Medicare Advantage without drug coverage · PPO · Plan ID H3916-012
Freedom Blue PPO Basic (PPO)
Offered by Highmark Blue Cross Blue Shield or Highmark Blue Shield (Highmark Health) · available in 34 counties in PA
Monthly premium$5health coverage only
Yearly out-of-pocket max$5,900in network
Star Rating★★★★½ 4.5 out of 52027 CMS rating
Extra benefits listed in the CMS file
| Part B premium reduction | Gives back $19 a month toward your Part B premium |
|---|---|
| Dental | Preventive dental (cleanings, exams, x-rays) |
| Vision | routine eye exam; eyewear |
| Hearing | routine hearing exam; hearing aids, plan pays up to $500 per year |
| Fitness | Fitness benefit (gym membership or program) |
| Meals | Meal benefit (usually after a hospital stay or for a qualifying condition) |
| Home safety | Home and bathroom safety devices or modifications |
Allowances and limits come from the plan's filing with CMS and are simplified here. Some benefits are only for members with certain chronic conditions. The plan's Evidence of Coverage is the final word.
Check the details that matter most
- Is my doctor in the network? (plan's provider directory)
- Plan website
- See this plan on Medicare.gov, where you can add your prescriptions and compare estimated yearly costs.
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