True Blue Rx Option I (HMO) in Shoshone, Idaho (2023)
True Blue Rx Option I (HMO) in Shoshone County, Idaho costs $146/mo. This affordable Regional PPO plan (H1350-015) is a top choice for those living in Shoshone County with a $0 prescription deductible and out-of-pocket limits at $6,500. Learn more about Medicare Part C by AARP in Shoshone County, Idaho below.
UPDATED: Sep 20, 2023
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3 out of 5 stars* for plan year 2024
Plan ID: H1350-015
What You Need to Know:
- True Blue Rx Option I (HMO) is a Medicare Advantage Health Maintenance Organization Local HMO plan.
- It must provide all of the same hospital and medical benefits as Medicare Part A and Part B, however, costs may be different.
- It has additional benefits not included in Medicare Part A and Part B, including prescription drug coverage.
- The plan's monthly premium is $146, which does not include your monthly Medicare Part B premium.
- The annual deductible for this health plan is .
- The plan includes an out-of-pocket maximum of $6,500 per year (in-network).
- True Blue Rx Option I (HMO) includes a Part D prescription drug plan for prescription medication coverage. The annual deductible is .
- This plan's Part D Initial Coverage Limit is $2.
* Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system.
$146
Monthly Premium
Medicare Plan Features | |||||||||
---|---|---|---|---|---|---|---|---|---|
Monthly Premium: | $146.00 | ||||||||
Part C Premium: | $107.4 | ||||||||
Monthly Premium: | Part C Premium: | Part D Drug Premium: | Part D Supplemental Premium: | Total Part D Premium: | Drug Deductible: | Tiers with No Deductible: | |||
$146.00 | $107.4 | $2.40 | $36.20 | $38.60 | $0 | 0.0 | |||
Gap Coverage: | No | ||||||||
Benchmark: | not below the regional benchmark | ||||||||
Type of Medicare Health: | Enhanced Alternative | ||||||||
Health Plan Type: | Local HMO | ||||||||
Similar Plan: | H1350-016 | ||||||||
Special Needs Type: | NULL | ||||||||
Chronic Condition: | NULL | ||||||||
Additional Gap Coverage: | No additional gap coverage, only the Donut Hole Discount | ||||||||
Maximum Out-of-Pocket Limit for Parts A & B (Moop): | $6,500 | ||||||||
Annual Deductible: | NULL | ||||||||
Annual Initial Coverage Limit ICL: | $4,130 | ||||||||
Number of Members enrolled in this plan in Shoshone, Idaho: | Plans Summary Star Rating: | Customer Service Rating: | Drug Cost Rating: | ||||||
less than 10 members | 3.5 out of 5 Stars. | 3 out of 5 Stars. | 3 out of 5 Stars. | ||||||
Plan Offers Mail Order: | Yes | ||||||||
Plan Health Benefits | |||||||||
Total # of Formulary Drugs: | 4,181 drugs | ||||||||
Number of Members Enrolled in this Plan in Shoshone, Idaho: | NULL | ||||||||
Number of Drugs Per Tier: | NULL | ||||||||
Preferred Pharmacy Cost Sharing During Initial Coverage Phase: | NULL | ||||||||
Special Needs Plan SNP Eligibility Requirement: | NULL | ||||||||
Monthly Premium Split as Follows: | |||||||||
Part C Premium | Part D Base Premium | Part D Supplemental Premium | Total Premium | ||||||
$107.40 | $2.40 | $36.20 | $146.00 | ||||||
Monthly Premium with Extra Help Low Income Subsidy: | |||||||||
LIS100 Subsidy Total Monthly Premium with LIS Parts CD | LIS25 Subsidy Monthly PartD Premium with LIS | LIS25 Subsidy Total Monthly Premium with LIS Parts CD | LIS50 Monthly PartD Premium with LIS | LIS50 Subsidy Total Monthly Premium with LIS Parts CD | LIS75 Monthly PartD Premium with LIS | LIS75 Subsidy Total Monthly Premium with LIS Parts CD | |||
$143.60 | $38.00 | $145.40 | $37.40 | $144.80 | $36.80 | $144.20 | |||
Formulary Drug Details: | |||||||||
Tier 1 # of Drugs per Tier | Tier 1 Preferred Pharmacy Cost Sharing (initial coverage phase) | Tier 2 # of Drugs per Tier | Tier 2 Preferred Pharmacy Cost Sharing (initial coverage phase) | Tier 3 # of Drugs per Tier | Tier 3 Preferred Pharmacy Cost Sharing (initial coverage phase) | Tier 4 # of Drugs per Tier | Tier 4 Preferred Pharmacy Cost Sharing (initial coverage phase) | Tier 5 # of Drugs per Tier | Tier 6 Preferred Pharmacy Cost Sharing (initial coverage phase) |
572 | $0.00 | 1954 | $12.00 | 387 | $35.00 | 444 | $85.00 | 824 | 33% |
Other Medicare Advantage Plans in Shoshone, Idaho
Plan Name | Type | Premium MOOP | Rx Deduct. | Rating |
---|---|---|---|---|
True Blue no Rx (HMO) (2023) | Local HMO * | $3,000 | $- | |
True Blue Rx Gem (HMO) (2023) | Local HMO | $5,800 | $190 | |
AARP Medicare Advantage Patriot (HMO) (2023) | Local HMO * | $5,400 | $- | |
AARP Medicare Advantage Plan 1 (HMO) (2023) | Local HMO | $5,500 | $195 | |
AARP Medicare Advantage Plan 2 (HMO) (2023) | Local HMO | $6,700 | $295 | |
True Blue Rx Option II (HMO) (2023) | Local HMO | $6,400 | $250 | |
True Blue Rx (HMO) (2023) | Local HMO | $6,200 | $125 | |
Medicare Advantage Plans by Blue Cross of Idaho | ||||
True Blue no Rx (HMO) (2023) | Local HMO * | $3,000 | $- | |
True Blue Rx Gem (HMO) (2023) | Local HMO | $5,800 | $190 | |
True Blue Rx Option II (HMO) (2023) | Local HMO | $6,400 | $250 | |
True Blue Rx (HMO) (2023) | Local HMO | $6,200 | $125 |