Freedom Blue PPO Basic (PPO) H3916-012
MA-Only plans are generally considered by people who already have creditable prescription drug coverage, such as coverage from the VA, TRICARE, or a current or former employer or union. Your coverage provider—not this page—must tell you whether your current drug coverage is creditable.
Before you enroll- Find your current plan's annual Notice of Creditable Coverage or ask its benefits administrator.
- Confirm in this plan's official documents whether adding a standalone drug plan is allowed.
- Do not drop existing drug coverage until you understand how the change affects both coverages.
Your costs at a glanceIn-network, for the 2026 plan year
What's included, and what it's actually worth6 benefits included. Tap any card for the detail
Part B giveback
$18/month
Hearing
$500/yr hearing aid allowance
Vision
$425/yr eyewear allowance
See more details about this plan
Doctor Visits: PCP$0 copay
Doctor Visits: Specialist$35 copay
Inpatient Hospital$340 per stay
Outpatient Surgery$200 copay
Mental Health$340 per stay
DentalPreventive dental (cost sharing varies by service)
Transportation24 one-way trips/year
Your coverageCheck your coverageFrom the doctors you added
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Plan questions
Common questions about Freedom Blue PPO Basic (PPO) (Local PPO)
What does Freedom Blue PPO Basic (PPO) (Local PPO) cover?
Freedom Blue PPO Basic (PPO) (Local PPO) is a Medicare Advantage plan that the current plan record identifies as not including Part D prescription drug coverage. The plan record does not identify Part D prescription drug coverage. Published supplemental benefits include dental (Preventive dental (cost sharing varies by service)), vision ($425/yr eyewear allowance), hearing ($500/yr hearing aid allowance), and transportation (24 one-way trips/year). Review the plan documents for covered services, limits, and rules. Coverage can change each plan year.
Learn about Medicare AdvantageHow much does Freedom Blue PPO Basic (PPO) (Local PPO) cost in 2026?
The published 2026 monthly plan premium for Freedom Blue PPO Basic (PPO) (Local PPO) is $41. The standard Part B premium is $202.90/month in 2026 for most people; assistance may pay it for some members. The in-network medical out-of-pocket maximum is $5,900; it does not include Part D drug spending. Published visit costs include primary care $0 and specialist visits $35. These figures are plan data, not a personal yearly-cost estimate.
Can I use my current doctors with Freedom Blue PPO Basic (PPO) (Local PPO)?
CMS lists Freedom Blue PPO Basic (PPO) (Local PPO) as a Local PPO plan. A network label alone does not confirm that a specific doctor participates. Use the doctor lookup tool, then confirm with the doctor's office and the plan before receiving care. Provider networks and member costs can change. Emergency care and travel coverage can follow different network rules.
Check your doctorsDoes Freedom Blue PPO Basic (PPO) (Local PPO) include prescription drug coverage?
Freedom Blue PPO Basic (PPO) (Local PPO) is listed in the current plan record as a Medicare Advantage plan without Part D prescription drug coverage. Do not assume that a separate standalone Part D plan can be added: many Medicare Advantage plans cannot be paired with a PDP, and joining one can affect Medicare Advantage enrollment. Confirm this plan's rules and how your prescriptions will be covered before enrolling.
Browse standalone Part D plansWhat extra benefits does Freedom Blue PPO Basic (PPO) (Local PPO) offer beyond Original Medicare?
The current plan record for Freedom Blue PPO Basic (PPO) (Local PPO) lists dental (Preventive dental (cost sharing varies by service)), vision ($425/yr eyewear allowance), hearing ($500/yr hearing aid allowance), transportation (24 one-way trips/year), and meals (Meal benefit). The current data does not list over-the-counter (OTC) and fitness as offered benefits. It also lists a Part B premium reduction of $18 per month. Benefit allowances, frequency, eligibility, and participating providers can have additional limits, so review the Summary of Benefits or Evidence of Coverage for the complete rules.
When can I enroll in Freedom Blue PPO Basic (PPO) (Local PPO)?
Freedom Blue PPO Basic (PPO) (Local PPO) is a 2026 Medicare Advantage plan. The Annual Enrollment Period runs from October 15 through December 7, with changes taking effect January 1. The Medicare Advantage Open Enrollment Period runs from January 1 through March 31 for people already enrolled in Medicare Advantage. A qualifying circumstance may create a Special Enrollment Period outside those dates. Confirm the enrollment window and effective date that apply to you before changing coverage.
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Browse the full 2026 Medicare Advantage without drug coverage directory. This plan is offered in Pennsylvania. Plan availability can vary by county.
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