LIVE·NEON · 1,211 CONTRACTS
ContractLocal CCP

H3916·Highmark Health

Local PPO · observed 2026 → 2026 · 75 months of CPSC history · 32 active CY 2025 plans.

Latest enrollment
228.3K
2026-05
39.5K vs 2025-11 peak
Months of data
75
History range
2020-01 → 2026-05
CY 2025 plans
32
01 · Trend

Monthly enrollment

fact_enrollment_cpsc · 75 months
267,879138,757
02 · Plans

CY 2025 plan roster

fact_landscape ⋈ fact_enrollment_cpsc · 32 plans
PlanCategoryPremiumMOOPCountiesEnrollment
Complete Blue PPO Distinct (PPO)
H3916/035
MA-PD$12$5,5004.52852,379
Community Blue Medicare PPO Signature (PPO)
H3916/037
MA-PD$0$7,7504.53048,384
Community Blue Medicare PPO Distinct (PPO)
H3916/034
MA-PD$15$5,5004.53025,739
Freedom Blue PPO ValueRx (PPO)
H3916/018
MA-PD$39$5,5004.53412,791
Community Blue Medicare PPO Premier (PPO)
H3916/045
MA-PD$55$4,9004.5309,823
Complete Blue PPO Signature (PPO)
H3916/041
MA-PD$0$6,5004.5199,473
Complete Blue PPO Signature (PPO)
H3916/038
MA-PD$0$6,5004.598,273
Complete Blue PPO Premier (PPO)
H3916/044
MA-PD$49$4,5004.5287,316
Freedom Blue PPO ValueRx (PPO)
H3916/032
MA-PD$45$5,5004.5113,443
Freedom Blue PPO Deluxe (PPO)
H3916/005
MA-PD$248$4,5004.5342,540
Freedom Blue PPO Select (PPO)
H3916/022
MA-PD$139$5,0004.5112,398
Freedom Blue PPO Standard (PPO)
H3916/015
MA-PD$134$5,0004.5341,705
Community Blue Medicare Plus PPO Signature (PPO)
H3916/039
MA-PD$0$7,9504.541,435
Freedom Blue PPO Select (PPO)
H3916/024
MA-PD$96$5,0004.5171,362
Complete Blue PPO Choice (PPO)
H3916/052
MA-PD$0$7,5504.5301,319
Freedom Blue PPO Classic (PPO)
H3916/001
MA-PD$252$4,5004.5111,240
Freedom Blue PPO ValueRx (PPO)
H3916/033
MA-PD$42$5,5004.5171,070
Complete Blue PPO Choice Deluxe (PPO)
H3916/050
MA-PD$7$6,4004.5301,047
Freedom Blue PPO Valor (PPO)
H3916/043
MA$6,0004.5341,036
Complete Blue PPO Choice Deluxe (PPO)
H3916/047
MA-PD$6$6,5004.528938
Freedom Blue PPO Valor (PPO)
H3916/042
MA$6,0004.528737
Community Blue Medicare Plus PPO Distinct (PPO)
H3916/036
MA-PD$20$5,5004.54638
Complete Blue PPO Choice Deluxe (PPO)
H3916/054
MA-PD$9$6,7504.54615
Freedom Blue PPO Classic (PPO)
H3916/002
MA-PD$224$4,5004.517467
Complete Blue PPO Choice (PPO)
H3916/048
MA-PD$0$6,5004.528463
Community Blue Medicare Plus PPO Premier (PPO)
H3916/046
MA-PD$55$4,9004.54417
Complete Blue PPO Premier (PPO)
H3916/055
MA-PD$38$6,1004.54259
Complete Blue PPO Merit (PPO)
H3916/049
MA-PD$0$7,9504.528237
Complete Blue Plus PPO Choice Deluxe (PPO)
H3916/051
MA-PD$7$6,4004.5478
Complete Blue Plus PPO Choice (PPO)
H3916/053
MA-PD$0$7,5504.5469
Freedom Blue PPO Valor (PPO)
H3916/056
MA$6,0004.5428
Freedom Blue PPO Basic (PPO)
H3916/012
MA$5,9004.53426
03 · Quality

Star Ratings · contract-level

fact_star_ratings · 2 years
Star scale · 1.0 – 5.0★ summary
1.02.03.04.05.0202520264.54.54.54.04.54.5
  • Overall
    4.54.5
    0.020252026
  • Part C
    4.54.0
    -0.520252026
  • Part D
    4.54.5
    0.020252026
Measure breakdown · CY 2025 · 42 measures
IDMeasure
C01Breast Cancer Screening4.0
C02Colorectal Cancer Screening5.0
C03Annual Flu Vaccine4.0
C04Monitoring Physical Activity2.0
C05Special Needs Plan (SNP) Care Management
C06Care for Older Adults � Medication Review
C07Care for Older Adults � Pain Assessment
C08Osteoporosis Management in Women who had a Fracture3.0
C09Diabetes Care � Eye Exam4.0
C10Diabetes Care � Blood Sugar Controlled4.0
C11Controlling High Blood Pressure4.0
C12Reducing the Risk of Falling2.0
C13Improving Bladder Control3.0
C14Medication Reconciliation Post-Discharge4.0
C15Plan All-Cause Readmissions3.0
C16Statin Therapy for Patients with Cardiovascular Disease2.0
C17Transitions of Care4.0
C18Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions4.0
C19Getting Needed Care3.0
C20Getting Appointments and Care Quickly4.0
C21Customer Service4.0
C22Rating of Health Care Quality4.0
C23Rating of Health Plan4.0
C24Care Coordination4.0
C25Complaints about the Health Plan5.0
C26Members Choosing to Leave the Plan5.0
C27Health Plan Quality Improvement4.0
C28Plan Makes Timely Decisions about Appeals5.0
C29Reviewing Appeals Decisions5.0
C30Call Center � Foreign Language Interpreter and TTY Availability5.0
D01Call Center � Foreign Language Interpreter and TTY Availability4.0
D02Complaints about the Drug Plan5.0
D03Members Choosing to Leave the Plan5.0
D04Drug Plan Quality Improvement3.0
D05Rating of Drug Plan4.0
D06Getting Needed Prescription Drugs5.0
D07MPF Price Accuracy4.0
D08Medication Adherence for Diabetes Medications4.0
D09Medication Adherence for Hypertension (RAS antagonists)5.0
D10Medication Adherence for Cholesterol (Statins)4.0
D11MTM Program Completion Rate for CMR3.0
D12Statin Use in Persons with Diabetes (SUPD)2.0