Secure Blue Courage (PPO)
Medicare Plan Details (2023 Plan)
Monthly Premium
by Blue Cross of Idaho
Additional Coverage
Overall Government Star Rating
No Rating (new plans)Ready to Enroll Online?
Plan Type
Medicare Advantage (Part C)
Medicare Advantage combines Part A and Part B. This plan = Part A + Part B
Plan Details
$5,600 In-network
Medical Benefits
Doctor Services
Out-of-network: $45 copay per visit
Out-of-network: $45 copay per visit
Tests, labs, & imaging
Out-of-network: 25% coinsurance
Out-of-network: 25% coinsurance
Out-of-network: 25% coinsurance
Out-of-network: 25% coinsurance
Hospital Services
$0 per day for days 6 through 90
Out-of-network: $350 per day for days 1 through 10
$0 per day for days 11 through 90
Out-of-network: 20% coinsurance per visit
Skilled nursing facility
$196 per day for days 21 through 100
Out-of-network: $100 per day for days 1 through 12
$196 per day for days 13 through 100
Preventive services
Out-of-network: $0 copay
Ambulance
Out-of-network: $275 copay
Therapy services
Out-of-network: $45 copay
Out-of-network: $45 copay
Mental health services
Out-of-network: 25% coinsurance
Out-of-network: 25% coinsurance
Out-of-network: 25% coinsurance
Out-of-network: 25% coinsurance
Opioid treatment services
Other services
Out-of-network: 30% coinsurance per item
Out-of-network: 30% coinsurance per item
Out-of-network: 30% coinsurance per item
Prescription Drug Benefits
Tier drug costs for: Standard retail pharmacy drug cost for 1-month
Part B Drugs
Out-of-network: 30% coinsurance
Out-of-network: 30% coinsurance
Extra Benefits
Hearing
Out-of-network: $45 copay
Out-of-network: $699-999 copay
Preventive Dental
Comprehensive dental
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Vision
Out-of-network: $20 copay
Out-of-network: $35 copay
Out-of-network: $35 copay
Out-of-network: $35 copay
Other benefits
Health Plan Star Ratings
(government star ratings are out of 5 stars)
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