BlueAdvantage Sapphire (PPO) in Grundy 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 Sapphire (PPO) (H7917-030) is a $0-premium Medicare Advantage PPO from BlueCross BlueShield of Tennessee available in Grundy County, Tennessee in 2026, with a 4.0-star overall rating, a $4,200 in-network out-of-pocket maximum, and a $250 annual Part D drug deductible.

Plan facts (CMS CY2026 Landscape file)

OrganizationBlueCross BlueShield of Tennessee
Plan nameBlueAdvantage Sapphire (PPO)
Contract IDH7917
Plan ID030
Segment ID0
Contract year2026
Contract categoryMA-PD
Plan typePPO
SNPNo
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$250.00
Maximum out-of-pocket (in-network)$4200.00
Overall star rating4.0

How this plan is structured

How it compares in Grundy County

The CMS CY2026 Landscape file lists 63 Medicare Advantage plans in Grundy County, Tennessee, of which 0 carry a 5.0-star overall rating and 30 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 Grundy 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 — H7917-030.
  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 H7917-030 means

CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H7917-030, 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 030 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 Sapphire (PPO) an HMO or PPO?

BlueAdvantage Sapphire (PPO) is a PPO Medicare Advantage plan.

Does BlueAdvantage Sapphire (PPO) include prescription drug coverage?

Yes — BlueAdvantage Sapphire (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 Sapphire (PPO)?

The 2026 in-network maximum out-of-pocket limit for BlueAdvantage Sapphire (PPO) is $4200.00, per the CMS CY2026 Landscape file.

What counties offer BlueAdvantage Sapphire (PPO) (H7917-030)?

BlueAdvantage Sapphire (PPO) (H7917-030) is offered in 25 Tennessee counties: Bledsoe County, Bradley County, Cannon County, Clay County, Cumberland County, DeKalb County, Fentress County, Franklin County, Grundy County, Hamilton County, Jackson County, Macon County, Marion County, McMinn County, Meigs County, Overton County, Pickett County, Polk County, Putnam County, Rhea County, Sequatchie County, Smith County, Van Buren County, Warren County, and White County.

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