Capital Blue Cross Prime (PPO) CY2027
Offered by CAPITAL BLUE CROSS (company name as listed by CMS) · Plan ID H3923-017-000 · Medicare Advantage with drug coverage
Available in 2027 in: 21 counties in Pennsylvania. See full service area
2027 Overall Star Rating: 4 out of 5 stars What star ratings mean
We do not offer every plan available in your area. Currently we represent 11 organizations which offer 45 products in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options. 1-800-MEDICARE (1-800-633-4227) is open 24 hours a day, 7 days a week. TTY users call 1-877-486-2048.
Medicare evaluates plans every year based on a 5-star rating system. Star Ratings shown are 2027 Star Ratings released by CMS on October 8, 2026.
This plan's 2027 documents
Summary of Benefits (PDF, carrier document, 2027)
The Summary of Benefits is the plan's own description of its costs and benefits. It comes from the plan company.
Key numbers from CMS files
- Monthly plan premium
- $184. You still pay your Part B premium.
- Most you pay in-network in a year (MOOP)
- $6,700
- Drug deductible
- $550
- Part B giveback
- None
- Over-the-counter or benefit card
- OTC allowance: $45 every 3 months
- Extra benefits listed
- Dental, Vision, OTC
These numbers come from CMS files. For what each benefit covers and costs, read the Summary of Benefits above. We do not write our own descriptions of plan benefits.
See all benefits
- Preventive dental, most the plan pays
- $2,000 per year (in and out of network)
- Comprehensive dental, most the plan pays
- one limit shared with preventive dental (amount above)
- Eyewear, most the plan pays
- $125 per year (in and out of network)
Amounts are the most the plan pays, as listed in CMS benefit files.
Compared with 2026
Compared with Capital Blue Cross Prime (PPO) (H3923-017-0), the 2026 plan.
| Item | 2026 | 2027 |
|---|---|---|
| Monthly premium | $177 | $184 |
| Most you pay in-network (MOOP) | $6,700 | $6,700 |
| Drug deductible | $100 | $550 |
| Overall star rating | 4.5 out of 5 | 4 out of 5 |
Service area
Pennsylvania (21)
Adams County, Berks County, Centre County, Columbia County, Cumberland County, Dauphin County, Franklin County, Fulton County, Juniata County, Lancaster County, Lebanon County, Lehigh County, Mifflin County, Montour County, Northampton County, Northumberland County, Perry County, Schuylkill County, Snyder County, Union County, York County
Data used on this page
- CMS CY2027 Landscape Source File, November 2026 release (202611)
- CMS CY2027 plan benefit files and the Medicare Plan Finder benefit summary file dated October 15, 2026
- 2027 Star Ratings data tables dated October 8, 2026
- Summary of Benefits files collected from plan company websites, October 28 to November 11, 2026
- How we build these pages