Medicare contract · plan years 2026 and 2027CMS landscape and crosswalk
Capital Advantage Insurance Company (H3923)
H3923Contract
A company of CAPITAL BLUE CROSS, sold as Capital Blue Cross
7 plans in 2027 (7 in 2026) · 40,577 members in September 2026
Capital Advantage Insurance Company is the CAPITAL BLUE CROSS company that holds Medicare contract H3923, sold as Capital Blue Cross. In 2027 it offers 7 plans (7 in 2026); every one of its 2026 plans continues in 2027. 40,577 people were in its plans in September 2026.
What plans does H3923 offer for 2027?
| Plan | Type | Monthly premium | Out-of-pocket limit | Area | For 2027 |
|---|---|---|---|---|---|
| Capital Blue Cross ClassicH3923-013 | PPO | $77 | $6,700 | 21 counties | renews |
| Capital Blue Cross PrimeH3923-017 | PPO | $184 | $6,700 | 21 counties | renews |
| Capital Blue Cross SelectH3923-044 | PPO | $0 | $8,800 | 18 counties | renews |
| Capital Blue Cross ValueH3923-045 | PPO | $0 | $9,000 | 21 counties | renews |
| Capital Blue Cross EnhancedH3923-046 | PPO | $29 to $36 | $6,800 | 16 counties | renews in fewer counties |
| Capital Blue Cross CompleteH3923-047 | PPO | $44 to $54 | $7,100 | 18 counties | renews in fewer counties |
| Capital Blue Cross BasicH3923-049 | PPO | $28 | $9,800 | 21 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 employer and union group plans does it hold?
H3923 also holds 7 group plans offered through former employers and unions, with 1,779 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 |
|---|---|---|---|
| H3923-801 | Capital Blue Cross Group Rx (CY) | fewer than 11 | renews |
| H3923-802 | Capital Blue Cross Group No Rx (CY) | fewer than 11 | renews |
| H3923-817 | Capital Blue Cross Group Custom Rx (CY) | 1,348 | renews |
| H3923-818 | Capital Blue Cross Group Rx Complete (CY) | 431 | renews |
| H3923-819 | Capital Blue Cross Group Rx Standard (CY) | fewer than 11 | renews |
| H3923-820 | Capital Blue Cross Group Rx (FY) | fewer than 11 | renews |
| H3923-832 | Capital Blue Cross Group No Rx (FY) | 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 4.5 of 5, drug plan 4 of 5). Of its 42 rated measures, the lowest and the highest:
| Lowest-rated measures | Stars |
|---|---|
| Osteoporosis Management in Women who had a Fracture | 2 |
| Rating of Drug Plan | 2 |
| MTM Program Completion Rate for CMR | 2 |
| Monitoring Physical Activity | 3 |
| Highest-rated measures | Stars |
|---|---|
| MPF Price Accuracy | 5 |
| Members Choosing to Leave the Plan | 5 |
| Complaints about the Drug Plan | 5 |
| Call Center – Foreign Language Interpreter and TTY Availability | 5 |
Source: CMS Part C and D Star Ratings data tables, 2026 (October 2025).
What else should you check?
- All Capital Blue Cross 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