Idaho · 2027 plan year

Medicare Advantage HMO plans in Idaho

There are 28 Medicare Advantage HMO plans in Idaho from 7 carriers, averaging 3.48 out of 5 stars across the 21 plans CMS has rated. 28% of those with a published premium charge $0 a month (8 of 28); beyond the premium, what separates them is network, drug coverage and how much you could owe in a bad year.

28
HMO plans
7
Carriers
44
Counties covered
3.5
Avg stars (21 of 28 rated)
$6,700
Median out-of-pocket max

Across the 28 HMO plans in Idaho that publish one, the in-network out-of-pocket maximum has a median of $6,700 and tops out at $9,850 — the ceiling on what you pay in a year for covered in-network care. The mean is $7,008, which sits above the median — the spread is not symmetric, so the median is the better guide.

A $0 plan premium is not a free plan. You still pay your Part B premium to Medicare, plus copays and coinsurance as you use care. Star ratings are published by CMS per contract, so every plan a carrier files under the same contract shares one rating — it describes the carrier’s performance, not this specific plan’s benefits. Estimate your real costs.

7 of Idaho's HMO plans carry no star rating yet.

CMS rates a contract, not a plan, and does not rate one that is too new or has too little data — so 7 plans here shows no rating at all. Unrated is not the same as badly rated; it usually means a new contract, and those plans have to be judged on benefits and network instead.

Idaho HMO plans rank 41st of 49 on star rating.

Across the 21 rated plans here the average overall rating is 3.48 stars, 41st highest of the 49 states with HMO plans. Ratings apply to the contract, so every plan a carrier files under one contract shares the same score.

Not sure whether Medicare Advantage suits you at all? Medicare Advantage vs Original Medicare covers the trade in plain language.

Highest rated

Top-rated HMO plans in Idaho

Showing 5 of 28. See all IdahoMedicare Advantage plans →

Who sells here

HMO plans by carrier

CarrierPlansAvg starsSNPs
UnitedHealthcareUnitedHealth Group, Inc.114.05
Blue Cross of IdahoGemstone Holdings, Inc.73.0—
St. Luke's Health PlanSt. Luke's Health System, Inc.3——
HumanaHumana Inc.24.0—
Molina Healthcare of Utah & IdahoMolina Healthcare, Inc.23.02
PacificSource MedicarePacificSource23.0—
American Health Advantage of UtahMitchell Family Office1—1
Other plan types in Idaho

How HMO compares

All IdahoMedicare Advantage plans →

Nearby on quality

States with similar HMO star ratings

Common questions

Idaho Medicare Advantage HMO plans, answered

How much do Medicare Advantage HMO plans cost in Idaho?
Of the Idaho HMO plans with a published premium, 29% charge $0 a month. The monthly premium is what you pay the plan for its medical (Part C) and drug (Part D) coverage together. A $0 premium does not mean the plan is free: you still pay your Part B premium to Medicare, plus copays and coinsurance as you use care. The number that actually caps a bad year is the in-network out-of-pocket maximum, with a median of $6,700 across these plans.
What are the star ratings for Idaho HMO plans?
The 21 rated HMO plans in Idaho average 3.48 out of 5 stars, with 10 rating 4 or better. CMS rates a contract rather than an individual plan, so every plan a carrier files under the same contract shares one score. A contract that is too new or has too little data is not rated at all, which is different from rating badly.
How many Medicare Advantage HMO plans are available in Idaho?
There are 28 HMO plans from 7 carriers, sold across 44 counties. Availability is set by county, so the plans you can actually join depend on where you live — the full list is rarely available in any one place. 8 of them are Special Needs Plans with extra eligibility rules (see below).
Do Idaho HMO plans include prescription drug coverage?
25 of the 28 HMO plans here bundle Part D drug coverage into the plan. That is the usual arrangement for Medicare Advantage, and you pay one monthly premium to the plan — but that premium has a medical (Part C) part and a drug (Part D) part, and the drug part is often what makes it more than $0. Each plan's page shows both. If you join a Medicare Advantage plan without drug coverage, you generally cannot add a standalone Part D plan alongside it.
What is a Special Needs Plan, and are there any in Idaho?
8 of the 28 HMO plans in Idaho are Special Needs Plans. SNPs limit enrollment to people who also have Medicaid, live in a nursing home or similar institution, or have a qualifying chronic condition. They often carry richer benefits for that group, but if you do not meet the criteria you cannot join one — so the real number of plans open to you may be lower than the total.

A $0 premium is not the whole cost.
See what a year really looks like.

Simplivera models your actual annual costs across Idaho Medicare Advantage plans.

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