Medicare contract · plan years 2026 and 2027CMS landscape and crosswalk
Highmark Senior Health Company (H3916)
H3916Contract
A company of Highmark Health, sold as Highmark Blue Cross Blue Shield or Highmark Blue Shield
26 plans in 2027 (28 in 2026) · 154,435 members in September 2026
Highmark Senior Health Company is the Highmark Health company that holds Medicare contract H3916, sold as Highmark Blue Cross Blue Shield or Highmark Blue Shield. In 2027 it offers 26 plans (28 in 2026); 1 of its 2026 plans is not offered in 2027. 154,435 people were in its plans in September 2026.
What plans does H3916 offer for 2027?
| Plan | Type | Monthly premium | Out-of-pocket limit | Area | For 2027 |
|---|---|---|---|---|---|
| Freedom Blue PPO ClassicH3916-001 | PPO | $266 | $4,500 | 11 counties | renews |
| Freedom Blue PPO ClassicH3916-002 | PPO | $238 | $4,500 | 17 counties | renews |
| Freedom Blue PPO DeluxeH3916-005 | PPO | $239 | $4,500 | 34 counties | renews |
| Freedom Blue PPO BasicH3916-012 | PPO | $5 | $5,900 | 34 counties | renews |
| Freedom Blue PPO StandardH3916-015 | PPO | $135 | $5,000 | 34 counties | renews |
| Freedom Blue PPO ValueRxH3916-018 | PPO | $84 | $5,500 | 34 counties | renews |
| Freedom Blue PPO SelectH3916-022 | PPO | $157 | $5,000 | 11 counties | renews |
| Freedom Blue PPO SelectH3916-024 | PPO | $114 | $5,000 | 17 counties | renews |
| Freedom Blue PPO ValueRxH3916-032 | PPO | $97 | $5,500 | 11 counties | renews |
| Freedom Blue PPO ValueRxH3916-033 | PPO | $83 | $5,500 | 17 counties | renews |
| Complete Blue PPO DistinctH3916-035 | PPO | $41 to $63 | $6,950 | 17 counties | renews in more counties |
| Community Blue Medicare PPO SignatureH3916-037 | PPO | $0 | $7,150 | 15 counties | renews |
| Community Blue Medicare Plus PPO SignatureH3916-039 | PPO | $0 | $7,150 | 2 counties | renews |
| Complete Blue PPO SignatureH3916-041 | PPO | $0 | $7,150 | 17 counties | takes in other plans |
| Freedom Blue PPO ValorH3916-043 | PPO | $0 | $6,000 | 34 counties | renews |
| Freedom Blue PPO ValorH3916-056 | PPO | $0 | $6,000 | 4 counties | renews |
| Complete Blue PPO MeritH3916-057 | PPO | $0 | $8,300 | 11 counties | renews in fewer counties |
| Complete Blue PPO SignatureH3916-058 | PPO | $0 | $7,150 | 9 counties | renews |
| Complete Blue PPO DistinctH3916-060 | PPO | $73 to $116 | $6,750 | 25 counties | renews |
| Complete Blue Plus PPO DistinctH3916-061 | PPO | $90 to $117 | $6,750 | 3 counties | renews |
Show the other 6 plans, by plan number
| Plan | Type | Monthly premium | Out-of-pocket limit | Area | For 2027 |
|---|---|---|---|---|---|
| Complete Blue PPO DistinctH3916-062 | PPO | $137 | $6,750 | 4 counties | renews |
| Community Blue Medicare Plus PPO SignatureH3916-063 | PPO | $0 | $7,150 | 1 county | renews |
| Complete Blue Plus PPO MeritH3916-064 | PPO | $0 | $8,500 | 3 counties | renews |
| Community Blue Medicare PPO SignatureH3916-065 | PPO | $0 | $7,150 | 10 counties | renews |
| Freedom Blue PPO ValorH3916-067 | PPO | $0 | $6,000 | 28 counties | renews |
| Complete Blue PPO MeritH3916-069 | PPO | $0 | $8,300 | 25 counties | renews |
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 crosswalk from 2026 to 2027 (Oct. 1, 2026).
Which of its plans end?
| 2026 plan | Members, Sept. 2026 | Counties in 2026 |
|---|---|---|
| Complete Blue PPO DistinctH3916-059 | 2,918 | 15 |
Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).
Which employer and union group plans does it hold?
H3916 also holds 9 group plans offered through former employers and unions, with 85,332 members in September 2026 (plans with fewer than 11 not counted). They are not sold to individuals, so the landscape files list no premiums or benefits for them; the employer or union sends their 2027 terms.
| Plan ID | Plan name | Members, Sept. 2026 | 2027 |
|---|---|---|---|
| H3916-801 | Freedom Blue PPO MA PA CALENDAR | 18,790 | renews |
| H3916-802 | Freedom Blue PPO MAPD PA CALENDAR | 59,263 | renews |
| H3916-804 | Freedom Blue PPO MAPD PA Calendar Performance | 3,580 | renews |
| H3916-805 | Community Blue Medicare PPO MA PA Calendar | fewer than 11 | renews |
| H3916-806 | Community Blue Medicare PPO PA MAPD Calendar | 3,270 | renews |
| H3916-807 | Community Blue Medicare PPO MAPD Calendar Perform | 429 | renews |
| H3916-808 | Freedom Blue PPO MAPD ASO CALENDAR | fewer than 11 | renews |
| H3916-809 | Community Blue Medicare PPO ASO CALENDAR | fewer than 11 | renews |
| H3916-810 | Community Blue Medicare Plus PPO ASO CALENDAR | fewer than 11 | renews |
Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11); CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026).
How did CMS rate it for 2026?
The overall rating is 4.5 of 5 (health plan 4 of 5, drug plan 4.5 of 5). Of its 42 rated measures, the lowest and the highest:
| Lowest-rated measures | Stars |
|---|---|
| Improving or Maintaining Physical Health | 2 |
| Monitoring Physical Activity | 2 |
| Reducing the Risk of Falling | 2 |
| Improving Bladder Control | 2 |
| Highest-rated measures | Stars |
|---|---|
| Medication Adherence for Hypertension (RAS antagonists) | 5 |
| MPF Price Accuracy | 5 |
| Getting Needed Prescription Drugs | 5 |
| Members Choosing to Leave the Plan | 5 |
Source: CMS Part C and D Star Ratings data tables, 2026 (October 2025).
What else should you check?
- All Highmark Blue Cross Blue Shield or Highmark Blue Shield plansEvery contract of the brand
- Star ratings of every contractThe 2026 ratings, and 2027 when CMS publishes them
- Find a plan by its IDFrom the card or a letter