Idaho Medicare Advantage Companies for 2021 (Full List of Plans)

There are a lot of Medicare Advantage companies in Idaho to choose from, and each has a different selection of plans available. Idaho Medicare Advantage plans vary by county and even sometimes by ZIP code. You may be able to get Medicare Advantage coverage in Idaho without paying anything more than your original Medicare Part B cost.

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D. Gilson is a writer and author of essays, poetry, and scholarship that explore the relationship between popular culture, literature, sexuality, and memoir. His latest book is Jesus Freak, with Will Stockton, part of Bloomsbury’s 33 1/3 Series. His other books include I Will Say This Exactly One Time and Crush. His first chapbook, Catch & Release, won the 2012 Robin Becker Prize from Seve...

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Leslie Kasperowicz holds a BA in Social Sciences from the University of Winnipeg. She spent several years as a Farmers Insurance CSR, gaining a solid understanding of insurance products including home, life, auto, and commercial and working directly with insurance customers to understand their needs. She has since used that knowledge in her more than ten years as a writer, largely in the insuranc...

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Reviewed by Leslie Kasperowicz
Farmers CSR for 4 Years

UPDATED: Oct 13, 2021

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The Highlights

  • There are 28 plans with no additional premium required in ID
  • Standalone Medicare Part D Plans in Idaho can help cover prescription drugs
  • There are 13 Medicare Advantage companies in Idaho

If you’re shopping for a Medicare Advantage plan in Idaho, there are a lot of options to choose from. 13 companies offer Medicare Advantage (Part C) coverage in Idaho. Plans vary by county and include HMO, PPO, and POS options.

Finding the best Medicare company can be a challenge. To choose the right ID Medicare company and plan for your needs, compare rates as well as out-of-pocket costs to find the best combination of cost and coverage.

Ready to compare Medicare plans from top companies in Idaho? Enter your ZIP code for fast, free Idaho Medicare quotes today.

The Complete List of Medicare Advantage Companies in Idaho

You have a lot of companies to choose from for Part C Medicare Advantage in ID. Take a look at the complete listing of health insurance companies that offer Medicare Advantage plans in Idaho, which counties the plans are offered in, and how many plans each company offers.

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Medicare Advantage Companies in Idaho

Company Number of Plans Counties
Aetna Medicare 4 Gem, Elmore, Ada, Payette, Owyhee, Washington, Kootenai, Canyon
Blue Cross of Idaho 7 Bonner, Bannock, Bonneville, Shoshone, Gooding, Gem, Jefferson, Elmore, Ada, Payette, Latah, Valley, Madison, Power, Clark, Fremont, Nez Perce, Cassia, Minidoka, Boundary, Owyhee, Twin Falls, Washington, Bingham, Jerome, Kootenai, Adams, Boise, Canyon
BlueCross BlueShield Minnesota 1 Bonner, Bannock, Bonneville, Shoshone, Gooding, Gem, Jefferson, Elmore, Ada, Payette, Latah, Valley, Madison, Power, Clark, Fremont, Nez Perce, Cassia, Minidoka, Boundary, Owyhee, Twin Falls, Washington, Bingham, Jerome, Kootenai, Adams, Boise, Canyon
BlueCross of Idaho 1 Bonner, Bannock, Bonneville, Shoshone, Gooding, Gem, Jefferson, Elmore, Ada, Payette, Latah, Valley, Benewah, Madison, Power, Clark, Fremont, Nez Perce, Cassia, Minidoka, Boundary, Owyhee, Twin Falls, Washington, Bingham, Jerome, Kootenai, Adams, Boise, Canyon
Humana 8 Bonner, Kootenai, Bannock, Bonneville, Gem, Elmore, Ada, Payette, Owyhee, Washington, Bingham, Boise, Canyon, Gooding, Blaine, Twin Falls, Jerome, Lincoln, Camas
MediGold 4 Gem, Elmore, Ada, Payette, Owyhee, Washington, Canyon
Molina Healthcare 1 Bonner, Bannock, Bonneville, Gem, Jefferson, Elmore, Ada, Payette, Madison, Power, Fremont, Nez Perce, Cassia, Minidoka, Boundary, Owyhee, Twin Falls, Bingham, Kootenai, Boise, Canyon
Molina Healthcare of Utah & Idaho 1 Ada, Twin Falls, Canyon
PacificSource Medicare 7 Bonner, Bannock, Bonneville, Jefferson, Madison, Boundary, Bingham, Kootenai, Gooding, Gem, Elmore, Ada, Payette, Valley, Blaine, Owyhee, Twin Falls, Jerome, Lincoln, Camas, Boise, Canyon
Regence BlueShield Of Idaho 4 Bonner, Gem, Ada, Latah, Nez Perce, Owyhee, Kootenai, Boise, Canyon
Regence BlueShield of Idaho 2 Ada, Canyon
SelectHealth 3 Gooding, Gem, Elmore, Payette, Valley, Cassia, Minidoka, Owyhee, Twin Falls, Washington, Jerome, Adams, Boise, Franklin, Ada, Canyon
UnitedHealthcare 10 Bonner, Bannock, Bonneville, Shoshone, Latah, Nez Perce, Boundary, Twin Falls, Bingham, Kootenai, Gem, Ada, Payette, Canyon, Valley

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Medicare Advantage Plans by Company in Idaho

To compare Medicare Advantage plans by company in Idaho, we’ve gathered a list of all the plans available from each ID Medicare company.

Take a look at the ID Medicare plans by company here, and bear in mind that plan availability and details vary by county.

BlueCross BlueShield Minnesota Medicare Plans in Idaho

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Secure Blue no Rx (PPO) H1302-004 Bonner, Bannock, Bonneville, Shoshone, Gooding, Gem, Jefferson, Elmore, Ada, Payette, Latah, Valley, Madison, Power, Clark, Fremont, Nez Perce, Cassia, Minidoka, Boundary, Owyhee, Twin Falls, Washington, Bingham, Jerome, Kootenai, Adams, Boise, Canyon Local PPO * $0.00

UnitedHealthcare Medicare Plans in Idaho

Plan Name Base Plan ID Counties Plan Type Monthly Premium
AARP Medicare Advantage Plan 1 (HMO) H4604-013 Bonner, Bannock, Bonneville, Shoshone, Latah, Nez Perce, Boundary, Twin Falls, Bingham, Kootenai Local HMO $49.00
AARP Medicare Advantage Plan 2 (HMO) H4604-020 Bonner, Shoshone, Latah, Nez Perce, Boundary, Kootenai Local HMO $15.00
AARP Medicare Advantage Patriot (HMO) H4604-019 Bonner, Bannock, Bonneville, Shoshone, Gem, Ada, Payette, Latah, Nez Perce, Boundary, Twin Falls, Bingham, Kootenai, Canyon Local HMO * $0.00
AARP Medicare Advantage Focus (HMO) H4604-015 Gem, Ada, Payette, Valley, Twin Falls, Canyon Local HMO $0.00
UnitedHealthcare Medicare Advantage Assure (PPO) H0271-002 Gem, Ada, Payette, Canyon Local PPO $35.50
AARP Medicare Advantage (HMO) H4604-012 Gem, Ada, Payette, Canyon Local HMO $16.00
AARP Medicare Advantage Choice Plan 1 (PPO) H2228-031 Ada, Canyon Local PPO $19.00
AARP Medicare Advantage Walgreens (PPO) H2228-079 Ada, Canyon Local PPO $0.00
AARP Medicare Advantage Choice Plan 2 (PPO) H2228-032 Ada, Canyon Local PPO $76.00
UnitedHealthcare Nursing Home Plan (PPO I-SNP) H0710-031 Kootenai Local PPO $36.00

Humana Medicare Plans in Idaho

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Humana Gold Plus H5619-078 (HMO) H5619-078 Bonner, Kootenai Local HMO $59.00
Humana Honor (PPO) H5216-046 Bonner, Bannock, Bonneville, Gem, Elmore, Ada, Payette, Owyhee, Washington, Bingham, Kootenai, Boise, Canyon Local PPO * $0.00
HumanaChoice H5216-044 (PPO) H5216-044 Bonner, Gem, Ada, Payette, Kootenai, Boise, Canyon Local PPO $29.00
HumanaChoice H5216-222 (PPO) H5216-222 Bannock, Bonneville, Bingham Local PPO $70.00
Humana Gold Plus H2486-008 (HMO) H2486-008 Gooding, Blaine, Twin Falls, Jerome, Lincoln, Camas Local HMO $20.00
HumanaChoice H5216-132 (PPO) H5216-132 Gem, Elmore, Ada, Payette, Owyhee, Washington, Boise, Canyon Local PPO $0.00
Humana Gold Plus H5619-077 (HMO) H5619-077 Ada, Payette, Canyon Local HMO $26.00
Humana Community (HMO) H2486-005 Ada, Payette, Canyon Local HMO $0.00

PacificSource Medicare Medicare Plans in Idaho

Plan Name Base Plan ID Counties Plan Type Monthly Premium
PacificSource Medicare Explorer 12 (PPO) H4754-012 Bonner, Bannock, Bonneville, Jefferson, Madison, Boundary, Bingham, Kootenai Local PPO * $0.00
PacificSource Medicare Explorer Rx 11 (PPO) H4754-011 Bonner, Boundary, Kootenai Local PPO $45.00
PacificSource Medicare Explorer Rx 9 (PPO) H4754-009 Bannock, Bonneville, Jefferson, Madison, Bingham Local PPO $99.00
PacificSource Medicare Essentials Rx 21 (HMO) H3864-021 Bannock, Bonneville, Jefferson, Madison, Bingham Local HMO $79.00
PacificSource Medicare MyCare Choice Rx 24 (HMO-POS) H3864-024 Gooding, Gem, Elmore, Ada, Payette, Valley, Blaine, Owyhee, Twin Falls, Jerome, Lincoln, Camas, Boise, Canyon Local HMO $35.00
PacificSource Medicare Explorer 6 (PPO) H4754-006 Gooding, Gem, Elmore, Ada, Payette, Valley, Blaine, Owyhee, Twin Falls, Jerome, Lincoln, Camas, Boise, Canyon Local PPO * $0.00
PacificSource Medicare MyCare Rx 32 (HMO) H3864-032 Ada, Canyon Local HMO $0.00

Regence BlueShield Of Idaho Medicare Plans in Idaho

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Regence Valiance (PPO) H1304-001 Bonner, Gem, Ada, Latah, Nez Perce, Owyhee, Kootenai, Boise, Canyon Local PPO * $0.00
Regence MedAdvantage + Rx Primary (PPO) H1304-011 Bonner, Gem, Ada, Latah, Nez Perce, Owyhee, Kootenai, Boise, Canyon Local PPO $48.00
Regence MedAdvantage + Rx Enhanced (PPO) H1304-004 Bonner, Latah, Nez Perce, Kootenai Local PPO $148.00
Regence MedAdvantage + Rx Classic (PPO) H1304-012 Bonner, Gem, Ada, Latah, Nez Perce, Owyhee, Kootenai, Boise, Canyon Local PPO $87.00

Molina Healthcare Medicare Plans in Idaho

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Molina Medicare Complete Care (HMO D-SNP) H5628-008 Bonner, Bannock, Bonneville, Gem, Jefferson, Elmore, Ada, Payette, Madison, Power, Fremont, Nez Perce, Cassia, Minidoka, Boundary, Owyhee, Twin Falls, Bingham, Kootenai, Boise, Canyon Local HMO $0.00 for people who qualify for both Medicare and Medicaid.

Blue Cross of Idaho Medicare Plans in Idaho

Plan Name Base Plan ID Counties Plan Type Monthly Premium
True Blue no Rx (HMO) H1350-006 Bonner, Bannock, Bonneville, Shoshone, Gooding, Gem, Jefferson, Elmore, Ada, Payette, Latah, Valley, Madison, Power, Clark, Fremont, Nez Perce, Cassia, Minidoka, Boundary, Owyhee, Twin Falls, Washington, Bingham, Jerome, Kootenai, Adams, Boise, Canyon Local HMO * $0.00
True Blue Rx (HMO) H1350-019 Bonner, Bannock, Bonneville, Shoshone, Gooding, Gem, Jefferson, Elmore, Ada, Payette, Latah, Valley, Madison, Power, Clark, Fremont, Nez Perce, Cassia, Minidoka, Boundary, Owyhee, Twin Falls, Washington, Bingham, Jerome, Kootenai, Adams, Boise, Canyon Local HMO $59.00
True Blue Rx Option II (HMO) H1350-016 Bonner, Bannock, Bonneville, Shoshone, Gooding, Gem, Jefferson, Elmore, Ada, Payette, Latah, Valley, Madison, Power, Clark, Fremont, Nez Perce, Cassia, Minidoka, Boundary, Owyhee, Twin Falls, Washington, Bingham, Jerome, Kootenai, Adams, Boise, Canyon Local HMO $105.00
True Blue Rx Gem (HMO) H1350-024 Bonner, Bannock, Bonneville, Shoshone, Gooding, Gem, Jefferson, Elmore, Ada, Payette, Latah, Valley, Madison, Power, Clark, Fremont, Nez Perce, Cassia, Minidoka, Boundary, Owyhee, Twin Falls, Washington, Bingham, Jerome, Kootenai, Adams, Boise, Canyon Local HMO $23.00
True Blue Rx Option I (HMO) H1350-015 Bonner, Bannock, Bonneville, Shoshone, Gooding, Gem, Jefferson, Elmore, Ada, Payette, Latah, Valley, Madison, Power, Clark, Fremont, Nez Perce, Cassia, Minidoka, Boundary, Owyhee, Twin Falls, Washington, Bingham, Jerome, Kootenai, Adams, Boise, Canyon Local HMO $146.00
True Blue Rx Essentials (HMO) H1350-026 Ada, Canyon Local HMO $0.00
True Blue Rx Preferred (HMO) H1350-021 Ada, Canyon Local HMO $0.00

BlueCross of Idaho Medicare Plans in Idaho

Plan Name Base Plan ID Counties Plan Type Monthly Premium
True Blue Special Needs Plan (HMO D-SNP) H1350-025 Bonner, Bannock, Bonneville, Shoshone, Gooding, Gem, Jefferson, Elmore, Ada, Payette, Latah, Valley, Benewah, Madison, Power, Clark, Fremont, Nez Perce, Cassia, Minidoka, Boundary, Owyhee, Twin Falls, Washington, Bingham, Jerome, Kootenai, Adams, Boise, Canyon Local HMO $0.00 for people who qualify for both Medicare and Medicaid.

SelectHealth Medicare Plans in Idaho

Plan Name Base Plan ID Counties Plan Type Monthly Premium
SelectHealth Advantage (HMO) H1994-014 Gooding, Gem, Elmore, Payette, Valley, Cassia, Minidoka, Owyhee, Twin Falls, Washington, Jerome, Adams, Boise Local HMO $96.00
SelectHealth Advantage Essential (HMO) H1994-001 Franklin, Ada, Canyon Local HMO $0.00
SelectHealth Advantage Enhanced (HMO) H1994-007 Franklin, Ada, Canyon Local HMO $61.00

Aetna Medicare Medicare Plans in Idaho

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Aetna Medicare Choice Plan (PPO) H9431-006 Gem, Elmore, Ada, Payette, Owyhee, Washington, Kootenai, Canyon Local PPO $31.00
Aetna Medicare Value Plan (HMO) H2056-002 Gem, Elmore, Ada, Payette, Owyhee, Washington, Canyon Local HMO $0.00
Aetna Medicare Elite Plan (HMO) H2056-001 Gem, Elmore, Ada, Payette, Owyhee, Washington, Canyon Local HMO $0.00
Aetna Medicare Select Plan (PPO) H9431-003 Gem, Elmore, Ada, Payette, Owyhee, Washington, Canyon Local PPO $61.00

MediGold Medicare Plans in Idaho

Plan Name Base Plan ID Counties Plan Type Monthly Premium
MediGold Medical Only (HMO) H6910-004 Gem, Elmore, Ada, Payette, Owyhee, Washington, Canyon Local HMO * $0.00
MediGold Essential Care (HMO) H6910-001 Gem, Elmore, Ada, Payette, Owyhee, Washington, Canyon Local HMO $0.00
MediGold True Advantage (HMO) H6910-002 Gem, Elmore, Ada, Payette, Owyhee, Washington, Canyon Local HMO $29.00
MediGold Classic Preferred (HMO) H6910-003 Gem, Elmore, Ada, Payette, Owyhee, Washington, Canyon Local HMO $45.00

Regence BlueShield of Idaho Medicare Plans in Idaho

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Regence Blue MedAdvantage HMO Plus (HMO) H1969-004 Ada, Canyon Local HMO $38.00
Regence Blue MedAdvantage HMO (HMO) H1969-002 Ada, Canyon Local HMO $0.00

Molina Healthcare of Utah & Idaho Medicare Plans in Idaho

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Molina Medicare Choice Care (HMO) H5628-009 Ada, Twin Falls, Canyon Local HMO $0.00

Idaho Medicare Advantage Plans With No Additional Cost

If you choose to buy Medicare Advantage in Idaho, you will still have to pay your original Medicare Part B premium. Several ID Medicare companies offer Advantage plans that don’t have any additional cost beyond your original Medicare costs. Take a look at the options.

Idaho Medicare Advantage Plans With No Additional Cost

Plan Name County Preferred Pharmacy Copay/ Coinsurance 30-Day Supply MOOP for Part A & B Benefits
AARP Medicare Advantage Patriot (HMO) – H4604-019-0 Franklin This Plan does NOT include Prescription Drug coverage. $5,400
Humana Honor (PPO) – H5216-046-0 Franklin This Plan does NOT include Prescription Drug coverage. $5,000
PacificSource Medicare Explorer 12 (PPO) – H4754-012-0 Canyon, Ada This Plan does NOT include Prescription Drug coverage. $3,500
Secure Blue no Rx (PPO) – H1302-004-0 Gooding, Twin Falls, Jerome This Plan does NOT include Prescription Drug coverage. $3,400
Molina Medicare Complete Care (HMO D-SNP) – H5628-008-0 Minidoka, Twin Falls Preferred Generic: 25%, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25% n/a
True Blue Special Needs Plan (HMO D-SNP) – H1350-025-0 Twin Falls Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00 n/a
True Blue Special Needs Plan (HMO D-SNP) – H1350-009-0 Valley, Elmore, Boise, Gem, Adams, Payette, Washington, Owyhee Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00 n/a
Regence Valiance (PPO) – H1304-001-0 Franklin This Plan does NOT include Prescription Drug coverage. $5,900
AARP Medicare Advantage Focus (HMO) – H4604-015-0 Franklin Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 31% $4,900
PacificSource Medicare Explorer 6 (PPO) – H4754-006-0 Franklin This Plan does NOT include Prescription Drug coverage. $3,500
Regence | St. Luke’s Health Partners Align (HMO) – H1969-007-3 Canyon, Ada Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $40.00, Non-Preferred Drug: 40%, Specialty Tier: 31% $5,500
Regence | St. Luke’s Health Partners Align No Rx (HMO) – H1969-006-0 Gooding, Twin Falls, Jerome This Plan does NOT include Prescription Drug coverage. $5,200
True Blue Rx | St. Luke’s Health Partners (HMO) – H1350-023-1 Canyon, Payette, Ada Preferred Generic: $0.00, Generic: $6.00, Preferred Brand: $37.00, Non-Preferred Brand: $90.00, Specialty Tier: 29% $5,400
Aetna Medicare Elite Plan (HMO) – H2056-001-0 Franklin Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $6,900
Aetna Medicare Value Plan (HMO) – H2056-002-0 Franklin Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $7,550
HumanaChoice H5216-132 (PPO) – H5216-132-0 Gooding, Twin Falls, Jerome Preferred Generic: $4.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% $5,500
MediGold Essential Care (HMO) – H6910-001-0 Elmore, Canyon, Gem, Payette, Washington, Owyhee, Ada Preferred Generic: $0.00, Generic: $6.00, Preferred Brand: $31.00, Non-Preferred Drug: $90.00, Specialty Tier: 33% $5,500
MediGold Medical Only (HMO) – H6910-004-0 Canyon, Payette, Ada This Plan does NOT include Prescription Drug coverage. $3,900
AARP Medicare Advantage Walgreens (PPO) – H2228-079-0 Canyon, Ada Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% $6,700
Humana Community (HMO) – H2486-005-0 Canyon, Payette, Ada Preferred Generic: $2.00, Generic: $8.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 31% $5,500
Molina Medicare Choice Care (HMO) – H5628-009-0 Canyon, Ada Preferred Generic: $0.00, Generic: $6.00, Preferred Brand: $45.00, Non-Preferred Drug: $100.00, Specialty Tier: 30%, Select Care Drugs: $0.00 $5,000
PacificSource Medicare MyCare Rx 32 (HMO) – H3864-032-0 Canyon, Ada Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $37.00, Non-Preferred Drug: 31%, Specialty Tier: 33%, Select Care Drugs: $0.00 $5,500
Regence Blue MedAdvantage HMO (HMO) – H1969-002-0 Canyon, Ada Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $40.00, Non-Preferred Drug: 40%, Specialty Tier: 29% $5,500
Regence MedAdvantage + Rx Primary (PPO) – H1304-011-1 Canyon, Boise, Gem, Owyhee, Ada Preferred Generic: $3.00, Generic: $13.00, Preferred Brand: $40.00, Non-Preferred Drug: 40%, Specialty Tier: 29% $5,500
SelectHealth Advantage Essential (HMO) – H1994-003-0 Canyon, Ada Preferred Generic: $3.00, Generic: $15.00, Preferred Brand: $45.00, Non-Preferred Brand: $95.00, Specialty Tier: 30% $6,700
True Blue Rx Essentials (HMO) – H1350-026-0 Canyon, Ada Preferred Generic: $10.00, Generic: $15.00, Preferred Brand: $37.00, Non-Preferred Brand: $90.00, Specialty Tier: 27% $5,900
True Blue Rx Preferred (HMO) – H1350-021-0 Canyon, Ada Preferred Generic: $0.00, Generic: $6.00, Preferred Brand: $37.00, Non-Preferred Brand: $90.00, Specialty Tier: 29% $5,900
SelectHealth Advantage Essential (HMO) – H1994-001-0 Franklin Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Brand: $95.00, Specialty Tier: 29% $5,500

Standalone Medicare Part D Plans in Idaho

If you need to purchase Part D Medicare coverage in Idaho as a standalone policy, these plans are available. Remember that plans vary by county, and make sure to check that your ID Medicare Advantage plan doesn’t already include Part D prescription drug coverage.

Standalone Medicare Part D Plans in Idaho

Plan Details Tiers
SilverScript SmartRx (PDP)
S5601 – 206 – 0
by Aetna Medicare
Monthly Premium: $7.30
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $19.00
Tier 3: $46.00
Tier 4: 49%
Tier 5: 25%
Clear Spring Health Premier Rx (PDP)
S6946 – 055 – 0
by Clear Spring Health
Monthly Premium: $15.00
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $3.00
Tier 3: $40.00
Tier 4: 45%
Tier 5: 25%
WellCare Wellness Rx (PDP)
S4802 – 200 – 0
by WellCare
Monthly Premium: $15.80
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $5.00
Tier 3: $40.00
Tier 4: 46%
Tier 5: 25%
Humana Walmart Value Rx Plan (PDP)
S5884 – 210 – 0
by Humana
Monthly Premium: $17.20
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $4.00
Tier 3: 19%
Tier 4: 35%
Tier 5: 25%
WellCare Value Script (PDP)
S4802 – 162 – 0
by WellCare
Monthly Premium: $17.70
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $6.00
Tier 3: $43.00
Tier 4: 47%
Tier 5: 25%
WellCare Medicare Rx Select (PDP)
S5810 – 307 – 0
by WellCare
Monthly Premium: $22.80
Annual Deductable: $425
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $3.00
Tier 3: $47.00
Tier 4: 42%
Tier 5: 25%
Cigna Secure-Essential Rx (PDP)
S5617 – 310 – 0
by Cigna
Monthly Premium: $24.00
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $2.00
Tier 3: 18%
Tier 4: 44%
Tier 5: 25%
Express Scripts Medicare – Saver (PDP)
S5660 – 247 – 0
by Express Scripts Medicare
Monthly Premium: $24.30
Annual Deductable: $285
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $2.00
Tier 2: $7.00
Tier 3: $35.00
Tier 4: 50%
Tier 5: 28%
Mutual of Omaha Rx Premier (PDP)
S7126 – 100 – 0
by Mutual of Omaha Rx
Monthly Premium: $24.80
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $2.00
Tier 3: 23%
Tier 4: 44%
Tier 5: 25%
Clear Spring Health Value Rx (PDP)
S6946 – 026 – 0
by Clear Spring Health
Monthly Premium: $30.90
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $3.00
Tier 3: $42.00
Tier 4: 34%
Tier 5: 25%
WellCare Classic (PDP)
S4802 – 021 – 0
by WellCare
Monthly Premium: $33.00
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $2.00
Tier 3: $30.00
Tier 4: 33%
Tier 5: 25%
SilverScript Choice (PDP)
S5601 – 062 – 0
by Aetna Medicare
Monthly Premium: $34.30
Annual Deductable: $250
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $5.00
Tier 3: $35.00
Tier 4: 43%
Tier 5: 28%
Express Scripts Medicare – Value (PDP)
S5660 – 133 – 0
by Express Scripts Medicare
Monthly Premium: $34.70
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $8.00
Tier 3: $34.00
Tier 4: 46%
Tier 5: 25%
Elixir RxPlus (PDP)
S7694 – 031 – 0
by Elixir Insurance
Monthly Premium: $35.50
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $7.00
Tier 3: 15%
Tier 4: 28%
Tier 5: 25%
AARP MedicareRx Saver Plus (PDP)
S5921 – 375 – 0
by UnitedHealthcare
Monthly Premium: $36.10
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $6.00
Tier 3: $35.00
Tier 4: 40%
Tier 5: 25%
WellCare Medicare Rx Saver (PDP)
S5810 – 065 – 0
by WellCare
Monthly Premium: $36.50
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $3.00
Tier 3: $39.00
Tier 4: 35%
Tier 5: 25%
Humana Basic Rx Plan (PDP)
S5884 – 147 – 0
by Humana
Monthly Premium: $36.70
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $1.00
Tier 3: 20%
Tier 4: 35%
Tier 5: 25%
Cigna Secure Rx (PDP)
S5617 – 153 – 0
by Cigna
Monthly Premium: $37.70
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $2.00
Tier 3: $38.00
Tier 4: 50%
Tier 5: 25%
AARP MedicareRx Walgreens (PDP)
S5921 – 412 – 0
by UnitedHealthcare
Monthly Premium: $39.60
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $6.00
Tier 3: $40.00
Tier 4: 40%
Tier 5: 25%
Cigna Secure-Extra Rx (PDP)
S5617 – 276 – 0
by Cigna
Monthly Premium: $48.60
Annual Deductable: $100
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: Yes
Tier 1: $4.00
Tier 2: $10.00
Tier 3: $42.00
Tier 4: 50%
Tier 5: 31%
Humana Premier Rx Plan (PDP)
S5884 – 177 – 0
by Humana
Monthly Premium: $62.80
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $4.00
Tier 3: $45.00
Tier 4: 49%
Tier 5: 25%
SilverScript Plus (PDP)
S5601 – 063 – 0
by Aetna Medicare
Monthly Premium: $67.50
Annual Deductable: $0
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: Yes
Tier 1: $0.00
Tier 2: $2.00
Tier 3: $47.00
Tier 4: 50%
Tier 5: 33%
WellCare Medicare Rx Value Plus (PDP)
S5768 – 154 – 0
by WellCare
Monthly Premium: $76.00
Annual Deductable: $0
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $4.00
Tier 3: $47.00
Tier 4: 49%
Tier 5: 33%
Express Scripts Medicare – Choice (PDP)
S5660 – 216 – 0
by Express Scripts Medicare
Monthly Premium: $76.70
Annual Deductable: $100
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: Yes
Tier 1: $2.00
Tier 2: $7.00
Tier 3: $42.00
Tier 4: 49%
Tier 5: 31%
Mutual of Omaha Rx Plus (PDP)
S7126 – 030 – 0
by Mutual of Omaha Rx
Monthly Premium: $79.70
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $2.00
Tier 3: 20%
Tier 4: 35%
Tier 5: 25%
Regence Medicare Script Basic (PDP)
S5916 – 001 – 0
by Regence BlueShield of Idaho
Monthly Premium: $93.50
Annual Deductable: $300
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $3.00
Tier 2: $10.00
Tier 3: $40.00
Tier 4: 30%
Tier 5: 27%
AARP MedicareRx Preferred (PDP)
S5820 – 030 – 0
by UnitedHealthcare
Monthly Premium: $95.50
Annual Deductable: $0
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $5.00
Tier 2: $10.00
Tier 3: $45.00
Tier 4: 40%
Tier 5: 33%
Regence Medicare Script Enhanced (PDP)
S5916 – 002 – 0
by Regence BlueShield of Idaho
Monthly Premium: $123.50
Annual Deductable: $0
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: Yes
Tier 1: $3.00
Tier 2: $10.00
Tier 3: $47.00
Tier 4: 40%
Tier 5: 33%

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Medicare Advantage in Idaho
Medicare Advantage in Idaho