The Community Blue Medicare HMO Signature plan in Franklin , Fulton , Monroe , Schuylkill , Susquehanna , and Tioga counties is now available to submit an enrollment exclusively through the Highmark Producer Portal.

Commission eligibility for this plan excludes individuals new to Highmark. This consists of those new to Medicare or those transitioning from a competitor's coverage.

For current Highmark members, we will continue to pay renewals on their enrollments, even if they are in a plan terminating effective 12/31/2025, provided there is no lapse in their coverage.

This update does not apply to the Community Blue Medicare HMO Signature plan outside of the six counties listed above. Additionally, the other products available in the six counties are still eligible for commissions.

We understand you may have questions regarding these updates. Please do not hesitate to reach out to your dedicated Highmark Broker Manager for further clarification.
 

We are pleased to share Highmark’s 2026 Medicare Advantage (MA) Star Ratings, recently announced by the Centers for Medicare & Medicaid Services (CMS).

A high-level overview of our 2026 Star Ratings is provided below for your reference, offering valuable talking points to support your sales efforts.

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Pennsylvania

Pennsylvania HMO: 4.5 Stars
Highmark's Together Blue Medicare HMO, Community Blue Medicare HMO, Complete Blue HMO, and Security Blue HMO-POS plans achieved a very high 4.5 out of 5 Stars.

Pennsylvania PPO: 4.5 Stars
Highmark's Complete Blue PPO, Freedom Blue PPO, Complete Blue Plus PPO, Community Blue Medicare PPO, and Community Blue Medicare Plus PPO plans received a very high 4.5 out of 5 Stars. 

Pennsylvania D-SNP: 4.0 Stars
In addition, Highmark Wholecare's Dual Eligible Special Needs Plan (D-SNP) received 4 out of 5 Stars. 

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West Virginia

West Virginia PPO: 3.5 Stars
Highmark's Complete Blue PPO and Freedom Blue PPO plans received a 3.5 out of 5 Stars. 

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Delaware

Delaware PPO: 4.0 Stars
Highmark's Complete Blue PPO and Freedom Blue PPO plans received a 4 out of 5 Stars. 

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New York

Western and Northeastern New York HMO: 4.0 Stars

Western and Northeastern New York PPO: 4.5 Stars

In both Western and Northeastern New York, HMO plans scored 4 out of 5 Stars and PPO Plans scored a very high 4.5 out of 5 Stars. 

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Star Rating Insert bundles are currently being shipped and are expected to be delivered by October 31st. You should anticipate receiving 3 inserts for every 4 MA Enrollment Kits ordered. Each bundle will also include a helpful cover letter. Additional 2026 inserts will be available for download via Plan Documents by Friday, October 31.
 

To enhance your efficiency and provide a seamless experience, we're pleased to share direct links to the D-SNP provider search tools for Pennsylvania, Delaware, and West Virginia. 

D-SNP Provider Search Links:

• Pennsylvania: Highmark Wholecare
• Delaware: Highmark Health Options Duals
• West Virginia: Highmark Health Options Duals

We encourage you to bookmark these links for future reference. 

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To find a doctor or pharmacy in Pennsylvania, please follow these steps: 

Please note that all internal plan changes will continue to maintain the existing Agent of Record (AOR). There will be no automatic change to the AOR when a client makes an internal plan adjustment.
 

The Plan Termination SEP, running from December 8th through the last day in February, provides an opportunity for members whose plans are terminating on December 31st to enroll in a new plan for the following year.

As a reminder, if an impacted member enrolls into a plan during AEP, they still retain their SEP and can switch their enrollment between December 8 - December 31, 2025 for an effective date of January 1, 2026.