Select your County to view details for Complete Blue PPO Merit (PPO) specific to your location


Overview of Complete Blue PPO Merit (PPO) in Pennsylvania

by Highmark Blue Cross Blue Shield or Highmark Blue Shield

Additional Coverage

HearingVisionDental

Overall Government Star Rating

 4.5
out of 5 stars

Variations of Complete Blue PPO Merit (PPO) Within Pennsylvania

Complete Blue PPO Merit (PPO) is available in 28 Pennsylvania Counties. Pricing and benefit details can vary by location. Each variation of Complete Blue PPO Merit (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 Complete Blue PPO Merit (PPO) in Pennsylvania is listed below:

Monthly Premium
$0 per month
Deductible
$175 annual deductible
Out-of-Pocket Max
$8,950 In and Out-of-network
$7,950 In-network

Available in Counties: Bedford, Blair, Cameron, Clarion, Clearfield, Elk, Huntingdon, Jefferson, Somerset
Monthly Premium
$0 per month
Deductible
$175 annual deductible
Out-of-Pocket Max
$8,950 In and Out-of-network
$7,950 In-network

Available in Counties: Crawford, Erie, Forest, Lawrence, McKean, Mercer, Potter, Venango, Warren
Monthly Premium
$0 per month
Deductible
$175 annual deductible
Out-of-Pocket Max
$8,950 In and Out-of-network
$7,950 In-network

Available in Counties: Allegheny, Armstrong, Beaver, Butler, Cambria, Fayette, Greene, Indiana, Washington, Westmoreland

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 2025, Complete Blue PPO Merit (PPO) received an overall government quality rating of 4.5 stars out of 5 stars.

Complete Blue PPO Merit (PPO) performed better than Pennsylvania’s State average overall quality score of 4.2 stars.

This Plan’s 5-star Gov’t Quality Score
Pennsylvania State Average Score
Overall Government 5 Star Quality Rating
 4.5
 4.2
Summary rating of health plan quality
 4.5
 4.2
Staying healthy: screenings, tests, & vaccines
 4
 3.6
Managing chronic (long term) conditions
 3
 3.6
Member experience with health plan
 4
 4.1
Member complaints & changes in the health plan's performance
 5
 4.3
Health plan customer service
 5
 4.2
Summary rating of drug plan quality
 4.5
 4.1
Drug plan customer service
 4
 3.9
Member complaints & changes in the drug plan's performance
 4
 3.9
Member experience with the drug plan
 5
 4.4
Drug safety & accuracy of drug pricing
 4
 3.6

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.

Complete Blue PPO Merit (PPO) received 4.5 stars for its health plan quality score which is better than the Pennsylvania State average health plan quality score of 4.2 stars.

Complete Blue PPO Merit (PPO) received 4.5 stars for its drug plan quality score which is better than the Pennsylvania State average drug plan quality score of 4.1 stars.


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