2019 Medicare Advantage Plans in
Ada County Idaho

There are 29 Medicare Advantage Plans available in Ada County ID from 9 different health insurance providers. 4 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $3000 and the highest out of pocket is $6700. Ada County Idaho residents can also pick from 2 Medicare Special Needs Plans. The highest rated plan available in Ada County received a 4 overall star rating from CMS and the lowest rated plan is 3.5 stars


(Click the Plan Name for More Details)
(⇅ Click the Header to Sort)

Name ⇅ Premium Deductible MOOP Gap Click
for
Formulary
Plan
Rating
Sign
Up
Aetna Medicare Alliance Prime Plan (PPO)
$32.00 $145.00 $4,900 YesBrowse
Formulary
Too New
Aetna Medicare Freedom Plan (PPO)
$67.00 $95.00 $4,500 YesBrowse
Formulary
Too New
Humana Gold Plus H5619-077 (HMO)
$33.00 $100.00 $5,000 NoBrowse
Formulary
Enroll
Humana Gold Plus H5619-079 (HMO)
$0 $150.00 $6,000 NoBrowse
Formulary
Enroll
HumanaChoice H5216-044 (PPO)
$49.00 $200.00 $6,000 NoBrowse
Formulary
Enroll
HumanaChoice H5216-132 (PPO)
$19.00 $160.00 $5,000 NoBrowse
Formulary
Enroll
Molina Medicare Options (HMO)
$10.00 $150.00 $6,700 NoBrowse
Formulary
PacificSource Medicare MyCare Choice Rx 24 (HMO-POS)
$39.00 $150.00 $5,500 YesBrowse
Formulary
PacificSource Medicare MyCare Rx 32 (HMO)
$13.00 $175.00 $5,500 YesBrowse
Formulary
Regence Blue MedAdvantage HMO (HMO)
$0 $200.00 $5,500 NoBrowse
Formulary
Enroll
Regence Blue MedAdvantage HMO Plus (HMO)
$28.00 $0 $5,200 NoBrowse
Formulary
Regence MedAdvantage + Rx Classic (PPO)
$49.00 $250.00 $6,700 NoBrowse
Formulary
Enroll
Regence MedAdvantage + Rx Enhanced (PPO)
$98.00 $0 $5,000 NoBrowse
Formulary
Enroll
SelectHealth Advantage Enhanced (HMO)
$53.00 $0 $5,900 NoBrowse
Formulary
SelectHealth Advantage Essential (HMO)
$0 $150.00 $6,700 NoBrowse
Formulary
True Blue Rx (HMO)
$49.00 $0 $6,700 NoBrowse
Formulary
True Blue Rx Gem (HMO)
$15.00 $125.00 $5,900 NoBrowse
Formulary
True Blue Rx Option I (HMO)
$139.00 $0 $6,700 NoBrowse
Formulary
True Blue Rx Option II (HMO)
$89.00 $200.00 $6,700 NoBrowse
Formulary
True Blue Rx Preferred (HMO)
$0 $100.00 $5,900 NoBrowse
Formulary


Return to 2019 Medicare Advantage Plans in Idaho





Medicare Advantage Health Plans Without Drug Coverage

Plan Name ⇅ Premium Type MOOP Overall
Rating
Sign Up
HumanaChoice H5216-046 (PPO)
$0 Local PPO * $3,600 Enroll
PacificSource Medicare Explorer 6 (PPO)
$0 Local PPO * $6,700
Regence MedAdvantage Basic (PPO)
$0 Local PPO * $5,900 Enroll
Secure Blue no Rx (PPO)
$29.00 Local PPO * $3,400 NA
True Blue no Rx (HMO)
$29.00 Local HMO * $3,000





2019 Medicare Special Needs Plans in Ada county Idaho

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Click
for
Formulary
Molina Medicare Options Plus (HMO SNP)
(H5628- 008)
    $21.60 $415.0  No Dual-EligibleBrowse
Formulary
True Blue Special Needs Plan (HMO SNP)
(H1350- 009)
    $107.4 $415.0  No Dual-EligibleBrowse
Formulary



Plan Type Is the type of organization offering the Medicare Plans.

  • HMO - Health Maintenance Organization
  • PPO - Preferred Provider Organization
  • PDP - Prescription Drug Plan
  • SNP - Special Needs Plan
  • POS - Point of Service
  • PFFS - Private Fee For Service

Monthly Consolidated Premium (Includes Part C + D) Your premium may be lower depending on your eligibility for medical assistance. Call your provider for details.

Part D Total Premium: The Part D Total Premium is the sum of the Basic and Supplemental Premiums. Note: the Part D Total Premium is net of any Part A/B rebates applied to "buy down" the drug premium for Medicare Advantage; for some plans the total premium may be lower than the sum of the basic and supplemental premiums due to negative basic or supplemental premiums.

Benefit Type
  • (EA) Enhanced Alternative may offer additional gap coverage which is calculated as the percentage of generic formulary products with coverage above standard generic coverage gap cost-sharing benefit and/or the percentage of brand formulary products covered in addition to the coverage gap discount for applicable drugs.
  • (DS) Defined Standard Benefit
  • (BA) Basic Alternative
  • (AE) Actuarially Equivalent Standard

GAP

In 2019 once you and your plan provider have spent $3820 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA "donut hole") Once you reach the coverage gap you will pay 25% of the plans cost for covered brand-name prescription drugs and 37% on generic drugs unless your plan offers additional coverage.

Maximum Out-of-Pocket (MOOP) limit on enrollee spending that includes costs for all in-network Part A and Part B Services. NOT Part D - prescription drugs. N/A is defined as Not Applicable



Source: CMS. Data as of September 5, 2018.
Star Rating as of October 10, 2018.
For More Information on Ratings Please See the CMS Tech Notes.
Plans are subject to change as contracts are finalized.
Includes 2019 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2019, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part-D benefit.


Call For A licensed Sales Agent

1-855-492-4169

  • Mon-Fri 8:30am-8:00pm


Call to Enroll!