Medicare Advantage plans in Gem County, ID: what changed for 2027
For 2027, Gem County in Idaho has 9 Medicare Advantage plans that include drug coverage, compared with 14 in 2026, according to the CMS plan landscape files.
Companies no longer offering Advantage plans here in 2027
- PacificSource
- Trinity Health Corporation
If you are in one of their plans, you should have received a notice. You can choose a new plan during Open Enrollment, and special enrollment rules can apply when a plan leaves your area.
7 Advantage plan IDs (not counting Special Needs or Cost plans) listed here for 2026 are not in the 2027 file and 0 plan IDs are new. Some of these are the same plan renamed or merged, so check the Annual Notice of Change from your plan.
How many people here are in Medicare Advantage
In October 2026, 3,620 of the 5,971 people eligible for Medicare in Gem County were enrolled in a Medicare Advantage or other Medicare health plan, 60.6%. A year earlier it was 3,630 of 5,777 (62.8%).
CMS counts enrollees in all Medicare health plans, including Advantage, cost and PACE plans, by the county where they live.
Before you choose a plan
Compare plans for your ZIP code, drugs and doctors on the official Medicare Plan Finder, or call 1-800-MEDICARE (1-800-633-4227). Free, unbiased counselling is available from your State Health Insurance Assistance Program at shiphelp.org.
Advantage plans with drug coverage for 2027 (9)
| Plan | Company | Type | Monthly premium | In-network out-of-pocket limit | Star rating |
|---|---|---|---|---|---|
| Humana Gold Plus H2486-005 (HMO) | Humana | HMO | $0 | $6,520 | 4 of 5 |
| Humana Total Complete (HMO) | Humana | HMO | $0 | $6,660 | 4 of 5 |
| Humana Value Choice (PPO) | Humana | PPO | $0 | $7,000 | 4 of 5 |
| Humana Value Choice (PPO) | Humana | PPO | $0 | $7,150 | 4.5 of 5 |
| True Blue Rx 32PSP (HMO) | Blue Cross of Idaho | HMO | $24.00 | $5,900 | 3 of 5 |
| Humana Full Access (PPO) | Humana | PPO | $30.00 | $5,900 | 4.5 of 5 |
| True Blue Rx 33 (HMO) | Blue Cross of Idaho | HMO | $64.00 | $5,900 | 3 of 5 |
| AARP Medicare Advantage from UHC ID-0005 (HMO-POS) | UnitedHealthcare | HMO-POS | $65.00 | $6,300 | 4 of 5 |
| HumanaChoice H5216-048 (PPO) | Humana | PPO | $97.00 | $7,000 | 4 of 5 |
Advantage plans without drug coverage for 2027 (5)
| Plan | Company | Type | Monthly premium | In-network out-of-pocket limit | Star rating |
|---|---|---|---|---|---|
| AARP Medicare Advantage Patriot No Rx ID-MA01 (HMO-POS) | UnitedHealthcare | HMO-POS | Not listed | $6,700 | 4 of 5 |
| Humana USAA Honor Giveback (PPO) | Humana | PPO | Not listed | $9,150 | 4 of 5 |
| Humana USAA Honor Giveback (PPO) | Humana | PPO | Not listed | $5,100 | 4 of 5 |
| Secure Blue Courage (PPO) | Blue Cross of Idaho | PPO | Not listed | $5,200 | Not Enough Data Available |
| True Blue Valor (HMO) | Blue Cross of Idaho | HMO | Not listed | $3,000 | 3 of 5 |
Special Needs Plans for 2027 (8)
| Plan | Company | Type | Monthly premium | In-network out-of-pocket limit | Star rating |
|---|---|---|---|---|---|
| HumanaChoice - Diabetes and Heart (PPO C-SNP) | Humana | PPO C-SNP · Chronic or Disabling Condition | $0 | $9,850 | 4.5 of 5 |
| UHC Complete Care ID-12 (HMO-POS C-SNP) | UnitedHealthcare | HMO-POS C-SNP · Chronic or Disabling Condition | $0 | $7,150 | 4 of 5 |
| UHC Dual Complete ID-QV1 (HMO-POS D-SNP) | UnitedHealthcare | HMO-POS D-SNP · Dual-Eligible | $0 | $9,850 | Plan Too New To Be Measured |
| UHC Dual Complete ID-YL (HMO-POS D-SNP) | UnitedHealthcare | HMO-POS D-SNP · Dual-Eligible | $21.20 | $9,850 | Plan Too New To Be Measured |
| UHC Dual Complete ID-Y1 (HMO-POS D-SNP) | UnitedHealthcare | HMO-POS D-SNP · Dual-Eligible | $26.40 | $9,850 | Plan Too New To Be Measured |
| UHC Complete Care Support ID-1A (PPO C-SNP) | UnitedHealthcare | PPO C-SNP · Chronic or Disabling Condition | $45.40 | $9,850 | 4.5 of 5 |
| American Health Advantage of Idaho (HMO I-SNP) | American Health Advantage of Utah | HMO I-SNP · Institutional | $45.50 | $7,250 | Not Enough Data Available |
| Molina Medicare Complete Care (HMO D-SNP) | Molina Healthcare of Utah & Idaho | HMO D-SNP · Dual-Eligible | $45.50 | $9,850 | 3 of 5 |
Stand-alone Part D drug plans are offered statewide: see Idaho drug plans.
Sources
- Centers for Medicare & Medicaid Services, CY2027 Medicare Advantage and Part D Landscape file (data last updated 18 October 2026)
- Centers for Medicare & Medicaid Services, CY2026 Medicare Advantage and Part D Landscape file (September 2026 release)
- Centers for Medicare & Medicaid Services, MA State/County Penetration files, October 2026 and October 2025
Checked 29 October 2026. Plans and premiums can change before 1 January 2027. Confirm any plan on Medicare.gov before you enrol.