Highmark Health — 2026 Medicare Advantage plans

Contract year 2026 · data updated October 01, 2026 · source files

Highmark Health filed 113 individual Medicare Advantage plan segments for 2026 under 9 CMS contracts, available across 5 states and 143 counties. This page reports CMS filings; MedicareBenefits.care is not affiliated with or endorsed by Highmark Health and does not rank or recommend plans.

CMS public dataReported, not recommendedNo broker influenceNo paid placementDirect from CMS sources

113plan segments filed

9CMS contracts

5states

143counties

49with a $0 premium

3.5–4.5overall star range

Plan types: PPO (63) · HMO (34) · HMO-POS (9) · HMO D-SNP (7). Special Needs Plans: 7 of 113.

Highmark Health Summaries of BenefitsEvery indexed SoB for this carrier, linked from its own site.

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All 113 Highmark Health plans filed for 2026

Plan	Type	Premium	In-network MOOP	Overall stars
Community Blue Medicare HMO Merit (HMO) H3384-071-000 · SoB ✓	HMO	$0	$8,300	4.0out of 5 stars, Above average
Community Blue Medicare HMO Signature (HMO) H3384-069-001 · SoB ✓	HMO	$0	$6,750	4.0out of 5 stars, Above average
Community Blue Medicare HMO Signature (HMO) H3384-069-002 · SoB ✓	HMO	$0	$6,750	4.0out of 5 stars, Above average
Community Blue Medicare HMO Signature (HMO) H3384-069-003 · SoB ✓	HMO	$0	$6,750	4.0out of 5 stars, Above average
Community Blue Medicare HMO Signature (HMO) H3957-042-001 · SoB ✓	HMO	$0	$6,750	4.5out of 5 stars, Above average
Community Blue Medicare HMO Signature (HMO) H3957-042-002 · SoB ✓	HMO	$0	$6,750	4.5out of 5 stars, Above average
Community Blue Medicare HMO Signature (HMO) H3957-042-004 · SoB ✓	HMO	$0	$6,750	4.5out of 5 stars, Above average
Community Blue Medicare HMO Signature (HMO) H3957-042-005 · SoB ✓	HMO	$0	$6,750	4.5out of 5 stars, Above average
Community Blue Medicare HMO Signature (HMO) H3957-042-006 · SoB ✓	HMO	$0	$6,500	4.5out of 5 stars, Above average
Community Blue Medicare HMO Signature (HMO) H3957-042-007 · SoB ✓	HMO	$0	$6,750	4.5out of 5 stars, Above average
Community Blue Medicare HMO Signature (HMO) H3957-047-001 · SoB ✓	HMO	$0	$6,500	4.5out of 5 stars, Above average
Community Blue Medicare HMO Signature (HMO) H3957-047-002 · SoB ✓	HMO	$0	$6,500	4.5out of 5 stars, Above average
Community Blue Medicare HMO Signature (HMO) H3957-047-003 · SoB ✓	HMO	$0	$6,500	4.5out of 5 stars, Above average
Community Blue Medicare HMO Signature (HMO) H3957-047-004 · SoB ✓	HMO	$0	$6,500	4.5out of 5 stars, Above average
Community Blue Medicare HMO Signature (HMO) H3957-047-005 · SoB ✓	HMO	$0	$6,500	4.5out of 5 stars, Above average
Community Blue Medicare PPO Signature (PPO) H3916-037-002 · SoB ✓	PPO	$0	$7,950	4.5out of 5 stars, Above average
Community Blue Medicare PPO Signature (PPO) H3916-037-004 · SoB ✓	PPO	$0	$7,950	4.5out of 5 stars, Above average
Community Blue Medicare PPO Signature (PPO) H3916-037-005 · SoB ✓	PPO	$0	$7,950	4.5out of 5 stars, Above average
Community Blue Medicare PPO Signature (PPO) H3916-037-006 · SoB ✓	PPO	$0	$7,950	4.5out of 5 stars, Above average
Community Blue Medicare PPO Signature (PPO) H3916-037-007 · SoB ✓	PPO	$0	$7,950	4.5out of 5 stars, Above average
Community Blue Medicare PPO Signature (PPO) H3916-037-008 · SoB ✓	PPO	$0	$7,950	4.5out of 5 stars, Above average
Community Blue Medicare PPO Signature (PPO) H3916-065-000 · SoB ✓	PPO	$0	$7,950	4.5out of 5 stars, Above average
Community Blue Medicare Plus PPO Signature (PPO) H3916-039-000 · SoB ✓	PPO	$0	$7,950	4.5out of 5 stars, Above average
Community Blue Medicare Plus PPO Signature (PPO) H3916-063-000 · SoB ✓	PPO	$0	$7,950	4.5out of 5 stars, Above average
Complete Blue PPO Merit (PPO) H3916-057-000 · SoB ✓	PPO	$0	$8,300	4.5out of 5 stars, Above average
Complete Blue PPO Merit (PPO) H3916-066-000 · SoB ✓	PPO	$0	$8,300	4.5out of 5 stars, Above average
Complete Blue PPO Merit (PPO) H5106-037-000 · SoB ✓	PPO	$0	$8,300	3.5out of 5 stars, Average
Complete Blue PPO Signature (PPO) H3916-038-000 · SoB ✓	PPO	$0	$6,750	4.5out of 5 stars, Above average
Complete Blue PPO Signature (PPO) H3916-041-001 · SoB ✓	PPO	$0	$6,750	4.5out of 5 stars, Above average
Complete Blue PPO Signature (PPO) H3916-041-002 · SoB ✓	PPO	$0	$6,750	4.5out of 5 stars, Above average
Complete Blue PPO Signature (PPO) H3916-041-003 · SoB ✓	PPO	$0	$6,750	4.5out of 5 stars, Above average
Complete Blue PPO Signature (PPO) H3916-058-000 · SoB ✓	PPO	$0	$7,550	4.5out of 5 stars, Above average
Complete Blue PPO Signature (PPO) H5106-030-001 · SoB ✓	PPO	$0	$7,550	3.5out of 5 stars, Average
Complete Blue PPO Signature (PPO) H5106-030-002 · SoB ✓	PPO	$0	$7,550	3.5out of 5 stars, Average
Complete Blue PPO Signature (PPO) H5106-030-003 · SoB ✓	PPO	$0	$7,550	3.5out of 5 stars, Average
Complete Blue PPO Signature (PPO) H5106-035-000 · SoB ✓	PPO	$0	$7,550	3.5out of 5 stars, Average
Complete Blue PPO Signature (PPO) H8166-005-000 · SoB ✓	PPO	$0	$6,750	4.0out of 5 stars, Above average
Complete Blue Plus PPO Merit (PPO) H3916-064-000 · SoB ✓	PPO	$0	$8,300	4.5out of 5 stars, Above average
Together Blue Medicare HMO Signature (HMO) H3957-048-000 · SoB ✓	HMO	$0	$4,900	4.5out of 5 stars, Above average
Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) H5932-012-000 · SoB	HMO D-SNP	$8.90	$9,250	4.0out of 5 stars, Above average
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) H5932-013-000 · SoB	HMO D-SNP	$13.10	$8,000	4.0out of 5 stars, Above average
Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) H5932-001-000 · SoB	HMO D-SNP	$16	$9,250	4.0out of 5 stars, Above average
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) H5932-009-000 · SoB	HMO D-SNP	$17.60	$8,000	4.0out of 5 stars, Above average
Complete Blue HMO Distinct (HMO) H3957-050-001 · SoB ✓	HMO	$20	$5,900	4.5out of 5 stars, Above average
Complete Blue HMO Distinct (HMO) H3957-050-002 · SoB ✓	HMO	$20	$5,900	4.5out of 5 stars, Above average
Complete Blue HMO Distinct (HMO) H3957-050-003 · SoB ✓	HMO	$20	$5,900	4.5out of 5 stars, Above average
Complete Blue PPO Distinct (PPO) H3916-035-001 · SoB ✓	PPO	$23	$6,500	4.5out of 5 stars, Above average
Complete Blue PPO Distinct (PPO) H5106-029-001 · SoB ✓	PPO	$24	$6,750	3.5out of 5 stars, Average
Complete Blue PPO Distinct (PPO) H5106-029-003 · SoB ✓	PPO	$24	$6,750	3.5out of 5 stars, Average
Complete Blue HMO Distinct (HMO) H3957-050-004 · SoB ✓	HMO	$25	$5,900	4.5out of 5 stars, Above average
Complete Blue HMO Distinct (HMO) H3957-050-005 · SoB ✓	HMO	$25	$5,900	4.5out of 5 stars, Above average
Complete Blue PPO Distinct (PPO) H3916-035-002 · SoB ✓	PPO	$25	$6,500	4.5out of 5 stars, Above average
Complete Blue PPO Distinct (PPO) H5106-029-002 · SoB ✓	PPO	$25	$6,750	3.5out of 5 stars, Average
Community Blue Medicare HMO Distinct (HMO) H3957-049-001 · SoB ✓	HMO	$27	$6,250	4.5out of 5 stars, Above average
Community Blue Medicare HMO Distinct (HMO) H3957-049-002 · SoB ✓	HMO	$27	$6,250	4.5out of 5 stars, Above average
Community Blue Medicare HMO Distinct (HMO) H3957-049-003 · SoB ✓	HMO	$27	$6,250	4.5out of 5 stars, Above average
Community Blue Medicare HMO Distinct (HMO) H3957-049-004 · SoB ✓	HMO	$27	$6,250	4.5out of 5 stars, Above average
Complete Blue PPO Distinct (PPO) H3916-059-001 · SoB ✓	PPO	$30	$6,500	4.5out of 5 stars, Above average
Security Blue HMO-POS ValueRx (HMO-POS) H3957-044-004 · SoB ✓	HMO-POS	$30	$5,500	4.5out of 5 stars, Above average
Highmark Health Options Duals (HMO D-SNP) H7710-001-000 · SoB ✓	HMO D-SNP	$31.20	$9,250	Not rated
Highmark Health Options Duals Select (HMO D-SNP) H7710-002-000 · SoB ✓	HMO D-SNP	$31.20	$9,250	Not rated
Highmark Health Options Duals (HMO D-SNP) H6224-001-000 · SoB ✓	HMO D-SNP	$32.70	$9,250	Not rated
Community Blue Medicare HMO Distinct (HMO) H3957-049-005 · SoB ✓	HMO	$35	$6,250	4.5out of 5 stars, Above average
Security Blue HMO-POS ValueRx (HMO-POS) H3957-031-000 · SoB ✓	HMO-POS	$35	$5,500	4.5out of 5 stars, Above average
Security Blue HMO-POS ValueRx (HMO-POS) H3957-044-001 · SoB ✓	HMO-POS	$36	$5,500	4.5out of 5 stars, Above average
Complete Blue PPO Distinct (PPO) H3916-059-002 · SoB ✓	PPO	$39	$6,500	4.5out of 5 stars, Above average
Community Blue Medicare HMO Distinct (HMO) H3384-070-001 · SoB ✓	HMO	$49	$6,750	4.0out of 5 stars, Above average
Community Blue Medicare HMO Distinct (HMO) H3957-049-006 · SoB ✓	HMO	$50	$6,250	4.5out of 5 stars, Above average
Complete Blue PPO Distinct (PPO) H5106-036-000 · SoB ✓	PPO	$54	$6,750	3.5out of 5 stars, Average
Community Blue Medicare HMO Distinct (HMO) H3384-070-002 · SoB ✓	HMO	$55	$6,750	4.0out of 5 stars, Above average
Community Blue Medicare HMO Distinct (HMO) H3957-049-007 · SoB ✓	HMO	$55	$6,250	4.5out of 5 stars, Above average
Complete Blue PPO Distinct (PPO) H3916-060-001 · SoB ✓	PPO	$55	$6,750	4.5out of 5 stars, Above average
Complete Blue PPO Distinct (PPO) H3916-060-002 · SoB ✓	PPO	$55	$6,750	4.5out of 5 stars, Above average
Complete Blue PPO Distinct (PPO) H3916-060-003 · SoB ✓	PPO	$55	$6,750	4.5out of 5 stars, Above average
Complete Blue PPO Distinct (PPO) H3916-060-004 · SoB ✓	PPO	$58	$6,750	4.5out of 5 stars, Above average
Community Blue Medicare HMO Distinct (HMO) H3384-070-003 · SoB ✓	HMO	$59	$6,750	4.0out of 5 stars, Above average
Freedom Blue PPO ValueRx (PPO) H3916-033-000 · SoB ✓	PPO	$65	$5,500	4.5out of 5 stars, Above average
Freedom Blue PPO ValueRx (PPO) H3916-018-000 · SoB ✓	PPO	$66	$5,500	4.5out of 5 stars, Above average
Complete Blue PPO Distinct (PPO) H3916-060-005 · SoB ✓	PPO	$72	$6,750	4.5out of 5 stars, Above average
Complete Blue Plus PPO Distinct (PPO) H3916-061-001 · SoB ✓	PPO	$72	$6,750	4.5out of 5 stars, Above average
Freedom Blue PPO ValueRx (PPO) H3916-032-000 · SoB ✓	PPO	$79	$5,500	4.5out of 5 stars, Above average
Freedom Blue PPO Select (PPO) H3916-024-000 · SoB ✓	PPO	$96	$5,000	4.5out of 5 stars, Above average
Senior Blue 651 (HMO) H3384-019-000 · SoB	HMO	$97	$6,700	4.0out of 5 stars, Above average
Complete Blue PPO Distinct (PPO) H3916-060-006 · SoB ✓	PPO	$98	$6,750	4.5out of 5 stars, Above average
Complete Blue Plus PPO Distinct (PPO) H3916-061-002 · SoB ✓	PPO	$99	$6,750	4.5out of 5 stars, Above average
Security Blue HMO-POS Standard (HMO-POS) H3957-045-002 · SoB ✓	HMO-POS	$104	$5,000	4.5out of 5 stars, Above average
Senior Blue 652 (HMO) H3384-013-000 · SoB	HMO	$104	$6,700	4.0out of 5 stars, Above average
Complete Blue PPO Distinct (PPO) H8166-006-000 · SoB ✓	PPO	$105	$6,500	4.0out of 5 stars, Above average
Complete Blue PPO Distinct (PPO) H3916-062-000 · SoB	PPO	$109	$6,750	4.5out of 5 stars, Above average
Freedom Blue PPO Standard (PPO) H3916-015-000 · SoB ✓	PPO	$121	$5,000	4.5out of 5 stars, Above average
Security Blue HMO-POS Standard (HMO-POS) H3957-045-001 · SoB ✓	HMO-POS	$122	$5,000	4.5out of 5 stars, Above average
Complete Blue PPO Distinct (PPO) H8166-007-000 · SoB ✓	PPO	$134	$6,500	4.0out of 5 stars, Above average
Freedom Blue PPO Standard (PPO) H5106-034-001 · SoB ✓	PPO	$134	$6,500	3.5out of 5 stars, Average
Security Blue HMO-POS Deluxe (HMO-POS) H3957-046-002 · SoB ✓	HMO-POS	$138	$4,500	4.5out of 5 stars, Above average
Freedom Blue PPO Select (PPO) H3916-022-000 · SoB ✓	PPO	$139	$5,000	4.5out of 5 stars, Above average
Forever Blue Value (PPO) H5526-016-000 · SoB	PPO	$152	$6,700	4.5out of 5 stars, Above average
Freedom Blue PPO Standard (PPO) H5106-034-002 · SoB ✓	PPO	$154	$6,500	3.5out of 5 stars, Average
Security Blue HMO-POS Deluxe (HMO-POS) H3957-046-001 · SoB ✓	HMO-POS	$179	$4,500	4.5out of 5 stars, Above average
Forever Blue 751 (PPO) H5526-004-000 · SoB	PPO	$210	$6,700	4.5out of 5 stars, Above average
Forever Blue 770 (PPO) H5526-018-000 · SoB	PPO	$220	$6,700	4.5out of 5 stars, Above average
Freedom Blue PPO Classic (PPO) H3916-002-000 · SoB ✓	PPO	$220	$4,500	4.5out of 5 stars, Above average
Freedom Blue PPO Deluxe (PPO) H3916-005-000 · SoB ✓	PPO	$226	$4,500	4.5out of 5 stars, Above average
Freedom Blue PPO Classic (PPO) H3916-001-000 · SoB ✓	PPO	$248	$4,500	4.5out of 5 stars, Above average
Freedom Blue PPO Basic (PPO) H3916-012-000 · SoB ✓	PPO	—	$5,900	4.5out of 5 stars, Above average
Freedom Blue PPO Valor (PPO) H3916-043-000 · SoB ✓	PPO	—	$6,000	4.5out of 5 stars, Above average
Freedom Blue PPO Valor (PPO) H3916-056-000 · SoB	PPO	—	$6,000	4.5out of 5 stars, Above average
Freedom Blue PPO Valor (PPO) H3916-067-000 · SoB ✓	PPO	—	$6,000	4.5out of 5 stars, Above average
Freedom Blue PPO Valor (PPO) H5106-038-000 · SoB ✓	PPO	—	$6,000	3.5out of 5 stars, Average
Freedom Blue PPO Valor (PPO) H8166-003-000 · SoB ✓	PPO	—	$6,000	4.0out of 5 stars, Above average
Freedom Valor (PPO) H5526-023-000 · SoB ✓	PPO	—	$6,700	4.5out of 5 stars, Above average
Security Blue HMO-POS Basic (HMO-POS) H3957-043-001 · SoB ✓	HMO-POS	—	$5,900	4.5out of 5 stars, Above average
Security Blue HMO-POS Basic (HMO-POS) H3957-043-002 · SoB ✓	HMO-POS	—	$5,900	4.5out of 5 stars, Above average
Senior Blue 601 (HMO) H3384-022-000 · SoB	HMO	—	$6,700	4.0out of 5 stars, Above average

What the star rating means. CMS rates every Medicare Advantage contract (the "H" number in the plan ID — all plans under it share the rating) on a 1-to-5 scale each October, from about 40 measures of care quality, member experience, complaints and appeals, customer service and, for plans with drug coverage, drug safety and pricing. The 2026 rating is largely based on performance measured in 2024.

5 Excellent4 Above average3 Average2 Below average1 Poor

Not rated means CMS published no overall rating — usually a contract too new to be measured or with too few members ("not enough data"); it is not a low score. A 5-star contract can be joined outside the normal enrollment windows (the 5-star Special Enrollment Period, Dec 8 – Nov 30). Medicare.gov flags contracts rated below 3 stars for three years running as low-performing. Stars describe the contract's past performance as CMS measured it; they are not a recommendation, and they do not tell you whether a plan's network, drugs or costs fit you.

Before enrolling or making a coverage decision, confirm current details with the plan, Medicare.gov, your State Health Insurance Assistance Program (SHIP), or 1-800-MEDICARE (1-800-633-4227, TTY 1-877-486-2048). MedicareBenefits.care reports CMS-filed data and does not verify provider networks, pharmacy participation, or final plan terms.

States served: Delaware · New York · Pennsylvania · Virginia · West Virginia

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