Complete Blue PPO Distinct (PPO)

Highmark Blue Cross Blue Shield or Highmark Blue Shield
by Highmark Blue Cross Blue Shield or Highmark Blue Shield
2026 Medicare Advantage plan
Plan ID · set by county
Additional benefits:
HearingVisionDental
Medicare Advantage 4.5 Overall

Pricing and benefits vary by location. Choose your county to confirm the exact Plan ID and costs for your area.

Monthly plan premium $23+ / mo
Annual deductible Set by county
Max out-of-pocket · in-network Set by county
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4.5 Medicare Overall Star Rating 2026 · out of 5 stars
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Variations within Pennsylvania

Complete Blue PPO Distinct (PPO) is available in 55 counties in Pennsylvania. Pricing and benefit details can vary by location — each variation has a unique Plan ID and may differ by monthly premium, deductible, out-of-pocket maximum, and other costs such as copays and coinsurance. Choose the variation that covers your county to view its full plan details.

H3916-035-1 Complete Blue PPO Distinct (PPO)
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Premium $23/mo
Deductible $0
Out-of-pocket max $6,500
Available in counties Allegheny, Armstrong, Beaver, Butler, Washington
H3916-035-2 Complete Blue PPO Distinct (PPO)
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Premium $25/mo
Deductible $0
Out-of-pocket max $6,500
Available in counties Erie, Fayette, Indiana, Lawrence, Mercer, Westmoreland
H3916-059-1 Complete Blue PPO Distinct (PPO)
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Premium $30/mo
Deductible $0
Out-of-pocket max $6,500
Available in counties Blair, Cambria, Clarion, Greene, Jefferson, Somerset
H3916-059-2 Complete Blue PPO Distinct (PPO)
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Premium $39/mo
Deductible $0
Out-of-pocket max $6,500
Available in counties Cameron, Clearfield, Crawford, Elk, Forest, Huntingdon, McKean, Potter, Venango
H3916-060-1 Complete Blue PPO Distinct (PPO)
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Premium $55/mo
Deductible $0
Out-of-pocket max $6,750
Available in counties Columbia, Lackawanna, Luzerne, Wyoming
H3916-060-2 Complete Blue PPO Distinct (PPO)
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Premium $55/mo
Deductible $0
Out-of-pocket max $6,750
Available in counties Lancaster
H3916-060-3 Complete Blue PPO Distinct (PPO)
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Premium $55/mo
Deductible $0
Out-of-pocket max $6,750
Available in counties Lebanon
H3916-060-4 Complete Blue PPO Distinct (PPO)
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Premium $58/mo
Deductible $0
Out-of-pocket max $6,750
Available in counties Cumberland, Dauphin, Perry, York
H3916-060-5 Complete Blue PPO Distinct (PPO)
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Premium $72/mo
Deductible $0
Out-of-pocket max $6,750
Available in counties Berks, Lehigh, Mifflin, Snyder, Union
H3916-060-6 Complete Blue PPO Distinct (PPO)
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Premium $98/mo
Deductible $0
Out-of-pocket max $6,750
Available in counties Adams, Bradford, Carbon, Centre, Juniata, Montour, Northampton, Northumberland, Pike, Wayne
H3916-062-0 Complete Blue PPO Distinct (PPO)
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Premium $109/mo
Deductible $0
Out-of-pocket max $6,750
Available in counties Bucks, Chester, Montgomery, Philadelphia

Medicare star rating

Each year the federal government rates Medicare Advantage and Part D plans on a 5-star system covering quality of care, chronic-condition management, member experience, and customer service. For 2026, Complete Blue PPO Distinct (PPO) earned an overall rating of 4.5 stars — better than Pennsylvania's state average of 4.1 stars.

Rating category This plan State average
Overall star rating ★ 4.5 4.1
Health plan quality
Summary rating of health plan quality ★ 4.0 4.0
Staying healthy: screenings, tests & vaccines ★ 3.0 3.6
Managing chronic (long-term) conditions ★ 3.0 3.7
Member experience with health plan ★ 5.0 4.1
Member complaints & changes in performance ★ 4.0 3.9
Health plan customer service ★ 3.0 4.0
Drug plan quality
Summary rating of drug plan quality ★ 4.5 4.0
Drug plan customer service ★ 4.0 4.5
Member complaints & changes in performance ★ 5.0 4.0
Member experience with the drug plan ★ 5.0 4.1
Drug safety & accuracy of drug pricing ★ 4.0 3.8