Freedom Blue PPO Standard (PPO)
Available to residents of Monongalia County, WV for 2026. Contract H5106, plan 034, segment 2.
Plan details
| Monthly drug premium | $65.20 |
|---|---|
| Drug deductible | $0.00 |
| Plan type | Medicare Advantage |
| Contract / plan | H5106-034-2 |
| Offered by | Highmark Blue Cross Blue Shield |
| Parent organization | Highmark Health |
| Formulary drugs | 3,310 |
CMS star ratings
- Overall
- 3.5 out of 5 stars for Overall
- Health plan (Part C)
- 3.5 out of 5 stars for Health plan (Part C)
- Drug plan (Part D)
- 3.5 out of 5 stars for Drug plan (Part D)
Published per contract — every plan under contract H5106 shares this rating.
Drug tiers — preferred pharmacy, initial coverage
| Tier | Cost-sharing |
|---|---|
| Tier 1 | $0.00 |
| Tier 2 | $11.00 |
| Tier 3 | $45.00 |
| Tier 4 | $100.00 |
| Tier 5 | 33% |
Also available in 28 other WV counties
Plan facts come from the CMS quarterly prescription drug plan public use files.