Plan year 2026 · coverage ends Dec. 31, 2026CMS crosswalk of Oct. 1, 2026
Complete Blue PPO Signature is not offered under this ID in 2027
H3916Contract038Plan
PPO · served 3 counties in Pennsylvania in 2026
Run by Highmark Senior Health Company (contract H3916), sold as Highmark Blue Cross Blue Shield or Highmark Blue Shield, owned by Highmark Health
CMS crosswalk: members move into H3916-041
Complete Blue PPO Signature (H3916-038) is not offered under this ID in 2027: the CMS plan crosswalk of October 1, 2026 moves its members into Complete Blue PPO Signature (H3916-041), which is sold in every county it served. 4,909 people were enrolled in it in September 2026; they can also choose another plan during open enrollment, October 15 to December 7, 2026.
What changes for its members in Complete Blue PPO Signature?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| In-network out-of-pocket limit | $6,750 | $7,150 | ▲up $400 |
| Drug deductible | $615 | $700 | ▲up $85 |
| Part B premium reduction, monthly (best in its area) | $9 | none | ▼dropped |
| Specialist visit (best in its area) | $30 copay | $35 copay | ▲up $5 |
| Hospital stay, in network (best in its area) | $175 a day for days 1–5, then $0 a day for days 6–90 | $250 a day for days 1–7, then $0 a day for days 8–90 | ▲up $375for a 5-day stay |
| Skilled nursing facility, in network (best in its area) | $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 (best in its area) | $260 copay | $345 copay | ▲up $85 |
| Eyewear, yearly limit (best in its area) | $400 a year | not offered | ▼dropped |
| Over-the-counter items, yearly (best in its area) | $160 a year | $140 a year | ▼down $20 |
| Counties served | 3 | 17 | ▲up 14 |
| Drug tier 4, non-preferred drug | 30% of the cost | 28% of the cost | ▼down 2 points |
| 10 lines do not change | |||
| Monthly premium | $0 | $0 | no change |
| Primary care visit (best in its area) | $0 copay | $0 copay | no change |
| Emergency room (best in its area) | $130 copay | $130 copay | no change |
| Medical deductible, in network (best in its area) | none | none | no change |
| Comprehensive dental, yearly limit (best in its area) | not offered | not offered | no change |
| Hearing aids, yearly limit for both ears (best in its area) | $500 a year | $500 a year | no change |
| Drug tier 1, preferred generic | $7 | $7 | no change |
| Drug tier 2, generic | $15 | $15 | no change |
| Drug tier 3, preferred brand | 20% of the cost | 20% of the cost | no change |
| Drug tier 5, specialty tier | 25% of the cost | 25% of the cost | no change |
Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); 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. Your plan's Annual Notice of Change is the letter that confirms your 2027 plan; confirm on Medicare Plan Finder.
What can members do, and by when?
- If you do nothing
- You are moved into Complete Blue PPO Signature on January 1, 2027.
- October 15 to December 7, 2026
- Open enrollment: choose another Medicare Advantage plan, or Original Medicare with a drug plan, instead.
- January 1 to March 31, 2027
- Medicare Advantage open enrollment: switch once to another Medicare Advantage plan or to Original Medicare.
Source: Medicare.gov, “Special enrollment periods” and “Joining a plan” (read Oct. 7, 2026).
Where did its members live?
Where its members lived in September 2026; each county and state page lists the 2027 plans sold there.
Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).
What else should you check?
- 2027 plans in Erie, PAThe plans you can join instead
- Highmark Blue Cross Blue Shield or Highmark Blue Shield plans for 2027Plans the same company still offers
- Every plan not offered in 2027764 Medicare Advantage and drug plans