Medicare Advantage
Highmark's 2027 Medicare Advantage plans in Pittsburgh: 14 options, one renamed
Pittsburgh, Pa. — As the Annual Enrollment Period runs from October 15 to December 7, 2026, Highmark Blue Cross Blue Shield is bringing 14 Medicare Advantage plans back to Allegheny County for the 2027 plan year. One plan has a new name, and none are leaving the local lineup. Everything a Highmark member or shopper picks in this window takes effect January 1, 2027.
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Key takeaways
- Highmark Blue Cross Blue Shield is offering 14 Medicare Advantage plans in Allegheny County for 2027: 3 HMOs, 4 HMO-POS plans and 7 PPOs.
- Of those 14 plans, 12 include Part D drug coverage and 2 do not; Highmark is not offering a Special Needs Plan in the county for 2027.
- No Highmark plans are leaving the county for 2027 and none are brand new; one plan has been renamed, and the specifics are in its Annual Notice of Change.
- The deadline to change plans for 2027 coverage is December 7, 2026; current members who do nothing stay in their plan as it renews.
| Fact | Figure | Source |
|---|---|---|
| Medicare Advantage plans offered in Allegheny County (2026) | 96 | CMS |
| Medicare Advantage plans offered in Allegheny County (2027) | 95 | CMS |
| Plans not returning for 2027 / new for 2027 | 9 / 8 | CMS |
| Organizations offering Medicare Advantage in Allegheny County (2026) | 16 | CMS |
| Share of eligible beneficiaries in Medicare Advantage, Allegheny County | 69% | CMS |
| Residents age 65 and older, Allegheny County | 249,886 | U.S. Census Bureau |
| Part B standard monthly premium (2026) | $202.90 | Medicare.gov |
| Part D out-of-pocket cap (2026) | $2,100 | CMS |
| Part D out-of-pocket cap (2027) | $2,400 | CMS |
| Annual Enrollment Period (for 2027 coverage) | October 15 – December 7, 2026 | Medicare.gov |
| Medicare Advantage Open Enrollment Period | January 1 – March 31 | Medicare.gov |
Area counts are for the county as a whole and are not a recommendation of any plan. Program figures are set nationally.
MyMedicarePlans.org is an independent consumer news site and is not affiliated with Highmark or with Medicare. Highmark is one of 16 carriers offering Medicare Advantage in Allegheny County next year, out of 95 plans in total.
How many Medicare Advantage plans is Highmark offering in Pittsburgh for 2027?
Highmark Blue Cross Blue Shield is offering 14 Medicare Advantage plans in Allegheny County — the county Pittsburgh sits in — for the 2027 plan year, according to the CMS Medicare Advantage Landscape Source File.
By plan type, that breaks down as 3 HMO plans, 4 HMO-POS plans and 7 PPO plans. Twelve of the 14 plans include Part D prescription drug coverage; the other two do not, which means members in those plans would need to think about drug coverage separately. Highmark is not offering a Dual-Eligible, Chronic Condition or Institutional Special Needs Plan in the county next year.
The table below lists every Highmark plan available in the county for 2027, with its plan type and whether it includes drug coverage.
What is new, renamed or not returning from Highmark in Allegheny County for 2027?
For 2027, Highmark has 0 new Medicare Advantage plans in Allegheny County, 0 plans not returning, and 1 renamed plan. The renamed plan is Together Blue Medicare HMO with AHN Signature (HMO), which was called Together Blue Medicare HMO Signature (HMO) for 2026.
A rename does not automatically change what a plan covers, but it can come alongside benefit, cost or network updates. Current members will receive an Annual Notice of Change (ANOC) by late September 2026 that spells out what, if anything, is different for 2027. Reading that document carefully is the single best way to see whether your plan still fits.
What plan types does Highmark offer in Pittsburgh, and how do they differ?
Highmark's 2027 lineup in Allegheny County includes three different Medicare Advantage plan structures: HMO, HMO-POS and PPO.
- An HMO generally asks you to use a specific network of doctors and hospitals and often requires referrals for specialists.
- An HMO-POS (point of service) works like an HMO but gives you a limited option to go outside the network for certain services, usually at a higher cost.
- A PPO gives more flexibility to see out-of-network providers, though in-network care typically costs less.
Which structure makes sense depends on your doctors, the hospitals you prefer, and how much flexibility you want. Costs, networks and rules vary plan by plan — those details come from each plan's Evidence of Coverage, not from this article.
How do I check a Highmark plan against my doctors and prescriptions before December 7?
The most reliable way to check any 2027 plan against your own doctors, hospitals and prescriptions is the Medicare Plan Finder at medicare.gov, or by calling 1-800-MEDICARE (TTY 1-877-486-2048), available 24 hours a day, 7 days a week.
A simple checklist for Pittsburgh-area shoppers:
1. List your doctors and hospitals. Include primary care, specialists and any planned procedures. Then check each plan's provider directory to see if they are in network for 2027 (networks can change year to year). 2. List your prescriptions, doses and pharmacies. Enter them into the Plan Finder to see how each plan's 2027 formulary covers them. 3. Read your ANOC if you are already in a Highmark plan. It explains what is changing on January 1, 2027. 4. Confirm with the plan. Call Highmark directly to verify a doctor, a drug or a benefit before enrolling.
What should Pittsburgh residents know about Part D costs for 2027?
For 2027, CMS has confirmed that the Part D out-of-pocket cap will rise to $2,400 (up from $2,100 in 2026) and the Part D maximum deductible will be $700 (up from $615 in 2026). The Part D national base beneficiary premium for 2027 is $41.33, which is a formula input Medicare uses — not what any particular plan charges.
The coverage gap (the old "donut hole") has been eliminated since 2025, so Part D now has three phases instead of four. The optional Medicare Prescription Payment Plan is still available, letting enrollees spread drug costs across the calendar year in monthly bills.
CMS has not yet announced the 2027 Part B standard premium and deductible or the 2027 IRMAA income brackets; those are typically published in the fall, usually November. We will update our coverage when they are released.
What happens if I do nothing by December 7, 2026?
If you take no action by December 7, 2026, and your current Medicare Advantage plan is being offered again in 2027, you stay enrolled. Your plan renews automatically with whatever changes are listed in its Annual Notice of Change.
If you later decide the renewed plan is not the right fit, Medicare Advantage members have a second window — the Medicare Advantage Open Enrollment Period, January 1 to March 31, 2027 — to switch to another Medicare Advantage plan or return to Original Medicare.
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.
By the numbers
How people get Medicare in Allegheny County
(MA penetration in Allegheny County)
MA penetration from CMS enrollment data; Medigap share is an estimate. U.S. average is about 54% Medicare Advantage. These are area-level figures, not plan-specific.
2027 plan lineup
Highmark Blue Cross Blue Shield Medicare Advantage plans in Allegheny County for 2027
CMS lists 14 Highmark Blue Cross Blue Shield Medicare Advantage plans in Allegheny County for 2027, alphabetically by carrier. 15 other carriers also offer plans there.
| Plan | Type | Drug coverage | For 2027 |
|---|---|---|---|
| Highmark Blue Cross Blue Shield or Highmark Blue Shield 14 plans | |||
| Community Blue Medicare HMO Signature (HMO) | HMO | Yes | Returning |
| Complete Blue HMO Distinct (HMO) | HMO | Yes | Returning |
| Complete Blue PPO Distinct (PPO) | PPO | Yes | Returning |
| Complete Blue PPO Merit (PPO) | PPO | Yes | Returning |
| Complete Blue PPO Signature (PPO) | PPO | Yes | Returning |
| Freedom Blue PPO Classic (PPO) | PPO | Yes | Returning |
| Freedom Blue PPO Select (PPO) | PPO | Yes | Returning |
| Freedom Blue PPO Valor (PPO) | PPO | No | Returning |
| Freedom Blue PPO ValueRx (PPO) | PPO | Yes | Returning |
| Security Blue HMO-POS Basic (HMO-POS) | HMO-POS | No | Returning |
| Security Blue HMO-POS Deluxe (HMO-POS) | HMO-POS | Yes | Returning |
| Security Blue HMO-POS Standard (HMO-POS) | HMO-POS | Yes | Returning |
| Security Blue HMO-POS ValueRx (HMO-POS) | HMO-POS | Yes | Returning |
| Together Blue Medicare HMO with AHN Signature (HMO) | HMO | Yes | Renamed |
Source: CMS Medicare Advantage Landscape Source Files, plan years 2026 and 2027. Plan availability is set at the county level. 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 Highmark Blue Cross Blue Shield Medicare Advantage plans in Allegheny County 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. Plan availability is set at the county level. 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.
Key dates
Medicare enrollment periods at a glance
- Around your 65thInitial Enrollment PeriodA 7-month window around the month you turn 65 — your first chance to sign up.
- October 15 – December 7Annual Enrollment PeriodAnyone with Medicare can join, switch, or drop a Medicare Advantage or Part D plan.
- January 1 – March 31Medicare Advantage Open EnrollmentIf you're already in a Medicare Advantage plan, you can make one change.
- January 1 – March 31General Enrollment PeriodFor people who missed their first chance to sign up for Part B.
- VariesSpecial Enrollment PeriodTriggered by life events like moving or losing other coverage.
Dates are set by Medicare and apply nationwide. Confirm your personal windows at Medicare.gov or 1-800-MEDICARE.
Explore
When can you enroll? An interactive year
Enrollment windows are federal and the same nationwide. Confirm your personal dates at Medicare.gov or 1-800-MEDICARE.
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The parts of Medicare
Good to know
Frequently asked questions
Does Highmark offer any Special Needs Plans in Allegheny County for 2027?
Are any Highmark Medicare Advantage plans leaving Pittsburgh for 2027?
How many other carriers sell Medicare Advantage in Allegheny County?
When do changes I make during Annual Enrollment take effect?
- 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.
Also for Pittsburgh
Sources and methodology
- CMS, Medicare Advantage and Part D Landscape Source Files
- CMS, Medicare Advantage state/county penetration and enrollment files
- U.S. Census Bureau, American Community Survey (table B01001, age 65 and older)
- Medicare.gov, Medicare costs (Part B premium)
- CMS, Medicare prescription drug coverage (Part D) program rules
- CMS, Medicare Advantage and Part D plan-year announcements
- Medicare.gov, enrollment periods and plan rules
Figures cited in this article
- CMS Medicare Advantage Landscape Source File (plan year 2027): Highmark's plans in Allegheny County, plan types, drug coverage status and the renamed plan.
- CMS Medicare Advantage Landscape Source Files (plan years 2026 and 2027): year-over-year comparison showing 0 new, 0 not returning and 1 renamed plan.
- CMS Part D 2027 parameters: the $2,400 out-of-pocket cap, $700 maximum deductible and $41.33 national base beneficiary premium.
- Medicare.gov: Annual Enrollment Period dates, Medicare Advantage Open Enrollment dates, and the Medicare Plan Finder.
How we put this together: area counts come from the CMS files listed above for the county that contains this city, program figures come from CMS, Medicare.gov and the Social Security Administration, and no plan is ranked or recommended.
By The Medicare Desk · Published . For personalized answers, contact Medicare.gov or 1-800-MEDICARE.
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This page was last updated: October 2026.