Blue Cross Medicare Advantage Optimum (PPO) in Guadalupe County, Texas — 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 Cross Medicare Advantage Optimum (PPO) (H1666-024) is a $142-premium Medicare Advantage PPO from Health Care Service Corporation available in Guadalupe County, Texas in 2026, with a 3.0-star overall rating, a $5,750 in-network out-of-pocket maximum, and a $300 annual Part D drug deductible.
Plan facts (CMS CY2026 Landscape file)
| Organization | Health Care Service Corporation |
|---|---|
| Plan name | Blue Cross Medicare Advantage Optimum (PPO) |
| Contract ID | H1666 |
| Plan ID | 024 |
| Segment ID | 0 |
| Contract year | 2026 |
| Contract category | MA-PD |
| Plan type | PPO |
| SNP | No |
| Monthly consolidated premium | $142.00 |
| Part C premium | $79.80 |
| Part D basic premium | $62.20 |
| Part D total premium | $62.20 |
| Annual Part D deductible | $300.00 |
| Maximum out-of-pocket (in-network) | $5750.00 |
| Overall star rating | 3.0 |
How this plan is structured
- $142 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.
- $5,750 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 = Guadalupe 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 Guadalupe County
The CMS CY2026 Landscape file lists 84 Medicare Advantage plans in Guadalupe County, Texas, of which 10 carry a 5.0-star overall rating and 51 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $142.00 per month, and in-network out-of-pocket maximums range from $3200.00 to $9250.00.
Other 5.0-star Medicare Advantage plans in Guadalupe County (first three alphabetically):
| Plan | Organization | Premium | MOOP |
|---|---|---|---|
| DEVOTED C-SNP 046 TX (HMO C-SNP) | Devoted Health, Inc. | $0.00 | $4450.00 |
| DEVOTED C-SNP PLUS 033 TX (HMO C-SNP) | Devoted Health, Inc. | $4.80 | $9250.00 |
| DEVOTED CORE 003 TX (HMO) | Devoted Health, Inc. | $0.00 | $3900.00 |
For the full county plan directory, see all Medicare plans in Guadalupe County, Texas.
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 — H1666-024.
- Call the plan (Health Care Service 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 H1666-024 means
CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H1666-024, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 1666 are the contract number issued to the organization, and the three-digit 024 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 Cross Medicare Advantage Optimum (PPO) an HMO or PPO?
Blue Cross Medicare Advantage Optimum (PPO) is a PPO Medicare Advantage plan.
Does Blue Cross Medicare Advantage Optimum (PPO) include prescription drug coverage?
Yes — Blue Cross Medicare Advantage Optimum (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 Cross Medicare Advantage Optimum (PPO)?
The 2026 in-network maximum out-of-pocket limit for Blue Cross Medicare Advantage Optimum (PPO) is $5750.00, per the CMS CY2026 Landscape file.
What counties offer Blue Cross Medicare Advantage Optimum (PPO) (H1666-024)?
Blue Cross Medicare Advantage Optimum (PPO) (H1666-024) is offered in 15 Texas counties: Atascosa County, Bandera County, Bexar County, Cameron County, Comal County, El Paso County, Gonzales County, Guadalupe County, Hidalgo County, Kendall County, McMullen County, Medina County, Real County, Willacy 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.