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Capital Blue Cross Basic (PPO)

Pennsylvania Medicare Advantage Plan (2026 Plan)

Select your County to view details for Capital Blue Cross Basic (PPO) specific to your location

Overview of Capital Blue Cross Basic (PPO) in Pennsylvania

by Capital Blue Cross

Additional Coverage

HearingVisionDental

Overall Government Star Rating

 4.5
out of 5 stars

Variations of Capital Blue Cross Basic (PPO) Within Pennsylvania

Capital Blue Cross Basic (PPO) is available in 12 Pennsylvania Counties. Pricing and benefit details can vary by location. Each variation of Capital Blue Cross Basic (PPO) has a unique Plan ID and benefits which can differ by monthly premium, deductible, out-of-pocket maximum, and other costs such as copays and coinsurance. Each variation of Capital Blue Cross Basic (PPO) in Pennsylvania is listed below:

Capital Blue Cross Basic (PPO) H3923-048-3
Monthly Premium
$20 per month
Deductible
$500 annual deductible
Out-of-Pocket Max
$8,200 In and Out-of-network
$8,200 In-network
Available in Counties: Berks, Lehigh, Northampton, Schuylkill
Capital Blue Cross Basic (PPO) H3923-048-2
Monthly Premium
$20 per month
Deductible
$500 annual deductible
Out-of-Pocket Max
$8,200 In and Out-of-network
$8,200 In-network
Available in Counties: Columbia, Montour, Northumberland, Snyder, Union
Capital Blue Cross Basic (PPO) H3923-048-5
Monthly Premium
$20 per month
Deductible
$500 annual deductible
Out-of-Pocket Max
$8,200 In and Out-of-network
$8,200 In-network
Available in Counties: Adams, Franklin, York

Comparing the Quality Score of Capital Blue Cross Basic (PPO) to Other Plans in Pennsylvania

Each year the federal government evaluates the quality of Medicare Advantage and Part D Prescription Drug plans based on a 5-star scoring system. For 2026, Capital Blue Cross Basic (PPO) received an overall government quality rating of 4.5 stars out of 5 stars.

Capital Blue Cross Basic (PPO) performed better than Pennsylvania’s State average overall quality score of 4.1 stars.

This Plan’s 5-star Gov’t Quality Score
Pennsylvania State Average Score
Overall Government 5 Star Quality Rating
 4.5
 4.1
Summary rating of health plan quality
 4.5
 4.0
Staying healthy: screenings, tests, & vaccines
 4
 3.6
Managing chronic (long term) conditions
 4
 3.7
Member experience with health plan
 4
 4.1
Member complaints & changes in the health plan's performance
 5
 3.9
Health plan customer service
 4
 4.0
Summary rating of drug plan quality
 4
 4.0
Drug plan customer service
 4
 4.5
Member complaints & changes in the drug plan's performance
 5
 4.0
Member experience with the drug plan
 3
 4.1
Drug safety & accuracy of drug pricing
 4
 3.8

The government calculates an “Overall star rating” based on ratings for sub components including “Health plan star rating” and “Drug plan star rating”, which includes further subcomponents of each.

Capital Blue Cross Basic (PPO) received 4.5 stars for its health plan quality score which is better than the Pennsylvania State average health plan quality score of 4.0 stars.

Capital Blue Cross Basic (PPO) received 4 stars for its drug plan quality score which is the same as the Pennsylvania State average drug plan quality score of 4.0 stars.

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