Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026
Freedom Blue PPO Classic, 2027
H3916Contract002Plan
PPO · 17 counties in Pennsylvania
Run by Highmark Senior Health Company (contract H3916), sold as Highmark Blue Cross Blue Shield or Highmark Blue Shield, owned by Highmark Health
Freedom Blue PPO Classic (H3916-002) costs $238 a month in 2027, up $18 from 2026, with an in-network out-of-pocket limit of $4,500.
What changes from 2026 to 2027?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Monthly premium | $220 | $238 | ▲up $18 |
| Skilled nursing facility, in network | $0 a day for days 1–20, then $218 a day for days 21–100 | $0 a day for days 1–20, then $221 a day for days 21–100 | ▲up $30for a 30-day stay |
| Ground ambulance, in network | $325 copay | $310 copay | ▼down $15 |
| Eyewear, yearly limit | $425 a year | not offered | ▼dropped |
| 17 lines do not change | |||
| In-network out-of-pocket limit | $4,500 | $4,500 | no change |
| Drug deductible | $0 | $0 | no change |
| Part B premium reduction, monthly | none | none | no change |
| Primary care visit | $0 copay | $0 copay | no change |
| Specialist visit | $25 copay | $25 copay | no change |
| Emergency room | $130 copay | $130 copay | no change |
| Medical deductible, in network | none | none | no change |
| Hospital stay, in network | $210 a stay | $210 a stay | no change |
| Comprehensive dental, yearly limit | not offered | not offered | no change |
| Hearing aids, yearly limit for both ears | $500 a year | $500 a year | no change |
| Over-the-counter items, yearly | not offered | not offered | no change |
| Counties served | 17 | 17 | no change |
| Drug tier 1, preferred generic | $5 | $5 | no change |
| Drug tier 2, generic | $19 | $19 | no change |
| Drug tier 3, preferred brand | $47 | $47 | no change |
| Drug tier 4, non-preferred drug | $100 | $100 | no change |
| Drug tier 5, specialty tier | 33% of the cost | 33% of the cost | no change |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026; CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026). Plan details can change during the year; confirm on Medicare Plan Finder.
What will prescriptions cost?
| Tier | What the tier holds | 2026, standard pharmacy | 2027, standard pharmacy | 2027, preferred pharmacy |
|---|---|---|---|---|
| Tier 1 | Preferred Generic | $5 | $5 | $0 |
| Tier 2 | Generic | $19 | $19 | $13 |
| Tier 3 | Preferred Brand | $47 | $47 | $45 |
| Tier 4 | Non-Preferred Drug | $100 | $100 | $95 |
| Tier 5 | Specialty Tier | 33% of the cost | 33% of the cost | 33% of the cost |
Source: CMS plan benefit package files, 2027 and 2026. Insulin is capped at $35 a month by law. A drug's tier is set by the plan's formulary.
How does it compare with plans sold where it is?
In the counties it serves, 86 plans open to everyone are sold for 2027, this one included. Against the others, 3 plans have a lower out-of-pocket limit, 3 the same, 79 a higher one. On the premium, 84 plans have a lower premium, 1 a higher one.
Out-of-pocket limits of the 86 plans open to everyone
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
Where is it sold, and what does it cost there?
The premium and the out-of-pocket limit are the same in all 17 counties: $238 a month and $4,500.
Pennsylvania
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
Who runs this plan?
- Plan ID
- H3916-002
- Legal name of the contract
- Highmark Senior Health Company
- Sold as
- Highmark Blue Cross Blue Shield or Highmark Blue Shield
- Parent company
- Highmark Health
- Plan type
- PPO
- 2026 star rating of the contract
- 4.5 of 5 overall; health plan 4 of 5, drug plan 4.5 of 5
- Members, September 2026
- 460
- Plan website, as filed with CMS
- medicare.highmark.com
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS 2026 Star Ratings (October 2025); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11). CMS publishes the 2027 Star Ratings in October 2026.
What else should you check?
- Other 2027 plans in Blair, PAWhere most of its members live; premiums and limits side by side
- Every Highmark Blue Cross Blue Shield or Highmark Blue Shield plan for 2027Its contracts, counties and plans that end
- The other 25 plans of contract H3916Same company, same contract
- Is your prescription covered?Coverage share and tier for 2,259 drugs
Data, not advice. These are the plan's filed amounts, not a quote for you; confirm on Medicare Plan Finder or call the plan before you enroll.