Highmark Health — 2026 Summaries of Benefits
| Plan | Star rating | Counties | Summary of Benefits |
|---|---|---|---|
| Community Blue Medicare HMO Distinct (HMO) H3384-070-001 · HMO | 4.0out of 5 stars, Above average | 2 | PDF ↗ |
| Community Blue Medicare HMO Distinct (HMO) H3384-070-002 · HMO | 4.0out of 5 stars, Above average | 3 | PDF ↗ |
| Community Blue Medicare HMO Distinct (HMO) H3384-070-003 · HMO | 4.0out of 5 stars, Above average | 3 | PDF ↗ |
| Community Blue Medicare HMO Distinct (HMO) H3957-049-001 · HMO | 4.5out of 5 stars, Above average | 3 | PDF ↗ |
| Community Blue Medicare HMO Distinct (HMO) H3957-049-002 · HMO | 4.5out of 5 stars, Above average | 1 | PDF ↗ |
| Community Blue Medicare HMO Distinct (HMO) H3957-049-003 · HMO | 4.5out of 5 stars, Above average | 1 | PDF ↗ |
| Community Blue Medicare HMO Distinct (HMO) H3957-049-004 · HMO | 4.5out of 5 stars, Above average | 4 | PDF ↗ |
| Community Blue Medicare HMO Distinct (HMO) H3957-049-005 · HMO | 4.5out of 5 stars, Above average | 7 | PDF ↗ |
| Community Blue Medicare HMO Distinct (HMO) H3957-049-006 · HMO | 4.5out of 5 stars, Above average | 9 | PDF ↗ |
| Community Blue Medicare HMO Distinct (HMO) H3957-049-007 · HMO | 4.5out of 5 stars, Above average | 6 | PDF ↗ |
| Community Blue Medicare HMO Merit (HMO) H3384-071-000 · HMO | 4.0out of 5 stars, Above average | 8 | PDF ↗ |
| Community Blue Medicare HMO Signature (HMO) H3384-069-001 · HMO | 4.0out of 5 stars, Above average | 2 | PDF ↗ |
| Community Blue Medicare HMO Signature (HMO) H3384-069-002 · HMO | 4.0out of 5 stars, Above average | 3 | PDF ↗ |
| Community Blue Medicare HMO Signature (HMO) H3384-069-003 · HMO | 4.0out of 5 stars, Above average | 3 | PDF ↗ |
| Community Blue Medicare HMO Signature (HMO) H3957-042-001 · HMO | 4.5out of 5 stars, Above average | 3 | PDF ↗ |
| Community Blue Medicare HMO Signature (HMO) H3957-042-002 · HMO | 4.5out of 5 stars, Above average | 2 | PDF ↗ |
| Community Blue Medicare HMO Signature (HMO) H3957-042-004 · HMO | 4.5out of 5 stars, Above average | 7 | PDF ↗ |
| Community Blue Medicare HMO Signature (HMO) H3957-042-005 · HMO | 4.5out of 5 stars, Above average | 9 | PDF ↗ |
| Community Blue Medicare HMO Signature (HMO) H3957-042-006 · HMO | 4.5out of 5 stars, Above average | 6 | PDF ↗ |
| Community Blue Medicare HMO Signature (HMO) H3957-042-007 · HMO | 4.5out of 5 stars, Above average | 4 | PDF ↗ |
| Community Blue Medicare HMO Signature (HMO) H3957-047-001 · HMO | 4.5out of 5 stars, Above average | 5 | PDF ↗ |
| Community Blue Medicare HMO Signature (HMO) H3957-047-002 · HMO | 4.5out of 5 stars, Above average | 6 | PDF ↗ |
| Community Blue Medicare HMO Signature (HMO) H3957-047-003 · HMO | 4.5out of 5 stars, Above average | 6 | PDF ↗ |
| Community Blue Medicare HMO Signature (HMO) H3957-047-004 · HMO | 4.5out of 5 stars, Above average | 9 | PDF ↗ |
| Community Blue Medicare HMO Signature (HMO) H3957-047-005 · HMO | 4.5out of 5 stars, Above average | 2 | PDF ↗ |
| Community Blue Medicare PPO Signature (PPO) H3916-037-002 · PPO | 4.5out of 5 stars, Above average | 4 | PDF ↗ |
| Community Blue Medicare PPO Signature (PPO) H3916-037-004 · PPO | 4.5out of 5 stars, Above average | 1 | PDF ↗ |
| Community Blue Medicare PPO Signature (PPO) H3916-037-005 · PPO | 4.5out of 5 stars, Above average | 1 | PDF ↗ |
| Community Blue Medicare PPO Signature (PPO) H3916-037-006 · PPO | 4.5out of 5 stars, Above average | 4 | PDF ↗ |
| Community Blue Medicare PPO Signature (PPO) H3916-037-007 · PPO | 4.5out of 5 stars, Above average | 4 | PDF ↗ |
| Community Blue Medicare PPO Signature (PPO) H3916-037-008 · PPO | 4.5out of 5 stars, Above average | 1 | PDF ↗ |
| Community Blue Medicare PPO Signature (PPO) H3916-065-000 · PPO | 4.5out of 5 stars, Above average | 10 | PDF ↗ |
| Community Blue Medicare Plus PPO Signature (PPO) H3916-039-000 · PPO | 4.5out of 5 stars, Above average | 2 | PDF ↗ |
| Community Blue Medicare Plus PPO Signature (PPO) H3916-063-000 · PPO | 4.5out of 5 stars, Above average | 1 | PDF ↗ |
| Complete Blue HMO Distinct (HMO) H3957-050-001 · HMO | 4.5out of 5 stars, Above average | 5 | PDF ↗ |
| Complete Blue HMO Distinct (HMO) H3957-050-002 · HMO | 4.5out of 5 stars, Above average | 6 | PDF ↗ |
| Complete Blue HMO Distinct (HMO) H3957-050-003 · HMO | 4.5out of 5 stars, Above average | 6 | PDF ↗ |
| Complete Blue HMO Distinct (HMO) H3957-050-004 · HMO | 4.5out of 5 stars, Above average | 9 | PDF ↗ |
| Complete Blue HMO Distinct (HMO) H3957-050-005 · HMO | 4.5out of 5 stars, Above average | 2 | PDF ↗ |
| Complete Blue PPO Distinct (PPO) H3916-035-001 · PPO | 4.5out of 5 stars, Above average | 5 | PDF ↗ |
| Complete Blue PPO Distinct (PPO) H3916-035-002 · PPO | 4.5out of 5 stars, Above average | 6 | PDF ↗ |
| Complete Blue PPO Distinct (PPO) H3916-059-001 · PPO | 4.5out of 5 stars, Above average | 6 | PDF ↗ |
| Complete Blue PPO Distinct (PPO) H3916-059-002 · PPO | 4.5out of 5 stars, Above average | 9 | PDF ↗ |
| Complete Blue PPO Distinct (PPO) H3916-060-001 · PPO | 4.5out of 5 stars, Above average | 4 | PDF ↗ |
| Complete Blue PPO Distinct (PPO) H3916-060-002 · PPO | 4.5out of 5 stars, Above average | 1 | PDF ↗ |
| Complete Blue PPO Distinct (PPO) H3916-060-003 · PPO | 4.5out of 5 stars, Above average | 1 | PDF ↗ |
| Complete Blue PPO Distinct (PPO) H3916-060-004 · PPO | 4.5out of 5 stars, Above average | 4 | PDF ↗ |
| Complete Blue PPO Distinct (PPO) H3916-060-005 · PPO | 4.5out of 5 stars, Above average | 5 | PDF ↗ |
| Complete Blue PPO Distinct (PPO) H3916-060-006 · PPO | 4.5out of 5 stars, Above average | 10 | PDF ↗ |
| Complete Blue PPO Distinct (PPO) H3916-062-000 · PPO | 4.5out of 5 stars, Above average | 4 | |
| Complete Blue PPO Distinct (PPO) H5106-029-001 · PPO | 3.5out of 5 stars, Average | 7 | PDF ↗ |
| Complete Blue PPO Distinct (PPO) H5106-029-002 · PPO | 3.5out of 5 stars, Average | 3 | PDF ↗ |
| Complete Blue PPO Distinct (PPO) H5106-029-003 · PPO | 3.5out of 5 stars, Average | 16 | PDF ↗ |
| Complete Blue PPO Distinct (PPO) H5106-036-000 · PPO | 3.5out of 5 stars, Average | 15 | PDF ↗ |
| Complete Blue PPO Distinct (PPO) H8166-006-000 · PPO | 4.0out of 5 stars, Above average | 1 | PDF ↗ |
| Complete Blue PPO Distinct (PPO) H8166-007-000 · PPO | 4.0out of 5 stars, Above average | 2 | PDF ↗ |
| Complete Blue PPO Merit (PPO) H3916-057-000 · PPO | 4.5out of 5 stars, Above average | 26 | PDF ↗ |
| Complete Blue PPO Merit (PPO) H3916-066-000 · PPO | 4.5out of 5 stars, Above average | 25 | PDF ↗ |
| Complete Blue PPO Merit (PPO) H5106-037-000 · PPO | 3.5out of 5 stars, Average | 41 | PDF ↗ |
| Complete Blue PPO Signature (PPO) H3916-038-000 · PPO | 4.5out of 5 stars, Above average | 3 | PDF ↗ |
| Complete Blue PPO Signature (PPO) H3916-041-001 · PPO | 4.5out of 5 stars, Above average | 5 | PDF ↗ |
| Complete Blue PPO Signature (PPO) H3916-041-002 · PPO | 4.5out of 5 stars, Above average | 3 | PDF ↗ |
| Complete Blue PPO Signature (PPO) H3916-041-003 · PPO | 4.5out of 5 stars, Above average | 6 | PDF ↗ |
| Complete Blue PPO Signature (PPO) H3916-058-000 · PPO | 4.5out of 5 stars, Above average | 9 | PDF ↗ |
| Complete Blue PPO Signature (PPO) H5106-030-001 · PPO | 3.5out of 5 stars, Average | 7 | PDF ↗ |
| Complete Blue PPO Signature (PPO) H5106-030-002 · PPO | 3.5out of 5 stars, Average | 3 | PDF ↗ |
| Complete Blue PPO Signature (PPO) H5106-030-003 · PPO | 3.5out of 5 stars, Average | 16 | PDF ↗ |
| Complete Blue PPO Signature (PPO) H5106-035-000 · PPO | 3.5out of 5 stars, Average | 15 | PDF ↗ |
| Complete Blue PPO Signature (PPO) H8166-005-000 · PPO | 4.0out of 5 stars, Above average | 1 | PDF ↗ |
| Complete Blue Plus PPO Distinct (PPO) H3916-061-001 · PPO | 4.5out of 5 stars, Above average | 2 | PDF ↗ |
| Complete Blue Plus PPO Distinct (PPO) H3916-061-002 · PPO | 4.5out of 5 stars, Above average | 1 | PDF ↗ |
| Complete Blue Plus PPO Merit (PPO) H3916-064-000 · PPO | 4.5out of 5 stars, Above average | 3 | PDF ↗ |
| Forever Blue 751 (PPO) H5526-004-000 · PPO | 4.5out of 5 stars, Above average | 8 | |
| Forever Blue 770 (PPO) H5526-018-000 · PPO | 4.5out of 5 stars, Above average | 10 | |
| Forever Blue Value (PPO) H5526-016-000 · PPO | 4.5out of 5 stars, Above average | 8 | |
| Freedom Blue PPO Basic (PPO) H3916-012-000 · PPO | 4.5out of 5 stars, Above average | 34 | PDF ↗ |
| Freedom Blue PPO Classic (PPO) H3916-001-000 · PPO | 4.5out of 5 stars, Above average | 11 | PDF ↗ |
| Freedom Blue PPO Classic (PPO) H3916-002-000 · PPO | 4.5out of 5 stars, Above average | 17 | PDF ↗ |
| Freedom Blue PPO Deluxe (PPO) H3916-005-000 · PPO | 4.5out of 5 stars, Above average | 34 | PDF ↗ |
| Freedom Blue PPO Select (PPO) H3916-022-000 · PPO | 4.5out of 5 stars, Above average | 11 | PDF ↗ |
| Freedom Blue PPO Select (PPO) H3916-024-000 · PPO | 4.5out of 5 stars, Above average | 17 | PDF ↗ |
| Freedom Blue PPO Standard (PPO) H3916-015-000 · PPO | 4.5out of 5 stars, Above average | 34 | PDF ↗ |
| Freedom Blue PPO Standard (PPO) H5106-034-001 · PPO | 3.5out of 5 stars, Average | 26 | PDF ↗ |
| Freedom Blue PPO Standard (PPO) H5106-034-002 · PPO | 3.5out of 5 stars, Average | 29 | PDF ↗ |
| Freedom Blue PPO Valor (PPO) H3916-043-000 · PPO | 4.5out of 5 stars, Above average | 34 | PDF ↗ |
| Freedom Blue PPO Valor (PPO) H3916-056-000 · PPO | 4.5out of 5 stars, Above average | 4 | |
| Freedom Blue PPO Valor (PPO) H3916-067-000 · PPO | 4.5out of 5 stars, Above average | 28 | PDF ↗ |
| Freedom Blue PPO Valor (PPO) H5106-038-000 · PPO | 3.5out of 5 stars, Average | 55 | PDF ↗ |
| Freedom Blue PPO Valor (PPO) H8166-003-000 · PPO | 4.0out of 5 stars, Above average | 3 | PDF ↗ |
| Freedom Blue PPO ValueRx (PPO) H3916-018-000 · PPO | 4.5out of 5 stars, Above average | 34 | PDF ↗ |
| Freedom Blue PPO ValueRx (PPO) H3916-032-000 · PPO | 4.5out of 5 stars, Above average | 11 | PDF ↗ |
| Freedom Blue PPO ValueRx (PPO) H3916-033-000 · PPO | 4.5out of 5 stars, Above average | 17 | PDF ↗ |
| Freedom Valor (PPO) H5526-023-000 · PPO | 4.5out of 5 stars, Above average | 8 | PDF ↗ |
| Highmark Health Options Duals (HMO D-SNP) H6224-001-000 · HMO D-SNP · D-SNP | Not rated | 18 | PDF ↗ |
| Highmark Health Options Duals (HMO D-SNP) H7710-001-000 · HMO D-SNP · D-SNP | Not rated | 3 | PDF ↗ |
| Highmark Health Options Duals Select (HMO D-SNP) H7710-002-000 · HMO D-SNP · D-SNP | Not rated | 3 | PDF ↗ |
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) H5932-001-000 · HMO D-SNP · D-SNP | 4.0out of 5 stars, Above average | 57 | |
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) H5932-012-000 · HMO D-SNP · D-SNP | 4.0out of 5 stars, Above average | 5 | |
| Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) H5932-009-000 · HMO D-SNP · D-SNP | 4.0out of 5 stars, Above average | 57 | |
| Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) H5932-013-000 · HMO D-SNP · D-SNP | 4.0out of 5 stars, Above average | 5 | |
| Security Blue HMO-POS Basic (HMO-POS) H3957-043-001 · HMO-POS | 4.5out of 5 stars, Above average | 11 | PDF ↗ |
| Security Blue HMO-POS Basic (HMO-POS) H3957-043-002 · HMO-POS | 4.5out of 5 stars, Above average | 17 | PDF ↗ |
| Security Blue HMO-POS Deluxe (HMO-POS) H3957-046-001 · HMO-POS | 4.5out of 5 stars, Above average | 11 | PDF ↗ |
| Security Blue HMO-POS Deluxe (HMO-POS) H3957-046-002 · HMO-POS | 4.5out of 5 stars, Above average | 17 | PDF ↗ |
| Security Blue HMO-POS Standard (HMO-POS) H3957-045-001 · HMO-POS | 4.5out of 5 stars, Above average | 11 | PDF ↗ |
| Security Blue HMO-POS Standard (HMO-POS) H3957-045-002 · HMO-POS | 4.5out of 5 stars, Above average | 17 | PDF ↗ |
| Security Blue HMO-POS ValueRx (HMO-POS) H3957-031-000 · HMO-POS | 4.5out of 5 stars, Above average | 11 | PDF ↗ |
| Security Blue HMO-POS ValueRx (HMO-POS) H3957-044-001 · HMO-POS | 4.5out of 5 stars, Above average | 9 | PDF ↗ |
| Security Blue HMO-POS ValueRx (HMO-POS) H3957-044-004 · HMO-POS | 4.5out of 5 stars, Above average | 8 | PDF ↗ |
| Senior Blue 601 (HMO) H3384-022-000 · HMO | 4.0out of 5 stars, Above average | 8 | |
| Senior Blue 651 (HMO) H3384-019-000 · HMO | 4.0out of 5 stars, Above average | 8 | |
| Senior Blue 652 (HMO) H3384-013-000 · HMO | 4.0out of 5 stars, Above average | 10 | |
| Together Blue Medicare HMO Signature (HMO) H3957-048-000 · HMO | 4.5out of 5 stars, Above average | 5 | PDF ↗ |
Need help with this plan?
Member services: Use the number on your member ID card
Grievances & appeals: Appeals and grievances are handled through plan documents / Member Services
Other published numbers: Highmark tells members to call the number on the back of the member ID card
Plan website: medicare.highmark.com ↗
Medicare: 1-800-MEDICARE (1-800-633-4227) (TTY 1-877-486-2048) · Free counseling (SHIP): 1-877-839-2675