Medicare Advantage Plans


medicare advantage plans, medicare advantage

Medicare is the federal government program that provides health care coverage (health insurance) if you are 65+, under 65 and receiving Social Security Disability Insurance (SSDI) for a certain amount of time, or under 65 and with End-Stage Renal Disease (ESRD).

The Centers for Medicare & Medicaid Services (CMS) is the federal agency that this program.

It is funded in part by Social Security and Medicare taxes you pay on your income, in part through premiums that people with Medicare pay, and in part by the federal budget.

Medicare Advantage Plans

Saint Alphonsus is committed to helping you easily navigate your healthcare needs. As you consider your health insurance options, you may be considering Medicare Advantage plans in place of your current coverage. These plans can vary in their coverage of specific doctors and hospitals. If you are considering enrolling in one of these plans and have previously received care from Saint Alphonsus, select one of the carriers below that include the Saint Alphonsus Medical Group doctors and hospitals you know and trust.

Insurance Company Medicare Participation for Full Benefit Year 2024  
     
Saint Alphonsus Health Plan Saint Alphonsus Health Plan No Premium HMO H6910-001
1-800-964-4525 Saint Alphonsus Health Plan No Premium Choice (PPO) H3828-001
  Saint Alphonsus Health Plan Cash Back No Premium 1 (HMO) H6910-005
  Saint Alphonsus Health Plan Cash Back No Premium 2 (MA Only HMO) H6910-004
     
Humana Humana Gold Plus® HMO H5619-077
1-800-457-4708 Humana Choice® PPO H5216-132
  Humana Choice® PPO H5216-044 
H5216-048 
H5525-054
  Humana USAA Honor PPO H5216-301-003 Idaho 
H5216-301-001 Oregon
  Humana USAA Honor PPO H5216-315
  Humana Value Plus PPO H5216-293
  Humana Gold Plus® HMO H2486-005
  Humana Choice PPO H5525-054 Oregon
  Humana Value Plus H5216-294 Oregon 
H5216-293 Idaho
     
Regence BlueShield 
of Idaho
Regence Valiance PPO H1304-001
1-844-REGENCE (1-844-734-3623) Regence MedAdvantage + Rx Enhanced PPO H1304-004
  Regence MedAdvantage + Rx Primary PPO H1304-011-001
  Regence MedAdvantage + Rx Classic PPO H1304-012-001
  Regence Blue MedAdvantage HMO H1969-002
     
Molina Molina Medicare Choice Care (HMO) H5628_010
1-844-887-0776 Molina Medicare Complete Care Select (HMO D-SNP) H5628_011
1-844-239-4913 Molina Medicare Complete Care (HMO D-SNP) H5628-008
     
Blue Cross of Idaho True Blue Rx Preferred HMO H1350-031
1-888-492-2583 (Prospective Members) True Blue Rx Option I HMO H1350-028
1-888-494-2583 (Current Members) True Blue Rx Option II HMO H1350-029
1-888-495-2583 (D-SNP Members) True Blue Rx HMO H1350-030
  True Blue Rx Gem HMO H1350-024
  True Blue RX Essentials HMO H1350-026
  True Blue Valor HMO H9656-006
  True Blue Special Needs Plan HMO D-SNP H9656-001
  True Blue Special Needs Plan HMO D-SNP H9656-002
  Secure Blue Courage PPO H1302-004
     
Aetna Aetna Medicare SmartFit Elite Plan (HMO) H2056-013
1-833-859-6031 Aetna Medicare Elite Plan (HMO) H2056-001
  Aetna Medicare Value Plan (PPO) H2056-002
  Aetna Medicare Choice Plan (PPO) H9431-006
  Aetna Medicare Eagle Plan (PPO) H9431-016
  Aetna Group PPO H5521-801
  Aetna Group PPO H5521-802
     
PacificSource PacificSource Explorer 6 PPO H4754-006
1-888-863-3637 PacificSource Explorer Rx 11 PPO H4754-011
     
Moda Summit Health Core (HMO-POS) H2765-001
1-844-827-2355 Summit Health Value + Rx (HMO) H2765-002
  Summit Health Standard + Rx (HMO-POS) H2765-003
  Summit Health Premium + Rx (HMO-POS) H2765-004
     
American Health Advantage of Utah 
1-855-521-0627
American Health Advantage of Idaho (HMO I-SNP) H4232-003-0