Medicare Part D · PA

Keystone Health Plan Central, Inc. Capital Blue Cross Value (HMO)

Monthly premium

$33.90

Yearly drug deductible

$100

Out-of-pocket maximum

$2,100

set by law, 2026

Plan type

Medicare Advantage (local)

Insurer

KEYSTONE HEALTH PLAN CENTRAL, INC.

This plan publishes a drug list (its formulary) saying which medications it covers and what conditions it attaches. Pick a medication below to see whether Keystone Health Plan Central, Inc. Capital Blue Cross Value (HMO) covers it, and whether your plan needs to approve it first — or search your own from the app.