Find 2018 Medicare Plans in Idaho - ID Medicare Insurance Overview

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Idaho Medicare Insurance

Medicare in Idaho

Medicare offers healthcare coverage to Idaho residents age 65 or older, or to those Idaho residents that suffer from certain medical disabilities. In 2015, 282,024 people are enrolled in Medicare in Idaho, accounting for 17% of the population in Idaho. In 2009 about $7,880 was spent per Medicare enrollee in Idaho, approximately 23.97% lower than the national average of $10,365. From 2015 to 2030 the number of seniors in Idaho is projected to rise by an estimated 64.02% according to calculations based off of the 2000 Census. Thus the number of Medicare beneficiaries in Idaho is also expected to significantly increase.

Local Medicare Resources

Medicare beneficiaries and their caretakers can receive free, one-on-one, and unbiased health benefits counseling from Senior Health Insurance Benefits Advisors (SHIBA), part of a national network of State Health Insurance Assistance Programs (SHIP). Additionally, Idaho participates in a national Senior Medicare Patrol (SMP) program which aims to educate individuals on how to detect, avoid, and report cases of Medicare errors, waste, fraud, and/or abuse.

Types of Medicare Coverage

When you are eligible for Medicare you may sign up for Original Medicare (Part A & Part B), which cover hospital services and medical services, respectively, or you may enroll in a Medicare Advantage Plan (Medicare Part C). If you enroll in Original Medicare you also have the option to purchase a separate or stand alone prescription drug plan (Part D). Medicare Advantage and Medicare Part D insurance plans are sold by private insurance companies that have a contract with Medicare. Original Medicare offers its beneficiaries flexibility in choosing their providers and you are not limited to a network. However, there is no limit on out-of-pocket medical expenses and you must always pay 20% coinsurance for medical service costs. For most Medicare beneficiaries, Part A is already paid through paycheck deductions during their working years (or their spouse's) but most Medicare beneficiaries pay premiums for Part B unless they qualify for financial assistance. Medicare Advantage plans require you to stay in network but some plans will also cover out-of-network care at a higher cost. Many Medicare beneficiaries will elect to enroll in a Medicare Advantage plan that includes prescription drug coverage (MAPD) or purchase a stand alone prescription drug plan to go with their Original Medicare coverage. Most Medicare Advantage plans also include additional health benefits such as vision, dental, or hearing coverage and you have the option to purchase a Medicare Advantage plan with prescription drug coverage (MAPD) in almost all states.

Idaho 2017 Medicare Advantage Plans at a glance

Using CMS data HealthPocket found that:

  • The average total monthly premium for a 2017 Medicare Advantage plan in Idaho is $70.76, 13.25% greater than the national average of $62.48. 7.72% of 2017 Medicare Part C insurance plans in Idaho have a $0 monthly premium.
  • The maximum possible annual drug deductible in any 2017 Medicare Advantage plan with a drug component is $360, but in Idaho the average annual drug deductible for Medicare Part C insurance plans with drug components is $130. 40.12% of 2017 Medicare Part C insurance plans with a drug component in Idaho have a $0 annual drug deductible.
  • The average total monthly premium for a 2017 Medicare Advantage plan without a drug component in Idaho is $32.75. 7.14% of 2017 Medicare Part C insurance plans without a drug component in Idaho have a $0 monthly premium.
  • The average medical out-of-pocket limit for 2017 Medicare Part C insurance plans in Idaho is $5,467.89. 17.89% of 2017 Medicare Advantage plans in Idaho had a medical out-of-pocket limit of $3,400 or less.

To assist seniors in choosing Medicare plans, CMS assigns star ratings to Medicare Part C and Part D plans each year based on preventive care, chronic condition management, customer service, member satisfaction, and drug pricing. Ratings range from 1 star (a poor plan) to 5 stars (an excellent plan).

  • The average overall CMS star rating assigned to Medicare Part C insurance plans in Idaho was 3.8 stars in 2017.
  • Among Idaho's 2017 Medicare Advantage plans with CMS star ratings:
    • 50% earned a score of 4 or 4.5 stars
    • 50% earned a score of 3 or 3.5 stars

Sources:

Data on Medicare eligibility, enrollment, and spending by state from Kaiser Family Foundation

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Idaho Medicare Insurance Companies

There are 19 Medicare insurance providers that offer affordable and comprehensive Medicare insurance in Idaho. Of these, the companies that offer the largest variety of plans to choose from are Humana, Regence BlueCross BlueShield of Utah, and PacificSource Health Plans. In Idaho,. The following are all medicare insurance providers in Idaho:

2018 Best Medicare Plans in Idaho

There are 61 medicare plans in Idaho. The following are the 10 highest rated medicare plans in Idaho based on their CMS rating for the plan's overall quality.

Monthly CostPlan NameCMS Rating
from $37Wellmark Blue Cross and Blue Shield - MedicareBlue Rx Standard (PDP)
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from $100Wellmark Blue Cross and Blue Shield - MedicareBlue Rx Premier (PDP)
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from $30Blue Cross of Idaho - True Blue No Rx (HMO) - Ada County
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from $52Blue Cross of Idaho - True Blue Rx (HMO) - Adams County
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from $58Blue Cross of Idaho - True Blue Rx Option II (HMO) - Adams County
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from $76Blue Cross of Idaho - True Blue Rx Option I (HMO) - Adams County
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from $0Humana - HumanaChoice H5216-046 (PPO) - Ada County
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from $0Humana - Humana Gold Plus H5619-077 (HMO) - Adams County
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from $0Humana - Humana Gold Plus H5619-079 (HMO) - Adams County
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from $12PacificSource Health Plans - PacificSource Medicare MyCare Rx 32 (HMO) - Adams County
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Best Idaho Medicare Plans for Managing High Blood Pressure

The following are the 5 highest rated medicare plans in Idaho based on their CMS rating for the plan's ability for controlling high blood pressure.

Monthly CostPlan NameCMS Rating
from $76Blue Cross of Idaho - True Blue Rx Option I (HMO) - Adams County
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from $58Blue Cross of Idaho - True Blue Rx Option II (HMO) - Adams County
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from $52Blue Cross of Idaho - True Blue Rx (HMO) - Adams County
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from $30Blue Cross of Idaho - True Blue No Rx (HMO) - Ada County
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from $199Humana - HumanaChoice H5216-048 (PPO) - Kootenai County
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Best Idaho Medicare Plans for Managing Diabetes

The following are the 5 highest rated medicare plans in Idaho based on their CMS rating for the plan's ability for diabetes care including: eye exam, kidney disease monitoring, blood sugar controlled and cholesterol controlled.

Monthly CostPlan NameCMS Rating
from $0Molina Healthcare - Molina Medicare Options (HMO) - Adams County
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from $76Blue Cross of Idaho - True Blue Rx Option I (HMO) - Adams County
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from $58Blue Cross of Idaho - True Blue Rx Option II (HMO) - Adams County
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from $52Blue Cross of Idaho - True Blue Rx (HMO) - Adams County
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from $30Blue Cross of Idaho - True Blue No Rx (HMO) - Ada County
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Best Idaho Medicare Plans for Managing Rheumatoid Arthritis

The following are the 5 highest rated medicare plans in Idaho based on their CMS rating for the plan's ability for rheumatoid arthritis management.

Monthly CostPlan NameCMS Rating
from $30Blue Cross of Idaho - Secure Blue No Rx (PPO) - Ada CountyNot Rated
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from $157Regence BlueCross BlueShield of Utah - Regence MedAdvantage + Rx Enhanced (PPO) - Bonner County
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from $97Regence BlueCross BlueShield of Utah - Regence MedAdvantage + Rx Classic (PPO) - Bonner County
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from $58Regence BlueCross BlueShield of Utah - Regence MedAdvantage Basic (PPO) - Bonner County
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from $24UnitedHealthcare - AARP MedicareComplete Choice Plan 2 (PPO) - Adams County
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Best Idaho Medicare Plans for Managing Osteoporosis

The following are the 5 highest rated medicare plans in Idaho based on their CMS rating for the plan's ability for osteoporosis management.

Monthly CostPlan NameCMS Rating
from $199Humana - HumanaChoice H5216-048 (PPO) - Kootenai County
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from $66SelectHealth - SelectHealth Advantage (HMO) - Blaine County
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from $57Humana - Humana Gold Plus H5619-078 (HMO) - Bonner County
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from $46SelectHealth - SelectHealth Advantage Enhanced (HMO) - Adams County
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from $24Humana - HumanaChoice H5216-132 (PPO) - Adams County
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Most Popular Medicare Doctors in Idaho

The following are the most popular medicare doctors in Idaho based on the provider utilization and payment data published by the U.S. Department of Health & Human Services.

NameSpecialtyLocation
Orthopaedic SurgeryMERIDIAN, ID
OphthalmologyIDAHO FALLS, ID
Orthopaedic SurgeryTWIN FALLS, ID
Neurological SurgeryIDAHO FALLS, ID
Neurological SurgeryBOISE, ID
Neurological SurgeryLEWISTON, ID
Internal MedicineSANDPOINT, ID
Orthopaedic SurgeryLEWISTON, ID
SurgeryTWIN FALLS, ID
RadiologyIDAHO FALLS, ID
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Browse Medicare Plans by Cities

  1. Boise, ID
  2. Nampa, ID
  3. Meridian, ID
  4. Idaho Falls, ID
  5. Pocatello, ID
  6. Coeur D Alene, ID
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