2027 Medicare Advantage plan
Capital Blue Cross Prime (PPO)
Capital Blue Cross PPO
CMS plan ID: H3923-017-0 · Plan year: 2027
Monthly plan premium$184.00
Drug deductible$550.00
Medical out-of-pocket maximum$6,700.00
Plan details
- Organization
- Capital Blue Cross
- Plan type
- PPO
- Part C premium
- $130.20
- Part D premium
- $53.80
- Prescription drug coverage
- Yes
Where this plan is offered
CMS lists this plan in 1 state or territory. Availability can vary by county and ZIP code.
Pennsylvania 21 service areas
- Adams, Pennsylvania
- Berks, Pennsylvania
- Centre, Pennsylvania
- Columbia, Pennsylvania
- Cumberland, Pennsylvania
- Dauphin, Pennsylvania
- Franklin, Pennsylvania
- Fulton, Pennsylvania
- Juniata, Pennsylvania
- Lancaster, Pennsylvania
- Lebanon, Pennsylvania
- Lehigh, Pennsylvania
- Mifflin, Pennsylvania
- Montour, Pennsylvania
- Northampton, Pennsylvania
- Northumberland, Pennsylvania
- Perry, Pennsylvania
- Schuylkill, Pennsylvania
- Snyder, Pennsylvania
- Union, Pennsylvania
- York, Pennsylvania