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Idaho MedicareAdvantage Plans

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Medicare Advantage Plans in Blaine County, Idaho

Below are Medicare Advantage plans available to residents of Blaine county, Idaho. 5 carriers offer 16 plans throughout the county of Blaine. Residents may choose plans from carriers such as Blue Cross of Idaho, PacificSource Medicare and WindsorSterling. This data has been made available by the Centers for Medicare & Medicaid Services (CMS) and is for informational purposes only. Some data may be inaccurate or incomplete. Please note that plans can vary by city, county, and state and all plans listed may not be available in all areas. To speak to an advisor and find the Medicare Advantage plan in Blaine county that is right for you complete the form at the top of the page.

Medicare Advantage Health Plans in the county of Blaine

Carrier Plan Title Plan Type
Blue Cross of Idaho Secure Blue (PPO) (H1302-001) Local Preferred Provider Organization

    Premium and Other Important Information

    • $3 400 out-of-pocket limit. All plan services included.
    • $60 monthly plan premium in addition to your monthly Medicare Part B premium.
    • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
    • Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept

    Doctor Office Visits

    • $20 copay for each primary care doctor visit for Medicare-covered benefits.
    • $20 copay for each specialist visit for Medicare-covered benefits.
    • $30 copay for each primary care doctor visit
    • $30 copay for each specialist visit
    Blue Cross of Idaho Secure Blue (PPO) (H1302-004) Local Preferred Provider Organization

      Premium and Other Important Information

      • $3 400 out-of-pocket limit. All plan services included.
      • $40.00 monthly plan premium in addition to your monthly Medicare Part B premium.
      • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i
      • Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept

      Doctor Office Visits

      • $20 copay for each primary care doctor visit for Medicare-covered benefits.
      • $20 copay for each specialist visit for Medicare-covered benefits.
      • $30 copay for each primary care doctor visit
      • $30 copay for each specialist visit
      Blue Cross of Idaho True Blue Rx Option I (HMO) (H1350-001) HMO

        Premium and Other Important Information

        • $3 000 out-of-pocket limit. All plan services included.
        • $3 000 plan coverage limit every year for Non-Medicare Supplemental benefits. Contact the plan for services that apply.
        • $135 monthly plan premium in addition to your monthly Medicare Part B premium.
        • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

        Doctor Office Visits

        • $15 copay for each primary care doctor visit for Medicare-covered benefits.
        • $25 copay for each in-area network urgent care Medicare-covered visit
        • $25 copay for each specialist visit for Medicare-covered benefits.
        Blue Cross of Idaho True Blue (HMO) (H1350-006) HMO

          Premium and Other Important Information

          • $3 000 out-of-pocket limit. All plan services included.
          • $3 000 plan coverage limit every year for Non-Medicare Supplemental benefits. Contact the plan for services that apply.
          • $25.00 monthly plan premium in addition to your monthly Medicare Part B premium.
          • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i

          Doctor Office Visits

          • $15 copay for each primary care doctor visit for Medicare-covered benefits.
          • $25 copay for each in-area network urgent care Medicare-covered visit
          • $25 copay for each specialist visit for Medicare-covered benefits.
          Blue Cross of Idaho True Blue Special Needs Plan (HMO SNP) (H1350-009) HMO

            Premium and Other Important Information

            • * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services
            • $0 annual deductible.*
            • ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
            • $3 000 out-of-pocket limit. All plan services included. However in this plan you will have no cost sharing responsibility for Medicare-covered services based on your level of Medicaid eligibility. Contact plan for details regarding cost sharing
            • $3 000 plan coverage limit every year for Non-Medicare Supplemental benefits. Contact the plan for services that apply.
            • $173.6 monthly plan premium*

            Doctor Office Visits

            • $0 copay for each primary care doctor visit for Medicare-covered benefits.*
            • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.*
            • $0 copay for each specialist doctor visit for Medicare-covered benefits.*
            Blue Cross of Idaho True Blue Rx Option II (HMO) (H1350-010) HMO

              Premium and Other Important Information

              • $3 000 out-of-pocket limit. All plan services included.
              • $3 000 plan coverage limit every year for Non-Medicare Supplemental benefits. Contact the plan for services that apply.
              • $116 monthly plan premium in addition to your monthly Medicare Part B premium.
              • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

              Doctor Office Visits

              • $15 copay for each primary care doctor visit for Medicare-covered benefits.
              • $25 copay for each in-area network urgent care Medicare-covered visit
              • $25 copay for each specialist visit for Medicare-covered benefits.
              PacificSource Medicare PacificSource Medicare Explorer Rx 2 (PPO) (H4754-002) Local Preferred Provider Organization

                Premium and Other Important Information

                • $2 500 out-of-pocket limit for Medicare-covered services.
                • $33 monthly plan premium in addition to your monthly Medicare Part B premium.
                • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                • Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept

                Doctor Office Visits

                • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                • $25 copay for each in-area network urgent care Medicare-covered visit
                • $20 copay for each specialist visit for Medicare-covered benefits.
                • $20 copay for each primary care doctor visit
                • $30 copay for each specialist visit
                PacificSource Medicare PacificSource Medicare Explorer 6 (PPO) (H4754-006) Local Preferred Provider Organization

                  Premium and Other Important Information

                  • $2 500 out-of-pocket limit for Medicare-covered services.
                  • $0.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                  • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i
                  • Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept

                  Doctor Office Visits

                  • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                  • $25 copay for each in-area network urgent care Medicare-covered visit
                  • $20 copay for each specialist visit for Medicare-covered benefits.
                  • $20 copay for each primary care doctor visit
                  • $30 copay for each specialist visit
                  WindsorSterling WindsorSterling Gold Access Plan (PFFS) (H5006-017) Private Fee for Service

                    Premium and Other Important Information

                    • $4 000 out-of-pocket limit. All plan services included.
                    • $60 monthly plan premium in addition to your monthly Medicare Part B premium.
                    • $75 monthly plan premium in addition to your monthly Medicare Part B premium.
                    • $70 monthly plan premium in addition to your monthly Medicare Part B premium.
                    • $55 monthly plan premium in addition to your monthly Medicare Part B premium.
                    • $59 monthly plan premium in addition to your monthly Medicare Part B premium.
                    • $80 monthly plan premium in addition to your monthly Medicare Part B premium.
                    • $62 monthly plan premium in addition to your monthly Medicare Part B premium.
                    • $85 monthly plan premium in addition to your monthly Medicare Part B premium.
                    • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                    • This plan does not allow providers to balance bill (charging more than your cost share amount).

                    Doctor Office Visits

                    • You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
                    • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                    • $30 copay for each specialist visit for Medicare-covered benefits.
                    WindsorSterling WindsorSterling Silver Access Plan (PFFS) (H5006-018) Private Fee for Service

                      Premium and Other Important Information

                      • $4 000 out-of-pocket limit. All plan services included.
                      • $30.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                      • $45.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                      • $40.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                      • $25.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                      • $50.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                      • $49.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                      • $32.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                      • $29.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                      • $55.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                      • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i
                      • This plan does not allow providers to balance bill (charging more than your cost share amount).

                      Doctor Office Visits

                      • You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
                      • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                      • $30 copay for each specialist visit for Medicare-covered benefits.
                      Universal American Corp. Today's Options Premier 400 (PFFS) (H5421-049) Private Fee for Service

                        Premium and Other Important Information

                        • $6 700 out-of-pocket limit for Medicare-covered services.
                        • $60.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                        • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i
                        • This plan does not allow providers to balance bill (charging more than your cost share amount).

                        Doctor Office Visits

                        • You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
                        • $25 copay for each primary care doctor visit for Medicare-covered benefits.
                        • $50 copay for each specialist visit for Medicare-covered benefits.
                        Universal American Corp. Today's Options Premier Plus 250A (PFFS) (H5421-067) Private Fee for Service

                          Premium and Other Important Information

                          • $3 250 out-of-pocket limit for Medicare-covered services.
                          • $139 monthly plan premium in addition to your monthly Medicare Part B premium.
                          • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                          • This plan does not allow providers to balance bill (charging more than your cost share amount).

                          Doctor Office Visits

                          • You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
                          • $5 copay for each primary care doctor visit for Medicare-covered benefits.
                          • $30 copay for each specialist visit for Medicare-covered benefits.
                          Universal American Corp. Today's Options Premier Plus 450D (PFFS) (H5421-073) Private Fee for Service

                            Premium and Other Important Information

                            • $6 700 out-of-pocket limit for Medicare-covered services.
                            • $82 monthly plan premium in addition to your monthly Medicare Part B premium.
                            • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                            • This plan does not allow providers to balance bill (charging more than your cost share amount).

                            Doctor Office Visits

                            • You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
                            • $25 copay for each primary care doctor visit for Medicare-covered benefits.
                            • $50 copay for each specialist visit for Medicare-covered benefits.
                            Universal American Corp. Today's Options Premier 200 (PFFS) (H5421-209) Private Fee for Service

                              Premium and Other Important Information

                              • $3 250 out-of-pocket limit for Medicare-covered services.
                              • $95.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                              • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i
                              • This plan does not allow providers to balance bill (charging more than your cost share amount).

                              Doctor Office Visits

                              • You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
                              • $5 copay for each primary care doctor visit for Medicare-covered benefits.
                              • $30 copay for each specialist visit for Medicare-covered benefits.
                              UnitedHealthcare UnitedHealthcare MedicareDirect Essential (PFFS) (H5435-001) Private Fee for Service

                                Premium and Other Important Information

                                • $6 200 out-of-pocket limit for Medicare-covered services.
                                • $0.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                                • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i
                                • This plan does not allow providers to balance bill (charging more than your cost share amount).

                                Doctor Office Visits

                                • You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
                                • $20 copay for each primary care doctor visit for Medicare-covered benefits.
                                • $45 copay for each specialist visit for Medicare-covered benefits.
                                UnitedHealthcare UnitedHealthcare MedicareDirect Rx (PFFS) (H5435-014) Private Fee for Service

                                  Premium and Other Important Information

                                  • $6 700 out-of-pocket limit for Medicare-covered services.
                                  • $28 monthly plan premium in addition to your monthly Medicare Part B premium.
                                  • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                                  • This plan does not allow providers to balance bill (charging more than your cost share amount).

                                  Doctor Office Visits

                                  • You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
                                  • $20 copay for each primary care doctor visit for Medicare-covered benefits.
                                  • $45 copay for each specialist visit for Medicare-covered benefits.

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