoi County, Union County, Van Buren County, Warren County, Washington County, Wayne County, Weakley County, White County, Williamson County, and Wilson County.

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