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The 2021 Medicare Advantage Plans in Owyhee County ID.

2020 Owyhee County Idaho
Medicare Advantage Plans

There are 27 Medicare Advantage Plans available in Owyhee County ID from 8 different health insurance providers. 10 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. Owyhee County Idaho residents can also pick from 2 Medicare Special Needs Plans. The highest rated plan available in Owyhee County received a 4.5 overall star rating from CMS and the lowest rated plan is 3.5 stars

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Name ⇅ Premium Deductible MOOP Gap Plan
Aetna Medicare Choice Plan (PPO)
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$31.00 $150.00 $5,900 YesToo NewEnroll
Aetna Medicare Elite Plan (HMO)
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$0 $0 $5,400 YesToo NewEnroll
Aetna Medicare Select Plan (PPO)
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$61.00 $0 $5,200 YesToo NewEnroll
Aetna Medicare Value Plan (HMO)
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$0 $0 $5,900 YesToo NewEnroll
HumanaChoice H5216-132 (PPO)
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$0 $200.00 $5,000 NoEnroll
MediGold Classic Preferred (HMO)
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$45.00 $0 $3,900 YesToo NewEnroll
MediGold Essential Care (HMO)
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$0 $0 $5,500 YesToo NewEnroll
MediGold True Advantage (HMO)
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$29.00 $0 $4,500 YesToo NewEnroll
PacificSource Medicare MyCare Choice Rx 24 (HMO-POS)
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$35.00 $125.00 $5,500 YesEnroll
Regence MedAdvantage + Rx Classic (PPO)
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$48.00 $250.00 $6,700 NoEnroll
Regence MedAdvantage + Rx Primary (PPO)
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$18.00 $300.00 $6,700 NoEnroll
Regence | St. Luke's Health Partners Align (HMO)
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$0 $200.00 $5,500 NoEnroll
Regence | St. Luke's Health Partners Align Plus (HMO)
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$38.00 $100.00 $5,200 NoEnroll
SelectHealth Advantage Enhanced (HMO)
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$53.00 $0 $5,900 YesEnroll
SelectHealth Advantage Essential (HMO)
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$0 $150.00 $6,700 YesEnroll
True Blue Rx (HMO)
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$55.00 $100.00 $6,200 NoEnroll
True Blue Rx Gem (HMO)
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$15.00 $150.00 $5,400 NoEnroll
True Blue Rx Option I (HMO)
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$142.00 $0 $6,500 NoEnroll
True Blue Rx Option II (HMO)
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$95.00 $250.00 $6,400 NoEnroll
True Blue Rx St Luke's Health Partners (HMO)
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$0 $175.00 $5,800 NoEnroll

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Medicare Advantage Health Plans Without Drug Coverage

Plan Name ⇅ Premium Type MOOP Overall
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Humana Honor (PPO)
$0 Local PPO * $3,600 Enroll
MediGold Medical Only (HMO)
$0 Local HMO * $3,900 Too NewEnroll
PacificSource Medicare Explorer 6 (PPO)
$0 Local PPO * $6,700 Enroll
Regence MedAdvantage Basic (PPO)
$0 Local PPO * $5,900 Enroll
Regence | St. Luke's Health Partners Align No Rx (HMO)
$0 Local HMO * $5,200 Enroll
Secure Blue no Rx (PPO)
$29.00 Local PPO * $3,400 NAEnroll
True Blue no Rx (HMO)
$29.00 Local HMO * $3,000 Enroll

2020 Medicare Special Needs Plans in Owyhee county Idaho

Plan Name ⇅ Monthly
Part D
 Gap  Special Needs
Molina Medicare Complete Care (HMO D-SNP)     $32.10 $435.0  No Dual-Eligible
True Blue Special Needs Plan (HMO D-SNP)     $119.8 $435.0  No Dual-Eligible

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


In 2020 once you and your plan provider have spent $4020 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 25% 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 3, 2019.
Star Rating as of October 11, 2019.
For More Information on Ratings Please See the CMS Tech Notes.
Plans are subject to change as contracts are finalized.
Includes 2020 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2020, 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.

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