CAPITAL BLUE CROSS — 2026 Summaries of Benefits
| Plan | Star rating | Counties | Summary of Benefits |
|---|---|---|---|
| Capital Blue Cross Basic (PPO) H3923-048-002 · PPO | 4.5out of 5 stars, Above average | 5 | PDF ↗ |
| Capital Blue Cross Basic (PPO) H3923-048-003 · PPO | 4.5out of 5 stars, Above average | 4 | PDF ↗ |
| Capital Blue Cross Basic (PPO) H3923-048-005 · PPO | 4.5out of 5 stars, Above average | 3 | PDF ↗ |
| Capital Blue Cross Classic (PPO) H3923-013-000 · PPO | 4.5out of 5 stars, Above average | 21 | PDF ↗ |
| Capital Blue Cross Complete (PPO) H3923-047-001 · PPO | 4.5out of 5 stars, Above average | 5 | PDF ↗ |
| Capital Blue Cross Complete (PPO) H3923-047-002 · PPO | 4.5out of 5 stars, Above average | 5 | PDF ↗ |
| Capital Blue Cross Complete (PPO) H3923-047-003 · PPO | 4.5out of 5 stars, Above average | 4 | PDF ↗ |
| Capital Blue Cross Complete (PPO) H3923-047-004 · PPO | 4.5out of 5 stars, Above average | 4 | PDF ↗ |
| Capital Blue Cross Complete (PPO) H3923-047-005 · PPO | 4.5out of 5 stars, Above average | 3 | PDF ↗ |
| Capital Blue Cross Enhanced (PPO) H3923-046-001 · PPO | 4.5out of 5 stars, Above average | 5 | PDF ↗ |
| Capital Blue Cross Enhanced (PPO) H3923-046-002 · PPO | 4.5out of 5 stars, Above average | 5 | PDF ↗ |
| Capital Blue Cross Enhanced (PPO) H3923-046-003 · PPO | 4.5out of 5 stars, Above average | 4 | PDF ↗ |
| Capital Blue Cross Enhanced (PPO) H3923-046-004 · PPO | 4.5out of 5 stars, Above average | 4 | PDF ↗ |
| Capital Blue Cross Essential (HMO) H3962-022-001 · HMO | 4.5out of 5 stars, Above average | 5 | PDF ↗ |
| Capital Blue Cross Essential (HMO) H3962-022-002 · HMO | 4.5out of 5 stars, Above average | 5 | PDF ↗ |
| Capital Blue Cross Essential (HMO) H3962-022-003 · HMO | 4.5out of 5 stars, Above average | 4 | PDF ↗ |
| Capital Blue Cross Essential (HMO) H3962-022-004 · HMO | 4.5out of 5 stars, Above average | 4 | PDF ↗ |
| Capital Blue Cross Essential (HMO) H3962-022-005 · HMO | 4.5out of 5 stars, Above average | 3 | PDF ↗ |
| Capital Blue Cross Premier (HMO) H3962-001-000 · HMO | 4.5out of 5 stars, Above average | 21 | PDF ↗ |
| Capital Blue Cross Prime (PPO) H3923-017-000 · PPO | 4.5out of 5 stars, Above average | 21 | PDF ↗ |
| Capital Blue Cross Select (PPO) H3923-044-001 · PPO | 4.5out of 5 stars, Above average | 5 | PDF ↗ |
| Capital Blue Cross Select (PPO) H3923-044-002 · PPO | 4.5out of 5 stars, Above average | 5 | PDF ↗ |
| Capital Blue Cross Select (PPO) H3923-044-003 · PPO | 4.5out of 5 stars, Above average | 4 | PDF ↗ |
| Capital Blue Cross Select (PPO) H3923-044-004 · PPO | 4.5out of 5 stars, Above average | 4 | PDF ↗ |
| Capital Blue Cross Value (HMO) H3962-004-000 · HMO | 4.5out of 5 stars, Above average | 21 | PDF ↗ |
| Capital Blue Cross Value (PPO) H3923-045-001 · PPO | 4.5out of 5 stars, Above average | 5 | PDF ↗ |
| Capital Blue Cross Value (PPO) H3923-045-002 · PPO | 4.5out of 5 stars, Above average | 5 | PDF ↗ |
| Capital Blue Cross Value (PPO) H3923-045-003 · PPO | 4.5out of 5 stars, Above average | 4 | PDF ↗ |
| Capital Blue Cross Value (PPO) H3923-045-004 · PPO | 4.5out of 5 stars, Above average | 4 | PDF ↗ |
| Capital Blue Cross Value (PPO) H3923-045-005 · PPO | 4.5out of 5 stars, Above average | 3 | PDF ↗ |
Need help with this plan?
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