SelectHealth Advantage (HMO) in Twin Falls, Idaho (2023)
SelectHealth Advantage (HMO) in Twin Falls County, Idaho costs $87/mo. This affordable Regional PPO plan (H1994-004) is a top choice for those living in Twin Falls County with a $150 prescription deductible and out-of-pocket limits at $6,700. Learn more about Medicare Part C by AARP in Twin Falls County, Idaho below.
UPDATED: Sep 20, 2023
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UPDATED: Sep 20, 2023Fact Checked
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2 out of 5 stars* for plan year 2024
Plan ID: H1994-004
What You Need to Know:
- SelectHealth Advantage (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 $87, which does not include your monthly Medicare Part B premium.
- The annual deductible for this health plan is $150 (Tier 1 and 2 excluded from the Deductible.).
- The plan includes an out-of-pocket maximum of $6,700 per year (in-network).
- SelectHealth Advantage (HMO) includes a Part D prescription drug plan for prescription medication coverage. The annual deductible is $150 (Tier 1 and 2 excluded from the Deductible.).
- This plan's Part D Initial Coverage Limit is $55.
* Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system.
$87
Monthly Premium
| Medicare Plan Features | |||||||||
|---|---|---|---|---|---|---|---|---|---|
| Monthly Premium: | $87.00 | ||||||||
| Part C Premium: | $32.00 | ||||||||
| Monthly Premium: | Part C Premium: | Part D Drug Premium: | Part D Supplemental Premium: | Total Part D Premium: | Drug Deductible: | Tiers with No Deductible: | |||
| $87.00 | $32.00 | $55.00 | $0 | $55.00 | $150.0 | 1.0 | |||
| Gap Coverage: | Yes | ||||||||
| Benchmark: | not below the regional benchmark | ||||||||
| Type of Medicare Health: | Enhanced Alternative | ||||||||
| Health Plan Type: | Local HMO | ||||||||
| Similar Plan: | H1994-007 | ||||||||
| Special Needs Type: | NULL | ||||||||
| Chronic Condition: | NULL | ||||||||
| Additional Gap Coverage: | Yes, some additional gap coverage. | ||||||||
| Maximum Out-of-Pocket Limit for Parts A & B (Moop): | $6,700 | ||||||||
| Annual Deductible: | $150 (Tier 1 and 2 excluded from the Deductible.) | ||||||||
| Annual Initial Coverage Limit ICL: | $4,130 | ||||||||
| Number of Members enrolled in this plan in Twin Falls, Idaho: | Plans Summary Star Rating: | Customer Service Rating: | Drug Cost Rating: | ||||||
| 475 members | 4 out of 5 Stars. | 2 out of 5 Stars. | 4 out of 5 Stars. | ||||||
| Plan Offers Mail Order: | Yes | ||||||||
| Plan Health Benefits | |||||||||
| Total # of Formulary Drugs: | 3,899 drugs | ||||||||
| Number of Members Enrolled in this Plan in Twin Falls, 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 | ||||||
| $32.00 | $55.00 | $0.00 | $87.00 | ||||||
| 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 | |||
| $48.20 | $45.30 | $77.30 | $35.60 | $67.60 | $25.90 | $57.90 | |||
| 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) |
| 829 | $3.00 | 1737 | $15.00 | 366 | $45.00 | 425 | $95.00 | 542 | 30% |
Other Medicare Advantage Plans in Twin Falls, Idaho
| Plan Name | Type | Premium MOOP | Rx Deduct. | Rating |
|---|---|---|---|---|
| True Blue Rx Gem (HMO) (2023) | Local HMO | $5,800 | $190 | |
| True Blue no Rx (HMO) (2023) | Local HMO * | $3,000 | $- | |
| AARP Medicare Advantage Patriot (HMO) (2023) | Local HMO * | $5,400 | $- | |
| PacificSource Medicare MyCare Choice Rx 24 (HMO-POS) (2023) | Local HMO | $5,500 | $100 | |
| PacificSource Medicare Explorer 6 (PPO) (2023) | Local PPO * | $3,500 | $- | |
| AARP Medicare Advantage Plan 1 (HMO) (2023) | Local HMO | $5,500 | $200 | |
| AARP Medicare Advantage Focus (HMO) (2023) | Local HMO | $4,900 | $100 | |
| Molina Medicare Choice Care (HMO) (2023) | Local HMO | $5,750 | $125 | |
| True Blue Rx Option I (HMO) (2023) | Local HMO | $6,500 | $0 | |
| Humana Gold Plus H2486-008 (HMO) (2023) | Local HMO | $6,700 | $175 | |
| True Blue Rx Option II (HMO) (2023) | Local HMO | $6,400 | $250 | |
| True Blue Rx (HMO) (2023) | Local HMO | $6,200 | $125 |