Medicare Advantage
Capital Blue Cross Medicare Advantage in Pennsylvania for 2027: 35 Plans, County by County
HARRISBURG, Pa. — Pennsylvanians comparing Medicare Advantage coverage for 2027 will find 35 plans from Capital Blue Cross on the state's landscape, according to the Centers for Medicare & Medicaid Services (CMS) Medicare Advantage Landscape Source File for CY2027. This article is published by an independent Medicare education site. It is privately owned and is not the federal government, not CMS, and not Capital Blue Cross.
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Key takeaways
- Capital Blue Cross lists 35 Medicare Advantage plans in Pennsylvania for 2027, made up of 11 HMO plans and 24 PPO plans, and all 35 include drug coverage.
- The carrier lists 10 plans that are new for 2027 and 5 plans that are not returning from 2026, so current members should read any mail from the carrier about plan changes.
- Capital Blue Cross lists no Special Needs Plans (D-SNP, C-SNP, or I-SNP) in Pennsylvania for 2027.
- The Annual Enrollment Period runs October 15 through December 7, 2026, and a choice made in that window takes effect January 1, 2027.
Because Medicare Advantage is sold county by county, a plan that appears on the statewide list may or may not be available where you live. The counts below describe the carrier's statewide footprint; the Medicare Plan Finder at medicare.gov is the tool that confirms what is actually offered at your ZIP code.
What Capital Blue Cross offers statewide for 2027
Across Pennsylvania, Capital Blue Cross's 2027 lineup includes 35 Medicare Advantage plans: 11 HMO plans and 24 PPO plans. All 35 include prescription drug coverage, which means members would not need a separate stand-alone Part D plan to get drug coverage through these offerings.
The carrier lists no Special Needs Plans for 2027 in Pennsylvania — zero D-SNPs for people with both Medicare and Medicaid, zero C-SNPs for people with qualifying chronic conditions, and zero I-SNPs for people living in certain institutional settings. Shoppers who need an SNP will need to look at other carriers.
For broader context, CMS lists 19 other Medicare Advantage carriers operating somewhere in Pennsylvania for 2027, and 338 Medicare Advantage plans in total statewide across all carriers.
The plans with the widest county reach
Four Capital Blue Cross plans show the widest reach on the 2027 landscape, each offered in 21 Pennsylvania counties:
- Capital Blue Cross Classic (PPO)
- Capital Blue Cross Premier (HMO)
- Capital Blue Cross Prime (PPO)
Beyond those three, the carrier's remaining 2027 plans — including multiple versions of Capital Blue Cross Basic (PPO), Capital Blue Cross Complete (PPO), Capital Blue Cross Enhanced (PPO), Capital Blue Cross Essential (HMO), Capital Blue Cross Select (PPO), Capital Blue Cross Value (HMO), and Capital Blue Cross Value (PPO) — are each offered in smaller groups of counties, generally in the 2-to-5-county range. The full plan-by-plan county counts are shown in the table on this page rather than repeated in prose.
Important caveat: a plan appearing in 21 counties still may not be offered in yours, and a plan listed as being in only 3 counties might be one of them. County availability is what controls your choices, not the statewide total.
What's new and what's not returning
Capital Blue Cross lists 10 plans as new for 2027. All of the carrier's plans flagged as "new for next year" on the 2027 landscape are versions of two plan names: Capital Blue Cross Basic (PPO) and Capital Blue Cross Value (HMO). If you see either of those names in a letter or an ad, that specific contract is appearing on the Pennsylvania landscape for the first time this year.
On the other side, 5 Capital Blue Cross plans from 2026 are not returning for 2027. CMS flags non-renewals in its year-over-year Landscape Source Files. If you are currently enrolled in a plan that will not be offered next year, the carrier is required to send you a non-renewal notice, and you will have the opportunity to pick a different plan during the Annual Enrollment Period or use a Special Enrollment Period tied to the non-renewal.
Any renewing plan can still change its premium, deductible, drug formulary, provider network, or extra benefits from one year to the next, so the Annual Notice of Change (ANOC) is worth reading even if your plan is coming back.
Checking whether a plan is offered in your county — and covers your doctors and drugs
Three things determine whether a plan on this statewide list is actually a fit for you:
1. County availability. Enter your ZIP code at medicare.gov to see which of Capital Blue Cross's 2027 plans are offered where you live. 2. Provider network. HMO and PPO plans use networks. Confirm your primary care doctor, specialists, and preferred hospital are in-network by checking the plan's provider directory, calling the plan, or asking the office directly. 3. Prescription drug coverage. All 35 Capital Blue Cross plans listed for 2027 include drug coverage, but formularies differ. Look up each of your prescriptions in the plan's drug list to see tier placement and any restrictions such as prior authorization or step therapy.
The authoritative sources for these details are the Medicare Plan Finder at medicare.gov, 1-800-MEDICARE, and the plan's own Evidence of Coverage and provider and pharmacy directories.
What to do before December 7
The Annual Enrollment Period for 2027 coverage runs October 15, 2026 through December 7, 2026. A plan selection made in that window takes effect January 1, 2027. A short checklist:
- Read the Annual Notice of Change from your current plan, if you have one.
- Make a list of your doctors, hospitals, and prescriptions (with doses).
- Run that list through the Medicare Plan Finder at medicare.gov for your ZIP code.
- Compare total expected costs — premium, deductible, copays, and drug costs — not just the monthly premium.
- Save or print your confirmation number if you enroll.
Taking an afternoon with the Plan Finder usually answers most questions without any sales pressure.
Where to get free help
- medicare.gov — the official Plan Finder, with county-level availability, formularies, and plan documents.
- 1-800-MEDICARE (1-800-633-4227) — available 24 hours a day, 7 days a week, including TTY service at 1-877-486-2048.
Both are free, cover every carrier, and are run by Medicare itself.
By the numbers
Medicare Part B premium, 2006–2026
The standard monthly Part B premium has climbed from $88.50 in 2006 to $202.90 in 2026. Hover any point for that year’s premium.
Source: CMS. Standard premium shown; in some hold-harmless years many existing enrollees paid less. Confirm at Medicare.gov.
2027 plan lineup
Capital Blue Cross Medicare Advantage plans in Pennsylvania for 2027
CMS lists 35 Capital Blue Cross Medicare Advantage plans across Pennsylvania for 2027, alphabetically by carrier, widest county reach first. 19 other carriers also offer plans there.
| Plan | Type | Drug coverage | Counties |
|---|---|---|---|
| Capital Blue Cross 35 plans | |||
| Capital Blue Cross Classic (PPO) | PPO | Yes | 21 |
| Capital Blue Cross Premier (HMO) | HMO | Yes | 21 |
| Capital Blue Cross Prime (PPO) | PPO | Yes | 21 |
| Capital Blue Cross Basic (PPO) | PPO | Yes | 5 |
| Capital Blue Cross Basic (PPO) | PPO | Yes | 5 |
| Capital Blue Cross Complete (PPO) | PPO | Yes | 5 |
| Capital Blue Cross Complete (PPO) | PPO | Yes | 5 |
| Capital Blue Cross Enhanced (PPO) | PPO | Yes | 5 |
| Capital Blue Cross Enhanced (PPO) | PPO | Yes | 5 |
| Capital Blue Cross Essential (HMO) | HMO | Yes | 5 |
| Capital Blue Cross Essential (HMO) | HMO | Yes | 5 |
| Capital Blue Cross Select (PPO) | PPO | Yes | 5 |
| Capital Blue Cross Select (PPO) | PPO | Yes | 5 |
| Capital Blue Cross Value (HMO) | HMO | Yes | 5 |
| Capital Blue Cross Value (HMO) | HMO | Yes | 5 |
| Capital Blue Cross Value (PPO) | PPO | Yes | 5 |
| Capital Blue Cross Value (PPO) | PPO | Yes | 5 |
| Capital Blue Cross Basic (PPO) | PPO | Yes | 4 |
| Capital Blue Cross Basic (PPO) | PPO | Yes | 4 |
| Capital Blue Cross Complete (PPO) | PPO | Yes | 4 |
| Capital Blue Cross Complete (PPO) | PPO | Yes | 4 |
| Capital Blue Cross Enhanced (PPO) | PPO | Yes | 4 |
| Capital Blue Cross Essential (HMO) | HMO | Yes | 4 |
| Capital Blue Cross Essential (HMO) | HMO | Yes | 4 |
| Capital Blue Cross Select (PPO) | PPO | Yes | 4 |
| Capital Blue Cross Select (PPO) | PPO | Yes | 4 |
| Capital Blue Cross Value (HMO) | HMO | Yes | 4 |
| Capital Blue Cross Value (HMO) | HMO | Yes | 4 |
| Capital Blue Cross Value (PPO) | PPO | Yes | 4 |
| Capital Blue Cross Value (PPO) | PPO | Yes | 4 |
| Capital Blue Cross Basic (PPO) | PPO | Yes | 3 |
| Capital Blue Cross Essential (HMO) | HMO | Yes | 3 |
| Capital Blue Cross Value (HMO) | HMO | Yes | 3 |
| Capital Blue Cross Value (PPO) | PPO | Yes | 3 |
| Capital Blue Cross Enhanced (PPO) | PPO | Yes | 2 |
Source: CMS Medicare Advantage Landscape Source Files, plan years 2026 and 2027. Plans are offered county by county; a plan listed for the state may not be offered in your county. No plan is ranked or recommended; premiums, benefits, networks and star ratings are not shown. Plan details come from the Medicare Plan Finder at medicare.gov or the plan itself.
The 2027 choices, by type
How Capital Blue Cross Medicare Advantage plans across Pennsylvania break down for 2027
HMO plans use a network and usually a primary-care doctor and referrals; HMO-POS plans add some out-of-network coverage; PPO plans also cover out-of-network care, at a higher share; PFFS plans pay any provider that accepts the plan’s terms. Special Needs Plans serve people with Medicare and Medicaid (D-SNP), certain chronic conditions (C-SNP) or living in an institution (I-SNP).
Source: CMS Medicare Advantage Landscape Source Files, plan years 2026 and 2027. Plans are offered county by county; a plan listed for the state may not be offered in your county. No plan is ranked or recommended; premiums, benefits, networks and star ratings are not shown. Plan details come from the Medicare Plan Finder at medicare.gov or the plan itself.
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Frequently asked questions
How many Medicare Advantage plans does Capital Blue Cross offer in Pennsylvania for 2027?
Does Capital Blue Cross offer any Special Needs Plans in Pennsylvania for 2027?
If a plan is on the statewide list, does that mean I can enroll in it?
When do I need to decide, and when does the new plan start?
- CMS — MA Landscape Source File (plan-level availability by county)
- CMS — MA Landscape Source Files, current and coming plan year (year-over-year comparison)
- CMS — Medicare enrollment periods (medicare.gov)
For personalized answers, contact Medicare.gov or 1-800-MEDICARE.
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This page was last updated: October 2026.