MedicarePartD.guide

A non-government resource built from CMS public data

Freedom Blue PPO Deluxe (PPO)

Available to residents of Clinton County, PA for 2026. Contract H3916, plan 005, segment 0.

Plan details

Monthly premium$122.40
Drug deductible$0.00
Plan typeMedicare Advantage
Contract / planH3916-005-0
Offered byHighmark Blue Cross Blue Shield or Highmark Blue S
Parent organizationHighmark Health
Formulary drugs3,874

CMS star ratings

Overall
4.5 out of 5 stars for Overall
Health plan (Part C)
4 out of 5 stars for Health plan (Part C)
Drug plan (Part D)
4.5 out of 5 stars for Drug plan (Part D)

Drug tiers — preferred pharmacy, initial coverage

TierCost-sharing
Tier 1$0.00
Tier 2$13.00
Tier 3$45.00
Tier 4$95.00
Tier 533%

Also available in 33 other PA counties