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Verified against CMS.gov · on Apr 1, 2026 Plan ID: H4152-022 Cross-check on Medicare.gov →

BlueCHiP for Medicare Access (HMO-POS)

Plan Year 2026
$27.30 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00 Annual Deductible
926 Drugs Covered
1 States Served

Top Covered Drugs

Most popular medications covered by this plan, ordered by national search frequency. Click any drug to see exact copay, restrictions, and alternatives.

# Drug Name Type Tier 30-Day Copay
1 Venlafaxine Hydrochloride Brand Tier 2 $0.00 Details
2 Haloperidol Brand Tier 3 $0.00 Details
3 KISQALI ribociclib Brand Tier 5 $0.00 Details
4 Xtandi enzalutamide Brand Tier 5 $0.00 Details
5 Trifluoperazine Hydrochloride trifluoperazine hydrochloride Brand Tier 3 $0.00 Details
6 Leucovorin Calcium Brand Tier 3 $0.00 Details
7 VARIVAX Varicella Virus Vaccine Live Brand Tier 1 $0.00 Details
8 Perphenazine perphenazine Brand Tier 4 $0.00 Details
9 Leucovorin Calcium Brand Tier 4 $0.00 Details
10 PREVYMIS LETERMOVIR Brand Tier 5 $0.00 Details
11 Loxapine Brand Tier 3 $0.00 Details
12 Levothyroxine Sodium levothyroxine sodium Brand Tier 1 $0.00 Details
13 Acarbose Brand Tier 2 $0.00 Details
14 Fiasp insulin aspart injection Brand Tier 3 $0.00 Details
15 Loxapine Brand Tier 3 $0.00 Details
16 Imatinib Mesylate Brand Tier 4 $0.00 Details
17 Valsartan valsartan Brand Tier 1 $0.00 Details
18 Venclexta Venetoclax Brand Tier 5 $0.00 Details
19 Dicyclomine Dicyclomine hydrochloride Brand Tier 2 $0.00 Details
20 Cobenfy xanomeline and trospium chloride Brand Tier 5 $0.00 Details

Showing 20 of 926 covered drugs.

Compare this plan against others for your medications Enter your drugs and ZIP to see personalized out-of-pocket costs.
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States Served (1)

This plan is available to Medicare beneficiaries in the following states.

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