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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.
2027 plan lineupPittsburgh, PA
Video: 3593622 Video by 3593622 on Pixabay
Key facts: Medicare in Pittsburgh, Pennsylvania (data as of 2026-06-01)
FactFigureSource
Medicare Advantage plans offered in Allegheny County (2026)96CMS
Medicare Advantage plans offered in Allegheny County (2027)95CMS
Plans not returning for 2027 / new for 20279 / 8CMS
Organizations offering Medicare Advantage in Allegheny County (2026)16CMS
Share of eligible beneficiaries in Medicare Advantage, Allegheny County69%CMS
Residents age 65 and older, Allegheny County249,886U.S. Census Bureau
Part B standard monthly premium (2026)$202.90Medicare.gov
Part D out-of-pocket cap (2026)$2,100CMS
Part D out-of-pocket cap (2027)$2,400CMS
Annual Enrollment Period (for 2027 coverage)October 15 – December 7, 2026Medicare.gov
Medicare Advantage Open Enrollment PeriodJanuary 1 – March 31Medicare.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.

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.

$0$50$100$150$200200820122016202020242026

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

69% are on Medicare Advantage
(MA penetration in Allegheny County)
69%
31%
Medicare Advantage Medicare Supplement (Medigap) Original Medicare only
U.S. average

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.

PlanTypeDrug coverageFor 2027
Highmark Blue Cross Blue Shield or Highmark Blue Shield 14 plans
Community Blue Medicare HMO Signature (HMO)HMOYesReturning
Complete Blue HMO Distinct (HMO)HMOYesReturning
Complete Blue PPO Distinct (PPO)PPOYesReturning
Complete Blue PPO Merit (PPO)PPOYesReturning
Complete Blue PPO Signature (PPO)PPOYesReturning
Freedom Blue PPO Classic (PPO)PPOYesReturning
Freedom Blue PPO Select (PPO)PPOYesReturning
Freedom Blue PPO Valor (PPO)PPONoReturning
Freedom Blue PPO ValueRx (PPO)PPOYesReturning
Security Blue HMO-POS Basic (HMO-POS)HMO-POSNoReturning
Security Blue HMO-POS Deluxe (HMO-POS)HMO-POSYesReturning
Security Blue HMO-POS Standard (HMO-POS)HMO-POSYesReturning
Security Blue HMO-POS ValueRx (HMO-POS)HMO-POSYesReturning
Together Blue Medicare HMO with AHN Signature (HMO)HMOYesRenamed

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

14
Medicare Advantage plans
3
HMO plans
4
HMO-POS plans
7
PPO plans

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.

Compare with a licensed agent

See Medicare options serving Pittsburgh & speak with a licensed agent

Medicare Advantage companies in Allegheny County

By local enrollment size · informational, not a ranking
CompanyLocal enrollmentPlans offeredLocal agentsAction
Upmc Health SystemRegional—Yes
Highmark HealthRegional—Yes
Aetna (CVS Health)National—Yes
UnitedHealthcareNational—Yes
HumanaNational—Yes
Blue Cross Blue Shield (HCSC)Regional—Yes
Enrollment data: CMS Medicare Advantage enrollment by company (county level). Listed by enrollment size, largest first — this is not a ranking, recommendation, or endorsement of any company or plan.

Provided by licensed insurance partners; MyMedicarePlans.org may be compensated. Not a ranking or endorsement of any plan.

Explore

When can you enroll? An interactive year

JFMAMJJASOND
October 15 – December 7 — anyone with Medicare can join, switch, or drop a Medicare Advantage or Part D plan. Changes take effect January 1.

Enrollment windows are federal and the same nationwide. Confirm your personal dates at Medicare.gov or 1-800-MEDICARE.

Explore

The parts of Medicare

Part A covers inpatient hospital stays, skilled nursing facility care, hospice, and some home health care. Most people pay no premium for Part A.

Good to know

Frequently asked questions

Does Highmark offer any Special Needs Plans in Allegheny County for 2027?
No. Based on the CMS 2027 Landscape data, Highmark Blue Cross Blue Shield is not offering a Dual-Eligible (D-SNP), Chronic Condition (C-SNP) or Institutional (I-SNP) Special Needs Plan in Allegheny County next year. Other carriers in the county may offer SNPs; you can see them on the Medicare Plan Finder.
Are any Highmark Medicare Advantage plans leaving Pittsburgh for 2027?
No Highmark Medicare Advantage plans in Allegheny County are being discontinued for 2027. All 14 plans offered in 2026 are returning, with one — Together Blue Medicare HMO with AHN Signature — carrying a new name.
How many other carriers sell Medicare Advantage in Allegheny County?
Alongside Highmark, 15 other carriers offer Medicare Advantage plans in Allegheny County for 2027, for a combined total of 95 plans in the county. You can compare them all on the Medicare Plan Finder at medicare.gov.
When do changes I make during Annual Enrollment take effect?
Any plan change you make between October 15 and December 7, 2026 takes effect on January 1, 2027. If you do nothing, your current plan renews with the updates listed in its Annual Notice of Change. For personalized help choosing or comparing a plan, visit medicare.gov or call 1-800-MEDICARE (TTY 1-877-486-2048), 24 hours a day, 7 days a week. To ask about a specific Highmark plan's benefits, network or drug list, contact Highmark directly using the number on the plan's materials.
Sources & further reading
  • 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

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.

Content Integrity Standards

  • No invented figures. Program-level numbers come from CMS / Medicare.gov; we never use placeholder data.
  • No plan recommendations. This is educational content. We don't score or recommend specific plans; any Star Ratings shown are Medicare's own CMS ratings, stated as published.
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  • Inline sourcing. Facts and figures are cited to primary sources — CMS, SSA, and Medicare.gov.
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This page was last updated: October 2026.

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