Regence MedAdvantage + Rx Classic (PPO)

Regence MedAdvantage + Rx Classic (PPO) is a PPO plan offered by Regence Bluecross Blueshield of Utah available for the 2026 plan year to people living in Select Counties in Utah. This plan received an overall rating of 3.5 out of 5 stars in 2026.

It's important to know that Regence MedAdvantage + Rx Classic (PPO) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.

Key Plan Facts

Below are a few key facts and commonly-asked questions about Regence MedAdvantage + Rx Classic (PPO).

Plan Costs:

The cost of a Medicare Advantage Plan is made up of four main parts.

• First, the monthly premium — the amount you pay every month.
• Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
• Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
• Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.

You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.

Common Services:

Drug Coverage

The Regence MedAdvantage + Rx Classic (PPO) plan features an annual drug deductible of $495. Tier 1 preferred generic drugs have no copay when filled at a preferred pharmacy or through preferred mail order, while standard pharmacies charge a $3 copay for a one-month supply. Tier 2 generic medications cost as low as a $5 copay for a one-month supply at preferred locations, with options for no copay on three-month preferred mail orders. Brand-name and specialty prescriptions under this plan are covered using coinsurance percentages instead of flat copays. Tier 3 preferred brand drugs require a 19% coinsurance at preferred pharmacies compared to 22% at standard pharmacies, while Tier 4 non-preferred drugs range from 35% to 38% coinsurance. Tier 5 specialty drugs carry a 25% coinsurance for a one-month supply across all pharmacy and mail-order options.

Additional Benefits

The Regence MedAdvantage + Rx Classic (PPO) plan offers robust medical coverage with no copay for primary care visits, telehealth services, and annual preventive physicals. For specialized care, members pay a $40 copay for specialist visits and outpatient hospital services, while inpatient hospital stays require a $350 daily copay for the first four days followed by no copay for days five through 90. Emergency care is accessible worldwide with a $130 copay, which is waived if you are admitted to the hospital within 48 hours. This plan also features strong supplemental coverage, including no copay for routine vision exams, eyeglass lenses, and preventive dental care up to a $1,250 annual limit. Routine hearing exams and home health services are available with no copay, though prescription hearing aids require a copay ranging from $499 to $999. Additionally, there is no copay or coinsurance for diabetic supplies, while durable medical equipment is covered with no copay and a 30% coinsurance.

Plan Providers

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, Health Care Service Corporation, HealthSpring^SM, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.