Freedom Blue PPO ValueRx (PPO) in Forest 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
Freedom Blue PPO ValueRx (PPO) (H3916-033) is a $65-premium Medicare Advantage PPO from Highmark Health available in Forest County, Pennsylvania in 2026, with a 4.5-star overall rating, a $5,500 in-network out-of-pocket maximum, and a $0 annual Part D drug deductible.
Plan facts (CMS CY2026 Landscape file)
| Organization | Highmark Health |
|---|---|
| Plan name | Freedom Blue PPO ValueRx (PPO) |
| Contract ID | H3916 |
| Plan ID | 033 |
| Segment ID | 0 |
| Contract year | 2026 |
| Contract category | MA-PD |
| Plan type | PPO |
| SNP | No |
| Monthly consolidated premium | $65.00 |
| Part C premium | $27.80 |
| Part D basic premium | $0.00 |
| Part D total premium | $37.20 |
| Annual Part D deductible | $0.00 |
| Maximum out-of-pocket (in-network) | $5500.00 |
| Overall star rating | 4.5 |
How this plan is structured
- $65 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.
- PPO plan type. Plan-type rules determine in-network use and referrals. See how Medicare Advantage HMO and PPO plans differ.
- $5,500 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 = Forest 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 Forest County
The CMS CY2026 Landscape file lists 71 Medicare Advantage plans in Forest 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 $220.00 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 Forest 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:
- Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H3916-033.
- 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.
- Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.
What H3916-033 means
CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H3916-033, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 3916 are the contract number issued to the organization, and the three-digit 033 is the plan benefit package under that contract. The segment ID 0 identifies the service-area segment within the plan (0 = the default single segment).
Frequently asked questions
Is Freedom Blue PPO ValueRx (PPO) an HMO or PPO?
Freedom Blue PPO ValueRx (PPO) is a PPO Medicare Advantage plan.
Does Freedom Blue PPO ValueRx (PPO) include prescription drug coverage?
Yes — Freedom Blue PPO ValueRx (PPO) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $0.00 annual Part D drug deductible for 2026.
What is the maximum out-of-pocket cost for Freedom Blue PPO ValueRx (PPO)?
The 2026 in-network maximum out-of-pocket limit for Freedom Blue PPO ValueRx (PPO) is $5500.00, per the CMS CY2026 Landscape file.
What counties offer Freedom Blue PPO ValueRx (PPO) (H3916-033)?
Freedom Blue PPO ValueRx (PPO) (H3916-033) is offered in 17 Pennsylvania counties: Bedford County, Blair County, Cameron County, Clarion County, Clearfield County, Crawford County, Elk County, Erie County, Forest County, Huntingdon County, Jefferson County, McKean County, Mercer County, Potter County, Somerset County, Venango County, and Warren County.
Sources
- CMS, Plan Year 2026 Medicare Advantage & Part D Landscape source file (March 2026) — retrieved 2026-07-18. Overall star rating year: 2026.
- Medicare.gov Plan Finder — compare plans and enroll.