2026 Medicare Advantage plan details
Review selected 2026 costs and benefits for Blue Shield Inspire. Verify your ZIP-code eligibility, care team, prescriptions, and pharmacy before enrolling.
2027 plan-year update
The plan-specific benefits, premiums, networks, formularies, and service areas currently shown are for 2026. We will replace them with verified 2027 information when official materials become available.
This page is a selected summary, not a complete description of benefits. You must continue to pay your Medicare Part B premium. Review the carrier document and Evidence of Coverage for limitations, exclusions, and complete plan rules.
Plan snapshot
Inspire is an HMO. Confirm the exact primary care doctor, medical group assignment, specialists, and hospitals in the plan network.
| Compare | Blue Shield Inspire (HMO) |
|---|---|
| Part D deductible | $250; does not apply to Tiers 1-2 |
| Selected Tier 1 / Tier 2 pricing | Tier 1: $0 preferred / $5 standard, 30-day retail |
| OTC allowance | $100 per quarter; no rollover |
| Routine vision eyewear | $300 frames every 2 years or contacts annually |
| Transportation | 24 one-way trips; 70-mile limit |
Prescription costs depend on the drug, tier, pharmacy, day supply, coverage phase, Extra Help status, and plan rules. “Not highlighted” does not necessarily mean a service is excluded; consult the full plan documents.
Network before extras
Do not rely on a hospital or medical-group name alone. Confirm the exact doctor, location, medical group assignment, and plan network for the 2026 plan before enrolling.
Original carrier material
These are unchanged consumer-facing 2026 carrier documents used to prepare the selected summary above. Broker FAQs and broker-only materials are not posted.
Benefits and costs shown are selected highlights from the linked 2026 carrier material and may be subject to eligibility, network, authorization, coverage, and other plan rules. Enrollment depends on the plan’s Medicare contract renewal.
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We do not offer every plan available in your area. Currently we represent 11 organizations which offer 58 products in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.
