Over 37,000 of the country’s 57,300,000 Original Medicare Part A and B beneficiaries live in Idaho Falls, Idaho. Of those enrollees, nearly 9,400 have signed up for a Medicare Advantage plan for a 25.2% participation rate, below the 42.1% national average.
We’ll look at what Medicare Advantage does and other supplemental forms of Idaho Falls, Idaho Medicare below.
Medicare plans in Idaho Falls, Idaho
There are three primary ways Idaho Falls, Original Medicare enrollees can expand their healthcare coverage: Medicare Advantage plans, Medicare Supplement plans, and Medicare Part D plans. Each option offers different benefits and has no price standardization, so your rates will vary depending on your age, location, and gender.
The charts below show average rates for a 65-year-old male Idaho Falls, Idaho, Medicare beneficiary.
Medicare Advantage plans
There are 18 different Medicare Advantage plans available in Idaho Falls for Original Medicare beneficiaries. Among that wide selection includes several low-cost, highly-regarded options that add value to Medicare Part A and B.
PacificSource’s Local PPO Medicare Advantage plan has some of the most budget-friendly pricing of any policy in Idaho Falls, Idaho. It has $0 monthly premiums and a $3,500 maximum out-of-pocket (MOOP).
UnitedHealthcare offers a popular HMO Medicare Advantage option with $0 premiums and a $5,400 MOOP. It has a four-star coverage effectiveness rating. This plan also has an “A” financial rating from AM Best.
Humana also offers an Idaho Falls, Idaho, Advantage plan with competitive pricing. Their Local PPO option has a $0 premium, $5,000 MOOP, and a four-star rating. In addition, generic medications often cost only $1 to $4 with this plan.
The average cost of Medicare Advantage plans in Idaho Falls, Idaho
| PLAN | PREMIUM | MOOP | Plan Type | Star Rating |
| Blue Cross of Idaho | $0 | $6,200 | HMO | 4 |
| PacificSource | $0 | $3,500 | LOCAL PPO | 3 |
| UnitedHealthcare | $0 | $5,400 | HMO | 4 |
| Humana | $0 | $5,000 | LOCAL PPO | 4 |
| Blue Cross of Idaho | $0 | $5,500 | HMO | 4 |
Medicare Supplement plans
Medicare Supplement plans offer additional inpatient and outpatient coverage not included in Original Medicare Part A and B. Ten different Idaho Falls Medicare Supplement plans are available, each with varying coverage ranges.
Medicare Supplement plans, also known as “Medigap” plans, have coverage standardization, so insurance companies can’t change what benefits come in each package, only the premium rates.
Despite being the most expensive on average, Medigap Plan F is the area’s most popular Medicare Supplement plan. It offers more coverage than any other plan, with premiums ranging from $190 to $304.42. In addition, Medicare covers excess charges under Plan F.
Plan G is another popular choice with slightly less coverage and lower premiums. It has everything included in Plan F aside from Part B deductible coverage. Average costs range from $154 to $257.47.
Plan N is affordable for Idaho Falls, Idaho, Medicare enrollees who only need a slight coverage increase. Benefits aren’t as extensive as in Plans G or F, but the premiums cost between $111.16 and $196.35. This is a good middle-of-the-road option.
The average cost of Medicare Supplement plans in Idaho Falls, Idaho
| LETTER PLAN | LOWEST PREMIUM | HIGHEST PREMIUM |
| PLAN A | $103.00 | $241.10 |
| PLAN B | $148.00 | $195.15 |
| PLAN C | $189.00 | $350.00 |
| PLAN D | $162.08 | $207.88 |
| PLAN F | $190.00 | $304.42 |
| PLAN HDF | $46.00 | $92.10 |
| PLAN G | $154.00 | $257.47 |
| PLAN HDG | $46.00 | $69.00 |
| PLAN K | $62.75 | $182.00 |
| PLAN L | $123.50 | $152.00 |
| PLAN M | $180.21 | N/A |
| PLAN N | $111.16 | $196.35 |
Medicare Part D prescription drug plans
Idaho Falls, Idaho Medicare Part D plans help beneficiaries cover expenses for their prescription drugs. Part D is a unique form of supplemental Medicare since no Medicare Supplement plans include medication coverage and only a handful of Medicare Advantage plans do.
Aetna’s Idaho Falls, Idaho, Part D plan has the cheapest premium in the city at $6.90. It also has a $480 deductible and a three-star rating. Many drugs cost you only $1 for a 30-day supply under this plan.
UnitedHealthcare’s Part D coverage has a higher premium than Aetna’s at $29.40. However, their $310 deductible is the lowest in Idaho Falls for a Part D plan. It also offers $0 copays on most Tier 1 drugs.
Humana offers another popular Part D option with a $22.70 premium and a $480 deductible. It provides access to many common pharmacies around the state of Idaho. The plan has a four-star rating.
The average cost of Medicare Part D plans in Idaho Falls, Idaho
| PLAN | PREMIUM | DEDUCTIBLE | STAR RATING |
| Aetna | $6.90 | $480 | 3 |
| Wellcare | $11.30 | $480 | 3 |
| Clear Spring | $16.10 | $480 | 2 |
| Humana | $22.70 | $480 | 4 |
| UnitedHealthcare | $29.40 | $310 | 4 |
Special Needs plans
Medicare Special Needs Plans (SNPs) are a subsection of Medicare Advantage with coverage for Idaho Falls, Idaho, Medicare beneficiaries with specialized medical needs and chronic disabilities. SNPs are not as common as standard Medicare Advantage plans, and only a handful of providers offer SNP coverage.
Molina Health offers two popular SNPs. One has a $0 premium and $7,550 MOOP, while the other has a higher $42.90 premium and lower $2,000 MOOP. Both have dual eligibility.
Blue Cross of Idaho also offers a $0 premium Special Needs Plan but a lower $3,000 MOOP. This plan also has dual eligibility. Additionally, this plan is also an HMO.
The average cost of Medicare Special Needs plans in Idaho Falls, Idaho
| PLAN | PREMIUM | MOOP | Plan Type | Eligibility |
| Molina Healthcare | $0 | $7,550 | HMO | Dual |
| Blue Cross of Idaho | $0 | $3,000 | HMO | Dual |
| Molina Healthcare | $42.90 | $2,000 | HMO | Dual |
How to sign up for Medicare plans in Idaho Falls
Picking the right Medicare Supplement plan in Idaho Falls, Idaho, can be overwhelming with all the existing options. But our licensed insurance agents have the understanding and knowledge to guide you and help pair you with the Medigap plan that’s best for you.
Our agents can also assist with Medicare Advantage and Part D plans; their time and effort are free of charge to you.
So give us a call today to get started. Or complete our quick and short online rate form to receive the best rates in Idaho Falls.
