Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026
Security Blue HMO-POS Deluxe, 2027
H3957Contract046Plan
HMO-POS · 28 counties in Pennsylvania
Run by Highmark Choice Company (contract H3957), sold as Highmark Blue Cross Blue Shield or Highmark Blue Shield, owned by Highmark Health
Security Blue HMO-POS Deluxe (H3957-046) costs $119 to $188 a month in 2027, down $19 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 | $138 to $179 | $119 to $188 | ▼down $19 |
| Part B premium reduction, monthly (best in its area) | $19 | $41 | ▲up $22 |
| 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 |
| Eyewear, yearly limit (best in its area) | $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 |
| Primary care visit (best in its area) | $0 copay | $0 copay | no change |
| Specialist visit (best in its area) | $25 copay | $25 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 |
| Hospital stay, in network (best in its area) | $210 a stay | $210 a stay | no change |
| Ground ambulance, in network (best in its area) | $260 copay | $260 copay | 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) | not offered | not offered | no change |
| Over-the-counter items, yearly (best in its area) | not offered | not offered | no change |
| Counties served | 28 | 28 | no change |
| Drug tier 1, preferred generic | $0 | $0 | no change |
| Drug tier 2, generic | $13 | $13 | no change |
| Drug tier 3, preferred brand | $42 | $42 | 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 | 2027 |
|---|---|---|---|
| Tier 1 | Preferred Generic | $0 | $0 |
| Tier 2 | Generic | $13 | $13 |
| Tier 3 | Preferred Brand | $42 | $42 |
| Tier 4 | Non-Preferred Drug | $100 | $100 |
| Tier 5 | Specialty Tier | 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, 99 plans open to everyone are sold for 2027, this one included. Against the others, 3 plans have a lower out-of-pocket limit, 4 the same, 91 a higher one. On the premium, 91 plans have a lower premium, 7 a higher one.
Out-of-pocket limits of the 99 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?
| Monthly premium | Out-of-pocket limit | Where |
|---|---|---|
| $119 | $4,500 | Bedford (PA), Blair (PA), Cameron (PA), Clarion (PA), Clearfield (PA), Crawford (PA), Elk (PA), Erie (PA), Forest (PA), Huntingdon (PA), Jefferson (PA), McKean (PA), Mercer (PA), Potter (PA), Somerset (PA), Venango (PA), Warren (PA) |
| $188 | $4,500 | Allegheny (PA), Armstrong (PA), Beaver (PA), Butler (PA), Cambria (PA), Fayette (PA), Greene (PA), Indiana (PA), Lawrence (PA), Washington (PA), Westmoreland (PA) |
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
- H3957-046
- Legal name of the contract
- Highmark Choice Company
- Sold as
- Highmark Blue Cross Blue Shield or Highmark Blue Shield
- Parent company
- Highmark Health
- Plan type
- HMO-POS
- 2026 star rating of the contract
- 4.5 of 5 overall; health plan 4.5 of 5, drug plan 5 of 5
- Members, September 2026
- 3,709
- 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 Allegheny, 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 10 plans of contract H3957Same 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.