Community Blue Medicare HMO Signature (HMO) in Bedford County, Pennsylvania — 2026 plan details

Last updated Jul 18, 2026

Reviewed by Jason Burns, Editorial Steward

Published by Senior Direct Answers · Licensed under Citation License 1.0

Community Blue Medicare HMO Signature (HMO) (H3957-047) is a $0-premium Medicare Advantage HMO from Highmark Health available in Bedford County, Pennsylvania in 2026, with a 4.5-star overall rating, a $6,500 in-network out-of-pocket maximum, and a $615 annual Part D drug deductible.

Plan facts (CMS CY2026 Landscape file)

OrganizationHighmark Health
Plan nameCommunity Blue Medicare HMO Signature (HMO)
Contract IDH3957
Plan ID047
Segment ID5
Contract year2026
Contract categoryMA-PD
Plan typeHMO
SNPNo
Monthly consolidated premium$0.00
Part C premium$0.00
Part D basic premium$0.00
Part D total premium$0.00
Annual Part D deductible$615.00
Maximum out-of-pocket (in-network)$6500.00
Overall star rating4.5

How this plan is structured

  • $0 consolidated premium. A $0 or near-$0 consolidated premium does not remove the Part B premium — the standard 2026 Part B premium is $202.90 per month and still applies. See the 2026 Medicare Part B premium.
  • HMO plan type. In an HMO-style Medicare Advantage plan, in-network care and primary-care referral rules generally apply. See how Medicare Advantage HMO and PPO plans differ.
  • $6,500 in-network out-of-pocket maximum. The MOOP is the annual cap on what a member pays in-network for covered Part A and Part B services. See how the Medicare Advantage MOOP works.
  • Service area = Bedford County. Medicare Advantage plans are sold by service area; moving out of the plan's service area triggers a Special Enrollment Period to switch plans. See how moving changes your Medicare options.

How it compares in Bedford County

The CMS CY2026 Landscape file lists 75 Medicare Advantage plans in Bedford County, Pennsylvania, of which 0 carry a 5.0-star overall rating and 32 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $295.00 per month, and in-network out-of-pocket maximums range from $1500.00 to $9250.00.

For the full county plan directory, see all Medicare plans in Bedford County, Pennsylvania.

How to verify your doctors take this plan

Network participation changes throughout the year; we hold no provider-network data, so verify directly with these three sources before you decide:

  1. Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H3957-047.
  2. Call the plan (Highmark Health) using the member-services number listed on that plan page and ask whether each doctor, hospital, and pharmacy is in-network for 2026.
  3. Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.

What H3957-047 means

CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H3957-047, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 3957 are the contract number issued to the organization, and the three-digit 047 is the plan benefit package under that contract. The segment ID 5 identifies the service-area segment within the plan (0 = the default single segment).

Frequently asked questions

Is Community Blue Medicare HMO Signature (HMO) an HMO or PPO?

Community Blue Medicare HMO Signature (HMO) is an HMO — a Health Maintenance Organization-style Medicare Advantage plan, meaning in-network care and referral rules generally apply.

Does Community Blue Medicare HMO Signature (HMO) include prescription drug coverage?

Yes — Community Blue Medicare HMO Signature (HMO) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $615.00 annual Part D drug deductible for 2026.

What is the maximum out-of-pocket cost for Community Blue Medicare HMO Signature (HMO)?

The 2026 in-network maximum out-of-pocket limit for Community Blue Medicare HMO Signature (HMO) is $6500.00, per the CMS CY2026 Landscape file.

What counties offer Community Blue Medicare HMO Signature (HMO) (H3957-047)?

Community Blue Medicare HMO Signature (HMO) (H3957-047) is offered in 28 Pennsylvania counties: Allegheny County, Armstrong County, Beaver County, Bedford County, Blair County, Butler County, Cambria County, Cameron County, Clarion County, Clearfield County, Crawford County, Elk County, Erie County, Fayette County, Forest County, Greene County, Huntingdon County, Indiana County, Jefferson County, Lawrence County, McKean County, Mercer County, Potter County, Somerset County, Venango County, Warren County, Washington County, and Westmoreland County.

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