Capital Blue Cross Basic (PPO) (H3923-048) in 2027
We are not affiliated with Capital Blue Cross. Plan and company names are shown only to identify plans.
PPO: about this plan type · Legal name: CAPITAL ADVANTAGE INSURANCE COMPANY
Being replaced in all 12 counties where it was offered in 2026, by Capital Blue Cross Basic (PPO) (H3923-049). CMS's 2027 plan list doesn't include this plan.
Check Your Plan with Your ZIP Code
- BeingReplaced
- 12
- countiesCMS crosswalk
- People inThis Plan
- at least 110
- CMS enrollment,October 2026
Being replaced: members are moved into another plan from the same company. For some plans, CMS's file also lists the plan as ending, so some members may not be moved. The rest need to pick a plan. Their Annual Notice of Change explains the new plan. Everyone in these plans keeps Medicare.
Pennsylvania
See the 12 counties in PennsylvaniaHide the counties
Costs and Star Rating
| What | 2026 |
|---|---|
| Monthly premium (without Extra Help) | $20 a month |
| Maximum you pay for covered medical care | $8,200 (in-network) |
| Drug deductible | $550 |
| Overall star rating (from CMS) | 4.5 out of 5 stars |
PPO plans also have a limit for in- and out-of-network care combined. See Medicare Plan Finder.
CMS rates contracts, so plans under one contract share its rating. For costs with Extra Help, use the lookup.
What Happens Next
Where it is being replaced, CMS's crosswalk moves members into the plan or plans shown in the table. Your Annual Notice of Change explains the new plan.
- All Capital Blue Cross plans
- Every plan that uses the name Capital Blue Cross Basic (PPO)
- See the 2026 plan (Pennsylvania, H3923-048-2) on Medicare Plan Finder (opens in a new tab)
- See the 2026 plan (Pennsylvania, H3923-048-3) on Medicare Plan Finder (opens in a new tab)
- See the 2026 plan (Pennsylvania, H3923-048-5) on Medicare Plan Finder (opens in a new tab)
These numbers come from CMS's plan files. If you're in this plan, confirm with your Annual Notice of Change or the letter from your plan.
Source: CMS CY2027 Landscape, data as of October 18, 2026 (release 202610). Enrollment: CMS Monthly Enrollment by Contract/Plan/State/County, October 2026. Plan moves: CMS 2027 Plan Crosswalk, file dated October 1, 2026. People counts add up the counties where this plan is offered. They leave out members who live outside that area. See how we get our numbers.