Capital Blue Cross Value (PPO) — 2026 Summary of Benefits

CAPITAL BLUE CROSS · PPO · Plan ID H3923-045-005 · 4.5out of 5 stars, Above average · CMS-file summary of this plan · Pennsylvania

Open the PDF ↗ Published by the plan on capitalbluecross.widen.net. Indexed October 01, 2026; the carrier may reissue the document during the year. If it does not appear below, use the button.

Need help with this plan?

Contacts for Capital Blue Cross Medicare (as the carrier publishes them):

Member services: HMO 1-800-779-6962; PPO 1-866-987-4213

Grievances & appeals: HMO 1-800-779-6962; PPO 1-866-987-4213

Other published numbers: The same numbers are used for appeal help by product type

Plan website: www.capitalbluemedicare.com ↗

Medicare: 1-800-MEDICARE (1-800-633-4227) (TTY 1-877-486-2048) · Free counseling (SHIP): 1-877-839-2675

MedicareBenefits.care is not connected with any plan and does not take calls or enroll anyone. Numbers are as published by the carriers and Medicare; the number on your member ID card always governs. All carrier contacts

About this page

The Summary of Benefits is the plan's own document, filed with CMS and hosted on the carrier's website; MedicareBenefits.care links to it and does not alter or host it. ' Plan identity, star rating and contacts come from CMS public files and carrier-published contact pages. This site does not sell insurance or represent any plan.