Complete Blue PPO Distinct (PPO)

Medicare Advantage PPO with drug coverage · Highmark Blue Cross Blue Shield or Highmark Blue Shield

Plan IDH3916-059-1
$30monthly premium, 2026
$6,500in-network out-of-pocket max
$615drug deductible
4.5overall star rating

Costs

Part C premium
$24
Part D premium
$6 (basic $6, supplemental $0)
Total monthly premium
$30
Out-of-pocket maximum
$6,500.00
Drug deductible
$615
Extra Help premium subsidy
$32.71

Plan details

Plan type
PPO
Drug coverage
Yes (enhanced alternative)
Organization
Highmark Health · HIGHMARK SENIOR HEALTH COMPANY
Health plan rating
★★★★ 4.0
Drug plan rating
★★★★½ 4.5
Region
Pennsylvania and West Virginia

Where this plan is available

Pennsylvania: Blair, Cambria, Clarion, Greene, Jefferson, Somerset

Other plans under contract H3916

PlanMonthly premiumOut-of-pocket maxDrug deductibleStar rating
Freedom Blue PPO Classic (PPO)Highmark Blue Cross Blue Shield or Highmark Blue Shield · H3916-001-0 · PPO $248 $4,500 $0 ★★★★½ 4.5
Freedom Blue PPO Classic (PPO)Highmark Blue Cross Blue Shield or Highmark Blue Shield · H3916-002-0 · PPO $220 $4,500 $0 ★★★★½ 4.5
Freedom Blue PPO Deluxe (PPO)Highmark Blue Cross Blue Shield or Highmark Blue Shield · H3916-005-0 · PPO $226 $4,500 $0 ★★★★½ 4.5
Freedom Blue PPO Basic (PPO)Highmark Blue Cross Blue Shield or Highmark Blue Shield · H3916-012-0 · PPO $41 $5,900 no drug coverage ★★★★½ 4.5
Freedom Blue PPO Standard (PPO)Highmark Blue Cross Blue Shield or Highmark Blue Shield · H3916-015-0 · PPO $121 $5,000 $0 ★★★★½ 4.5
Freedom Blue PPO ValueRx (PPO)Highmark Blue Cross Blue Shield or Highmark Blue Shield · H3916-018-0 · PPO $66 $5,500 $0 ★★★★½ 4.5
Freedom Blue PPO Select (PPO)Highmark Blue Cross Blue Shield or Highmark Blue Shield · H3916-022-0 · PPO $139 $5,000 $0 ★★★★½ 4.5
Freedom Blue PPO Select (PPO)Highmark Blue Cross Blue Shield or Highmark Blue Shield · H3916-024-0 · PPO $96 $5,000 $0 ★★★★½ 4.5
Freedom Blue PPO ValueRx (PPO)Highmark Blue Cross Blue Shield or Highmark Blue Shield · H3916-032-0 · PPO $79 $5,500 $0 ★★★★½ 4.5
Freedom Blue PPO ValueRx (PPO)Highmark Blue Cross Blue Shield or Highmark Blue Shield · H3916-033-0 · PPO $65 $5,500 $0 ★★★★½ 4.5
Complete Blue PPO Distinct (PPO)Highmark Blue Cross Blue Shield or Highmark Blue Shield · H3916-035-1 · PPO $23 $6,500 $615 ★★★★½ 4.5
Complete Blue PPO Distinct (PPO)Highmark Blue Cross Blue Shield or Highmark Blue Shield · H3916-035-2 · PPO $25 $6,500 $615 ★★★★½ 4.5
Community Blue Medicare PPO Signature (PPO)Highmark Blue Cross Blue Shield or Highmark Blue Shield · H3916-037-2 · PPO $0 $7,950 $615 ★★★★½ 4.5
Community Blue Medicare PPO Signature (PPO)Highmark Blue Cross Blue Shield or Highmark Blue Shield · H3916-037-4 · PPO $0 $7,950 $615 ★★★★½ 4.5
Community Blue Medicare PPO Signature (PPO)Highmark Blue Cross Blue Shield or Highmark Blue Shield · H3916-037-5 · PPO $0 $7,950 $615 ★★★★½ 4.5
Community Blue Medicare PPO Signature (PPO)Highmark Blue Cross Blue Shield or Highmark Blue Shield · H3916-037-6 · PPO $0 $7,950 $615 ★★★★½ 4.5
Community Blue Medicare PPO Signature (PPO)Highmark Blue Cross Blue Shield or Highmark Blue Shield · H3916-037-7 · PPO $0 $7,950 $615 ★★★★½ 4.5
Community Blue Medicare PPO Signature (PPO)Highmark Blue Cross Blue Shield or Highmark Blue Shield · H3916-037-8 · PPO $0 $7,950 $615 ★★★★½ 4.5
Complete Blue PPO Signature (PPO)Highmark Blue Cross Blue Shield or Highmark Blue Shield · H3916-038-0 · PPO $0 $6,750 $615 ★★★★½ 4.5
Community Blue Medicare Plus PPO Signature (PPO)Highmark Blue Cross Blue Shield or Highmark Blue Shield · H3916-039-0 · PPO $0 $7,950 $615 ★★★★½ 4.5
Complete Blue PPO Signature (PPO)Highmark Blue Cross Blue Shield or Highmark Blue Shield · H3916-041-1 · PPO $0 $6,750 $615 ★★★★½ 4.5
Complete Blue PPO Signature (PPO)Highmark Blue Cross Blue Shield or Highmark Blue Shield · H3916-041-2 · PPO $0 $6,750 $615 ★★★★½ 4.5
Complete Blue PPO Signature (PPO)Highmark Blue Cross Blue Shield or Highmark Blue Shield · H3916-041-3 · PPO $0 $6,750 $615 ★★★★½ 4.5
Freedom Blue PPO Valor (PPO)Highmark Blue Cross Blue Shield or Highmark Blue Shield · H3916-043-0 · PPO $0 $6,000 no drug coverage ★★★★½ 4.5
Freedom Blue PPO Valor (PPO)Highmark Blue Cross Blue Shield or Highmark Blue Shield · H3916-056-0 · PPO $0 $6,000 no drug coverage ★★★★½ 4.5
Complete Blue PPO Merit (PPO)Highmark Blue Cross Blue Shield or Highmark Blue Shield · H3916-057-0 · PPO $0 $8,300 $615 ★★★★½ 4.5
Complete Blue PPO Signature (PPO)Highmark Blue Cross Blue Shield or Highmark Blue Shield · H3916-058-0 · PPO $0 $7,550 $615 ★★★★½ 4.5
Complete Blue PPO Distinct (PPO)Highmark Blue Cross Blue Shield or Highmark Blue Shield · H3916-059-2 · PPO $39 $6,500 $615 ★★★★½ 4.5
Complete Blue PPO Distinct (PPO)Highmark Blue Cross Blue Shield or Highmark Blue Shield · H3916-060-1 · PPO $55 $6,750 $615 ★★★★½ 4.5
Complete Blue PPO Distinct (PPO)Highmark Blue Cross Blue Shield or Highmark Blue Shield · H3916-060-2 · PPO $55 $6,750 $615 ★★★★½ 4.5

Questions and answers

What is the monthly premium for Complete Blue PPO Distinct (PPO)?

For 2026 the plan premium is $30 a month in addition to the Medicare Part B premium.

What is the maximum out-of-pocket for Complete Blue PPO Distinct (PPO)?

The in-network maximum out-of-pocket limit is $6,500.00.

What is the drug deductible?

The annual Part D deductible is $615.

What is the star rating of Complete Blue PPO Distinct (PPO)?

CMS gave the plan an overall rating of 4.5 out of 5 stars.

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