MedicarePartD.guide

A non-government resource built from CMS public data

Capital Blue Cross Value (HMO)

Available to residents of York County, PA for 2026. Contract H3962, plan 004, segment 0.

Plan details

Monthly premium$33.90
Drug deductible$100.00Tier 1 and 2 exempt
Plan typeMedicare Advantage
Contract / planH3962-004-0
Offered byCapital Blue Cross
Parent organizationCAPITAL BLUE CROSS
Formulary drugs3,539

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 out of 5 stars for Drug plan (Part D)

Drug tiers — preferred pharmacy, initial coverage

TierCost-sharing
Tier 1$0.00
Tier 2$0.00
Tier 3$47.00
Tier 437%
Tier 531%

Also available in 20 other PA counties