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
Other plans under contract H3916
| Plan | Monthly premium | Out-of-pocket max | Drug deductible | Star 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.
Plan Atlas is an independent website. It is not connected with or endorsed by the U.S. government or the federal Medicare program, and it does not sell insurance.