BlueAdvantage Ruby (PPO) in Coffee 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
BlueAdvantage Ruby (PPO) (H7917-013) is a $107-premium Medicare Advantage PPO from BlueCross BlueShield of Tennessee available in Coffee County, Tennessee in 2026, with a 4.0-star overall rating, a $4,150 in-network out-of-pocket maximum, and a $250 annual Part D drug deductible.
Plan facts (CMS CY2026 Landscape file)
| Organization | BlueCross BlueShield of Tennessee |
|---|---|
| Plan name | BlueAdvantage Ruby (PPO) |
| Contract ID | H7917 |
| Plan ID | 013 |
| Segment ID | 0 |
| Contract year | 2026 |
| Contract category | MA-PD |
| Plan type | PPO |
| SNP | No |
| Monthly consolidated premium | $107.00 |
| Part C premium | $0.00 |
| Part D basic premium | $107.00 |
| Part D total premium | $107.00 |
| Annual Part D deductible | $250.00 |
| Maximum out-of-pocket (in-network) | $4150.00 |
| Overall star rating | 4.0 |
How this plan is structured
- $107 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 = Coffee 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 Coffee County
The CMS CY2026 Landscape file lists 55 Medicare Advantage plans in Coffee County, Tennessee, of which 2 carry a 5.0-star overall rating and 25 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $157.00 per month, and in-network out-of-pocket maximums range from $2975.00 to $9250.00.
Other 5.0-star Medicare Advantage plans in Coffee County (first three alphabetically):
| Plan | Organization | Premium | MOOP |
|---|---|---|---|
| NHC Advantage (HMO I-SNP) | Missouri Healthcare Advisors, LLC | $31.00 | $8100.00 |
| Senior Care (HMO I-SNP) | Missouri Healthcare Advisors, LLC | $0.00 | $5000.00 |
For the full county plan directory, see all Medicare plans in Coffee 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:
- Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H7917-013.
- 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.
- Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.
What H7917-013 means
CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H7917-013, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 7917 are the contract number issued to the organization, and the three-digit 013 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 BlueAdvantage Ruby (PPO) an HMO or PPO?
BlueAdvantage Ruby (PPO) is a PPO Medicare Advantage plan.
Does BlueAdvantage Ruby (PPO) include prescription drug coverage?
Yes — BlueAdvantage Ruby (PPO) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $250.00 annual Part D drug deductible for 2026.
What is the maximum out-of-pocket cost for BlueAdvantage Ruby (PPO)?
The 2026 in-network maximum out-of-pocket limit for BlueAdvantage Ruby (PPO) is $4150.00, per the CMS CY2026 Landscape file.
What counties offer BlueAdvantage Ruby (PPO) (H7917-013)?
BlueAdvantage Ruby (PPO) (H7917-013) is offered in 25 Tennessee counties: Bedford County, Cheatham County, Coffee County, Davidson County, Dickson County, Giles County, Hickman County, Houston County, Humphreys County, Lawrence County, Lewis County, Lincoln County, Marshall County, Maury County, Montgomery County, Moore County, Perry County, Robertson County, Rutherford County, Stewart County, Sumner County, Trousdale County, Wayne County, Williamson County, and Wilson 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.