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Highmark

Highmark

Medicare 

in 

Pennsylvania

Legal name: 
Parent org: 
Three older women happy gynecologist accepts medicare with gray hair smiling and embracing outdoors in cool-weather clothing.

25

Plans available in 
Pennsylvania
Medicare Advantage Prescription Drug PPO
Medicare Advantage HMO-POS
Medicare Advantage Special Needs Plan
Part D Prescription Drug Plan
Visit 
Highmark
 Website
Smiling elderly couple missed enrollment deadline lying on a blanket in green grass looking content.Four smiling older adults with great medicare coverage in pennsylvania standing closely together outdoors under a clear blue sky, embracing each other affectionately.Senior couple joyfully dancing on news that their healthcare is not leaving the state of Pennsylvania, back-to-back in a cozy living room with natural light.

Highmark

 Plans Available 

in 

{state}

 (2026)

Plan Name
Type
Premium
Max Out-of-Pocket
Rating
Complete Blue Plus PPO Merit (PPO)
PPO
$0.00
$8,300.00
Community Blue Medicare Plus PPO Signature (PPO)
PPO
$0.00
$7,950.00
Complete Blue Plus PPO Distinct (PPO)
PPO
$99.00
$6,750.00
Complete Blue HMO Distinct (HMO)
HMO
$20.00
$5,900.00
Security Blue HMO-POS Deluxe (HMO-POS)
HMO-POS
$179.00
$4,500.00
Security Blue HMO-POS Standard (HMO-POS)
HMO-POS
$122.00
$5,000.00
Security Blue HMO-POS Basic (HMO-POS)
HMO-POS
Not Applicable
$5,900.00
Security Blue HMO-POS ValueRx (HMO-POS)
HMO-POS
$35.00
$5,500.00
Complete Blue PPO Signature (PPO)
PPO
$0.00
$6,750.00
Freedom Blue PPO Select (PPO)
PPO
$139.00
$5,000.00
Freedom Blue PPO Classic (PPO)
PPO
$248.00
$4,500.00
Blue Rx PDP Complete (PDP)
PDP
Not Applicable
Not Applicable
Blue Rx PDP Plus (PDP)
PDP
Not Applicable
Not Applicable
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)
HMO D-SNP
$17.60
$8,000.00
Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)
HMO D-SNP
$16.00
$9,250.00
Community Blue Medicare HMO Distinct (HMO)
HMO
$50.00
$6,250.00
Community Blue Medicare HMO Signature (HMO)
HMO
$0.00
$6,750.00
Complete Blue PPO Merit (PPO)
PPO
$0.00
$8,300.00
Community Blue Medicare PPO Signature (PPO)
PPO
$0.00
$7,950.00
Complete Blue PPO Distinct (PPO)
PPO
$98.00
$6,750.00
Freedom Blue PPO Valor (PPO)
PPO
$0.00
$6,000.00
Freedom Blue PPO ValueRx (PPO)
PPO
$66.00
$5,500.00
Freedom Blue PPO Standard (PPO)
PPO
$121.00
$5,000.00
Freedom Blue PPO Basic (PPO)
PPO
$41.00
$5,900.00
Freedom Blue PPO Deluxe (PPO)
PPO
$226.00
$4,500.00

Key benefits across 

Highmark

 plans:

Plan Name
PCP Copay
Specialist
Dental Max
OTC
Complete Blue Plus PPO Merit (PPO)
$15
$35
$615.00
Community Blue Medicare Plus PPO Signature (PPO)
$15
$35
$615.00
$30.00
Complete Blue Plus PPO Distinct (PPO)
$15
$30
$50.00
Complete Blue HMO Distinct (HMO)
$10
$15
$40.00
Security Blue HMO-POS Deluxe (HMO-POS)
$15
$20
Security Blue HMO-POS Standard (HMO-POS)
$15
$30
Security Blue HMO-POS Basic (HMO-POS)
$15
$30
Security Blue HMO-POS ValueRx (HMO-POS)
$15
$40
$0.00
Complete Blue PPO Signature (PPO)
$15
$20
$65.00
Freedom Blue PPO Select (PPO)
$15
$30
$0.00
Freedom Blue PPO Classic (PPO)
$15
$25
$0.00
Blue Rx PDP Complete (PDP)
Blue Rx PDP Plus (PDP)
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)
$15
$25
$615.00
Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)
$0.00
$0.00
$615.00
Community Blue Medicare HMO Distinct (HMO)
$10
$20
$40.00
Community Blue Medicare HMO Signature (HMO)
$10
$20
$40.00
Complete Blue PPO Merit (PPO)
$15
$35
$615.00
Community Blue Medicare PPO Signature (PPO)
$15
$35
$615.00
$30.00
Complete Blue PPO Distinct (PPO)
$15
$30
$50.00
Freedom Blue PPO Valor (PPO)
$15
$15
$1.00
$100.00
Freedom Blue PPO ValueRx (PPO)
$15
$40
$0.00
Freedom Blue PPO Standard (PPO)
$15
$35
$0.00
Freedom Blue PPO Basic (PPO)
$15
$35
$1.00
Freedom Blue PPO Deluxe (PPO)
$15
$30
$0.00

Compare 

Highmark

vs Other 

Pennsylvania

 Plans

Highmark

 vs UnitedHealthcare

Side-by-side: premium, MOOP, dental, and drug tiers

Highmark

 vs Aetna

Compare PPO options from two top 
Pennsylvania
 carriers

Wellcare vs 

Highmark

Pennsylvania
's 
local plan vs national carrier — 
what differs

Compare costs, coverage, star ratings

Find the Medicare plan tailored for your needs.

Compare Plans
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Where 

Highmark

 Plans Are Available

 in 

Pennsylvania

Cities:

Lithopolis

Tipp City

Northfield

Minster

Pemberville

Coshocton

Stow

Poland

Bellville

Apple Creek

Jackson

Rittman

Counties:

Butler

 County

Snyder

 County

Fayette

 County

Clearfield

 County

Huntingdon

 County

Susquehanna

 County

Lehigh

 County

Monroe

 County

Lycoming

 County

Lebanon

 County

Adams

 County

Lancaster

 County

Other 

Pennsylvania

 Medicare Carriers 

Capital Blue Cross

10
 plans
Medicare Advantage Prescription Drug PPO

CommuniCare Advantage

2
 plans

Zing Health

5
 plans

Valor Health Plan

1
 plans
Medicare Advantage Special Needs Plan

SilverScript

3
 plans
Part D Prescription Drug Plan

The Health Plan

5
 plans
Medicare Advantage Prescription Drug PPO

Provider Partners

3
 plans
Medicare Advantage Special Needs Plan

PrimeTime Health Plan

4
 plans
Medicare Advantage HMO-POS

Perennial Advantage

6
 plans

Paramount

4
 plans
Medicare Advantage HMO-POS

Mount Carmel MediGold

7
 plans
Medicare Advantage Prescription Drug PPO

Medical Mutual

8
 plans
Medicare Advantage HMO-POS

Jefferson Health Plans

9
 plans
Medicare Advantage Prescription Drug PPO

CareSource

1
 plans
Medicare Advantage Special Needs Plan

AmeriHealth

1
 plans
Medicare Advantage Special Needs Plan

Clover Health

2
 plans
Medicare Advantage Prescription Drug PPO

Peak Advantage

2
 plans
Medicare Advantage Prescription Drug PPO

Molina Healthcare

4
 plans
Medicare Advantage HMO-POS

Erickson Advantage

6
 plans
Medicare Advantage HMO-POS

SummaCare

7
 plans
Medicare Advantage HMO-POS

Geisinger

9
 plans
Medicare Advantage Prescription Drug PPO

Independence Blue Cross

14
 plans
Medicare Advantage HMO-POS

Anthem

12
 plans
Medicare Advantage PPO

UPMC

19
 plans
Medicare Advantage Prescription Drug PPO

Aetna

53
 plans
Medicare Advantage PPO

Cigna Healthcare

6
 plans
Medicare Advantage PPO

Devoted Health

49
 plans
Medicare Advantage Prescription Drug PPO

Wellcare

18
 plans
Medicare Advantage HMO-POS

UnitedHealthcare

59
 plans
Medicare Advantage PPO

Select Health

8
 plans
Medicare Advantage PPO

Regence BlueCross BlueShield of Utah

3
 plans
Medicare Advantage PPO

HealthSpring

17
 plans
Medicare Advantage Prescription Drug PPO

Humana

75
 plans
Medicare Advantage PPO

American Health Advantage of Utah

2
 plans
Medicare Advantage HMO-POS
Smiling elderly couple forgets medicare ID, wearing beige coats sitting at outdoor café table with croissants and drinks.Two elderly men worried medication won't be covered by medicare insurance, in a kitchen, one taking a selfie while the other playfully raises his hand behind his head.Two older women love aetna medicare, wearing sunglasses smiling and taking a selfie outside under clear blue sky.

Common Questions About 

Highmark

Medicare Plans

Do I qualify for Medicare if I have ESRD or ALS?

Do I need to re-enroll in Medicare every year?

What is the difference between Medigap and Medicare Advantage?

What red flags should I watch for when someone is selling Medicare plans?

How do I apply for a Medicare Savings Program in Utah?

Highmark

 Plan Types Available 

in 

Pennsylvania

Highmark

PPO Plans

Flexibility to see any Medicare-accepting doctor

Highmark

HMO Plans

Lower premiums, in-network care, referrals required

Highmark

SNP Plans

Specialized for dual-eligible or chronic condition needs
Serving Medicare Beneficiaries in
Pennsylvania
Ohio
Utah
HomeMedicare Advantage PlansCompare PlansMedicare 101
Medicare Carrier
 data last verified: 
April 10, 2026

‍CMS TPMO Compliance Disclaimer: We do not offer every plan available in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.

Participating sales agencies represent Medicare Advantage [HMO, PPO, PFFS, and PDP] organizations that are contracted with Medicare. Enrollment depends on the plan’s contract renewal.

Not Government Affiliated: Resting Sycamore Advisors is a licensed Medicare insurance agency. We are not affiliated with or endorsed by the U.S. government or the federal Medicare program.

‍Data & Methodology for Research Articles: All provider, facility, quality star ratings, and enrollment data is sourced from primary CMS records (cms.gov), including the December 2025 CPSC Enrollment files and the January 2026 Provider Data Catalog. Calculations for patient-to-provider ratios are performed using indexed clinician and facility data. Everything on restingsycamore.com is for educational purposes and does not constitute an endorsement of any specific plan or provider.

Non-CMS Data Sources: Some  specific data was obtained from https://opendata.gov

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