Secure Blue Employer (PPO)
BLUE CROSS OF IDAHO HEALTH SERVICE, INC. · 2027 plan year
Plan ID H1302-804-000
Local PPOEmployer group plan
- MOOP (in-network)
- $7,151
- MOOP (combined)
- $10,000
- Monthly premium
- Not published
- CMS publishes no consumer premium for this plan
- Prescription drugs
- Included
Offered only through an employer or union retiree plan; premiums are set by the group.
This plan in 2026
Plan information
- Contract / Plan / Segment
- H1302-804-000
- Medical deductible
- Medicare Part B deductible (CMS has not yet announced the 2027 amount)Plus the Medicare Part A hospital deductible (CMS has not yet announced the 2027 amount), charged per benefit period rather than once a year.
More BLUE CROSS OF IDAHO HEALTH SERVICE, INC. plans in ID
Benefits & cost sharing
Hospital
| Benefit | In-network |
|---|---|
| Inpatient Hospital — Acute | Original Medicare cost sharing |
| Inpatient Hospital — Psychiatric | Original Medicare cost sharing |
Pharmacy
| Benefit | In-network |
|---|---|
| Chemotherapy & Radiation Drugs (Part B) | 0%-20% coinsurance |
| Part B Drugs | See plan details |
| Other Part B Drugs | 0%-20% coinsurance |
Mental Health
| Benefit | In-network |
|---|---|
| Mental Health — Group Sessions | 20% coinsurance |
| Mental Health Specialty Services | See plan details |
| Mental Health — Individual Sessions | 20% coinsurance |
Other
| Benefit | In-network |
|---|---|
| Supervised Exercise Therapy (SET) | 20% coinsurance |
| Insulin (Part B) | No charge |
| Skilled Nursing Facility (SNF) | Original Medicare cost sharing |
| Cardiac & Pulmonary Rehabilitation | See plan details |
| Cardiac Rehabilitation — Additional Sessions | 20% coinsurance |
| Intensive Cardiac Rehabilitation — Additional Sessions | 20% coinsurance |
| Pulmonary Rehabilitation — Additional Sessions | 20% coinsurance |
| Emergency Services | 20% coinsurance (max $90) |
| Urgently Needed Services | 20% coinsurance (max $40) |
| Partial Hospitalization Program | 20% coinsurance |
| Intensive Outpatient Program (IOP) | 20% coinsurance |
| Home Health Services | No charge |
| Primary Care Physician Services | 20% coinsurance |
| Chiropractic Services | 20% coinsurance |
| Occupational Therapy Services | 20% coinsurance |
| Physician Specialist Services | 20% coinsurance |
| Ambulance Services | See plan details |
| Podiatry Services | 20% coinsurance |
| Other Health Care Professional Services | 20% coinsurance |
| Psychiatric Services | See plan details |
| Psychiatric Services — Individual Sessions | 20% coinsurance |
| Psychiatric Services — Group Sessions | 20% coinsurance |
| Physical Therapy & Speech-Language Pathology | 20% coinsurance |
| Opioid Treatment Program Services | 20% coinsurance |
| Diagnostic Tests & Lab Services | See plan details |
| Diagnostic Procedures & Tests | 20% coinsurance |
| Laboratory Services | 20% coinsurance |
| Radiological Services | See plan details |
| Diagnostic Radiology | 20% coinsurance |
| Therapeutic Radiology | 20% coinsurance |
| X-Ray Services | 20% coinsurance |
| Outpatient Hospital Services | 20% coinsurance |
| Hospital Observation Services | 20% coinsurance |
| Ambulatory Surgical Center (ASC) | 20% coinsurance |
| Outpatient Substance Abuse Services | See plan details |
| Substance Abuse — Individual Sessions | 20% coinsurance |
| Substance Abuse — Group Sessions | 20% coinsurance |
| Outpatient Blood Services | 20% coinsurance |
| Ground Ambulance | 20% coinsurance |
| Air Ambulance | 20% coinsurance |
| Durable Medical Equipment (DME) | 20% coinsurance |
| Prosthetics & Orthotics | See plan details |
| Prosthetic Devices | 20% coinsurance |
| Medical Supplies | 20% coinsurance |
| Diabetic Supplies & Services | See plan details |
| Diabetic Supplies | No charge |
| Diabetic Therapeutic Shoes & Inserts | 20% coinsurance |
| Diabetic Monitors | No charge |
| Dialysis Services | 20% coinsurance |
| Medicare-Covered Preventive Services | See plan details |
| Kidney Disease Education Services | 20% coinsurance |
| Glaucoma Screening | 20% coinsurance |
| Diabetes Self-Management Training | 20% coinsurance |
| Digital Rectal Exams | 20% coinsurance |
| Welcome to Medicare EKG | 20% coinsurance |
| Dental — Medicare-Covered Services | 10% coinsurance |
| Vision — Eye Exams | 20% coinsurance |
| Vision — Eyewear | 20% coinsurance |
| Hearing — Exams | 20% coinsurance |
Service area
- ID: 33 counties
Reviewing your Medicare coverage for 2027?
Plans change every year. Leave your email and we'll let you know when Medicare open enrollment opens.