Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026
Complete Blue PPO Distinct, 2027
H8166Contract007Plan
PPO · 2 counties in Delaware
Run by Highmark Bcbsd Inc. (contract H8166), sold as Highmark Blue Cross Blue Shield, owned by Highmark Health
Complete Blue PPO Distinct (H8166-007) costs $167 a month in 2027, up $33 from 2026, with an in-network out-of-pocket limit of $7,150 ($6,500 in 2026).
What changes from 2026 to 2027?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Monthly premium | $134 | $167 | ▲up $33 |
| In-network out-of-pocket limit | $6,500 | $7,150 | ▲up $650 |
| Drug deductible | $615 | $700 | ▲up $85 |
| Part B premium reduction, monthly | $16 | none | ▼dropped |
| Hospital stay, in network | $355 a day for days 1–5, then $0 a day for days 6–90 | $375 a day for days 1–7, then $0 a day for days 8–90 | ▲up $100for a 5-day stay |
| 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 | $320 copay | $275 copay | ▼down $45 |
| Eyewear, yearly limit | $200 a year | not offered | ▼dropped |
| 8 lines do not change | |||
| Primary care visit | $0 copay | $0 copay | no change |
| Specialist visit | $55 copay | $55 copay | no change |
| Emergency room | $130 copay | $130 copay | no change |
| Medical deductible, in network | none | none | no change |
| Comprehensive dental, yearly limit | not offered | not offered | no change |
| Hearing aids, yearly limit for both ears | not offered | not offered | no change |
| Over-the-counter items, yearly | not offered | not offered | no change |
| Counties served | 2 | 2 | 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.
How does it compare with plans sold where it is?
In the counties it serves, 17 plans open to everyone are sold for 2027, this one included. Against the others, 4 plans have a lower out-of-pocket limit, 7 the same, 5 a higher one. On the premium, 16 plans have a lower premium.
Out-of-pocket limits of the 17 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 2 counties: $167 a month and $7,150.
Delaware
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
- H8166-007
- Legal name of the contract
- Highmark Bcbsd Inc.
- Sold as
- Highmark Blue Cross Blue Shield
- Parent company
- Highmark Health
- Plan type
- PPO
- 2026 star rating of the contract
- 4 of 5 overall; health plan 3.5 of 5, drug plan 4 of 5
- Members, September 2026
- 202
- 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 Sussex, DEWhere most of its members live; premiums and limits side by side
- Every Highmark Blue Cross Blue Shield plan for 2027Its contracts, counties and plans that end
- The other 3 plans of contract H8166Same 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.