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WyoBlue Advantage Entrust PPO (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for WyoBlue Advantage Entrust PPO (PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on WyoBlue Advantage Entrust PPO (PPO) in 2026, please refer to our full plan details page.
WyoBlue Advantage Entrust PPO (PPO) is a PPO plan offered by Blue Cross Blue Shield of Michigan Mutual Ins. Co. available for enrollment in 2026 to people living in Wyoming. The overall rating for this plan is not yet available for 2026.
It's important to know that WyoBlue Advantage Entrust PPO (PPO) is a Medicare Advantage (MA) Plan without drug coverage. That means that this plan covers medical services but doesn't cover prescription drugs. If you are looking for a plan with prescription drug coverage, please search for other MA and PDP plans offered in your area.
Key Plan Facts
Below are a few key facts and commonly-asked questions about WyoBlue Advantage Entrust PPO (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.
For WyoBlue Advantage Entrust PPO (PPO), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. This is the amount you must pay every month.
This plan does not come with a Part B Premium reduction. You must continue to pay your Part B premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
Drugs are not covered by this plan, so a prescription drug deductible is not applicable.
Out-of-Pocket Maximums
This plan has a combined Maximum Out-Of-Pocket cost of $10000.00 (in-network or out-of-network combined). You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $10000.00 for covered services, the plan will pay 100% of covered costs for the rest of the year.
The plan may have separate out-pocket-maximums for in-network and out-of-network services. See our full plan details page for more information.
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:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
Sign up for WyoBlue Advantage Entrust PPO (PPO)
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Drug Coverage
Prescription drugs are not covered by WyoBlue Advantage Entrust PPO (PPO).
Additional Benefits
The WyoBlue Advantage Entrust PPO (PPO) plan offers comprehensive coverage for essential medical services with predictable out-of-pocket costs. Members enjoy no copay for primary care doctor visits, annual physicals, and home health services, while specialist visits, urgent care, and emergency room services require copays ranging from $50 to $125. Inpatient hospital stays feature a $450 daily copay for the first four days, followed by no copay for days five through ninety. This plan also includes valuable supplemental benefits, such as no copay for routine hearing exams, dental cleanings, and select diagnostic services, alongside a $650 annual allowance for both eyewear and hearing aids. For specialized medical needs, members pay a 20% coinsurance and no copay for durable medical equipment and dialysis services. Additionally, the plan provides an over-the-counter wellness allowance of $50 every three months with no copay.
Inpatient Hospital See details
WyoBlue Advantage Entrust PPO (PPO) partially covers inpatient hospital services with no coinsurance, requiring a $450 daily copay for days 1 through 4 and no copay for days 5 through 90 for both acute and psychiatric stays. Unlimited additional acute days are covered at no copay, but additional psychiatric days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Outpatient services under the WyoBlue Advantage Entrust PPO (PPO) are covered with no coinsurance, featuring a $350 to $400 copay for outpatient hospital services and a $200 copay for ambulatory surgical center visits. Outpatient substance abuse sessions require a $50 copay with no coinsurance, while outpatient blood services are fully covered with no copay, no coinsurance, and no deductible.
Partial Hospitalization See details
The WyoBlue Advantage Entrust PPO (PPO) plan covers partial hospitalization services with a $105.00 copay and no coinsurance. Prior authorization is required to access this benefit.
Ambulance and Transportation Services See details
Ambulance services under WyoBlue Advantage Entrust PPO (PPO) require prior authorization, with ground ambulance services carrying a $400 copay and no coinsurance, and air ambulance services requiring a 20% coinsurance and no copay. Transportation services to plan-approved or other health-related locations are not covered.
Emergency Services See details
Emergency Services under the WyoBlue Advantage Entrust PPO (PPO) are covered with a $125 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services require a $50 copay and no coinsurance, while worldwide emergency, urgent, and transportation services are covered up to a $50,000 maximum with copays ranging from $50 to $125 and no coinsurance.
Primary Care See details
WyoBlue Advantage Entrust PPO (PPO) offers partially covered primary care benefits with no coinsurance for all services, including no copay for primary care doctor visits and opioid treatment, though podiatry services are not covered. Other covered services, including specialists, therapy, and mental health visits, require a $50 copay, while chiropractic services have a copay ranging from $15 to $45.
Preventive Services See details
Preventive services are offered by WyoBlue Advantage Entrust PPO (PPO) with no copay and no coinsurance for covered benefits like annual physicals, kidney disease education, and glaucoma screenings. Additional preventive benefits are partially covered; covered services include a fitness benefit, remote access technologies, and personal emergency response systems, while services such as health education, in-home safety assessments, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, palliative care, in-home support, caregiver support, additional tobacco cessation counseling, enhanced disease management, telemonitoring, home safety modifications, and counseling are not covered.
Hearing Services See details
WyoBlue Advantage Entrust PPO (PPO) covers routine hearing exams and fitting evaluations with no copay and no coinsurance. Prescription hearing aids are partially covered with no copay or coinsurance up to $650 per ear annually, but inner ear, outer ear, and over the ear devices are not covered. Over-the-counter hearing aids are also covered with no copay or coinsurance up to $50 per ear every three months for in-network services.
Vision Services See details
WyoBlue Advantage Entrust PPO (PPO) partially covers vision services, offering one routine eye exam per year with a $0 to $50 copay and no coinsurance, while other eye exam services are not covered. Eyewear is covered with no copay or coinsurance up to a combined maximum of $650 per year for contacts, eyeglasses, and upgrades.
Dental Services See details
WyoBlue Advantage Entrust PPO (PPO) offers partially covered dental services with a $50 copay and no coinsurance for Medicare-covered dental, and no copay or coinsurance for most other services up to a $650 annual maximum in and out-of-network. Covered services include cleanings, exams, and implants with no copay and no coinsurance, though adjunctive general services are not covered.
Home Infusion bundled Services See details
WyoBlue Advantage Entrust PPO (PPO) covers Home Infusion bundled Services with no copay, though prior authorization is required. Under this benefit, Medicare Part B insulin requires a $35 copay and no coinsurance, while chemotherapy and other Part B drugs have no copay and a 0% to 20% coinsurance.
Dialysis Services See details
WyoBlue Advantage Entrust PPO (PPO) covers dialysis services with no copay and a 20% coinsurance.
Medical Equipment See details
WyoBlue Advantage Entrust PPO (PPO) covers durable medical equipment, prosthetics, medical supplies, and diabetic therapeutic shoes or inserts with no copay and a 20% coinsurance. Diabetic supplies are not covered under this plan, and prior authorization is required for durable medical equipment and prosthetics.
Diagnostic and Radiological Services See details
WyoBlue Advantage Entrust PPO (PPO) covers diagnostic services with no coinsurance, featuring a $20 copay for lab services and copays ranging from no copay up to $200 for diagnostic procedures. Radiological services require prior authorization and include a $30 copay for X-rays, diagnostic radiology copays starting at no copay, and therapeutic radiology with a minimum 20% coinsurance.
Home Health Services See details
Home Health Services are covered under the WyoBlue Advantage Entrust PPO (PPO) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the WyoBlue Advantage Entrust PPO (PPO) plan.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by WyoBlue Advantage Entrust PPO (PPO) with no coinsurance, featuring no copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization is required, and additional days beyond the standard 100-day Medicare limit are not covered.
Other Services See details
Other services are partially covered by WyoBlue Advantage Entrust PPO (PPO), which includes an over-the-counter (OTC) benefit of up to $50 every three months with no copay and no coinsurance. Acupuncture, meal benefits, nicotine replacement therapy, and naloxone coverage are not covered.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
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