True Blue Rx 35PSP (HMO)
Idaho Medicare Advantage Plan (2026 Plan)
Additional Coverage
HearingVisionDental
Overall Government Star Rating
3.5
out of 5 stars
Plan Type
Medicare Advantage Plan With Part D Prescription Drug Coverage
True Blue Rx 35PSP (HMO) is a Medicare Advantage Plan With Part D Prescription Drug Coverage, which is available in Idaho and offered by the health insurance company Blue Cross of Idaho. This plan’s network type is HMO which determines in-network doctors who accept the health plan and whether a referral is needed.
Annual Deductible
$900 In-network
Primary doctor visit
$0 copay
Specialist visit
$40 copay
True Blue Rx 35PSP (HMO) has a monthly premium cost of $99 per month, with an annual deductible of $900 In-network and a maximum out of pocket cost sharing of $5,900 In-network. The most common benefit costs which people evaluate when choosing a plan are costs for a primary doctor visit, specialist doctor visit, emergency room visit, and ambulance. These costs are listed in this summary section and a full list of benefit costs for True Blue Rx 35PSP (HMO) are defined below.
Yes
Part D Prescription Drug Coverage
True Blue Rx 35PSP (HMO) is a Medicare Advantage plan which does include Medicare Part D Prescription Drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. True Blue Rx 35PSP (HMO) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. True Blue Rx 35PSP (HMO) includes coverage for the following additional benefits:
Other benefits
Over the counter drug benefits
Home and bathroom safety devices
Each year the federal government evaluates the quality of Medicare Advantage and Part D Prescription Drug plans based on a 5-star scoring system. For 2026, True Blue Rx 35PSP (HMO) received an overall government quality rating of 3.5 stars out of 5 stars.
True Blue Rx 35PSP (HMO) performed worse than Idaho’s State average overall quality score of 3.7 stars.
This Plan’s 5-star Gov’t Quality Score
Idaho State Average Score
Overall Government 5 Star Quality Rating
3.5
3.7
Summary rating of health plan quality
Staying healthy: screenings, tests, & vaccines
Managing chronic (long term) conditions
Member experience with health plan
Member complaints & changes in the health plan's performance
Health plan customer service
Summary rating of drug plan quality
Drug plan customer service
Member complaints & changes in the drug plan's performance
Member experience with the drug plan
Drug safety & accuracy of drug pricing
The government calculates an “Overall star rating” based on ratings for sub components including “Health plan star rating” and “Drug plan star rating”, which includes further subcomponents of each.
True Blue Rx 35PSP (HMO) received 3.5 stars for its health plan quality score which is worse than the Idaho State average health plan quality score of 3.8 stars.
True Blue Rx 35PSP (HMO) received 3 stars for its drug plan quality score which is worse than the Idaho State average drug plan quality score of 3.3 stars.
Health Portion of Premium
Health Plan Max Out-of-Pocket
Nationwide Coverage included
Hearing Coverage included
Doctor Services
Primary doctor visit
In-network: $0 copay
Out-of-network: $0 copay
Specialist visit
In-network: $40 copay
Out-of-network: $40 copay
Tests, labs, & imaging
Diagnostic tests & procedures
In-network: $35 copay
Out-of-network: $35 copay
Lab services
In-network: $0 copay
Out-of-network: $0 copay
Diagnostic radiology services (like MRI)
In-network: $0-$350 copay
Out-of-network: $0-$350 copay
Outpatient x-rays
In-network: $25 copay
Out-of-network: $25 copay
Emergency care
In-network: No Data
Out-of-network: No Data
Urgent care
In-network: No Data
Out-of-network: No Data
Hospital Services
Inpatient hospital coverage
In-network: No Data
Out-of-network: No Data
Outpatient hospital coverage
In-network: $0-$500 copay
Out-of-network: $0-$500 copay
Skilled nursing facility
Skilled nursing facility
In-network: No Data
Out-of-network: No Data
Preventive services
Preventive services
In-network: $0 copay
Out-of-network: $0 copay
Ambulance
Ground ambulance
In-network: $320 copay
Out-of-network: $320 copay
Therapy services
Occupational therapy visit
In-network: $40 copay
Out-of-network: $40 copay
Physical therapy & speech & language therapy visit
In-network: $40 copay
Out-of-network: $40 copay
Mental health services
Outpatient group therapy with a psychiatrist
In-network: $40 copay
Out-of-network: $40 copay
Outpatient individual therapy with a psychiatrist
In-network: $40 copay
Out-of-network: $40 copay
Outpatient group therapy visit
In-network: $35 copay
Out-of-network: $35 copay
Outpatient individual therapy visit
In-network: $35 copay
Out-of-network: $35 copay
Opioid treatment services
Opioid treatment services
Other services
Durable medical equipment (like wheelchairs & oxygen)
In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Prosthetics (like braces, artificial limbs)
In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Diabetes supplies
In-network: $0 copay
Out-of-network: $0 copay
Tier drug costs for: Standard retail pharmacy drug cost for 1-month
Tiers | Initial coverage phase | Catastrophic coverage phase |
---|
Preferred Generic | $0.00 copay | $0 copay |
Generic | $15.00 copay | $0 copay |
Preferred Brand | $47.00 copay | $0 copay |
Non-Preferred Drug | 25% coinsurance | $0 copay |
Specialty Tier | 27% coinsurance | $0 copay |
Part B Drugs
Chemotherapy drugs
In-network: 0%-20% coinsurance
Out-of-network: 0%-20% coinsurance
Other Part B drugs
In-network: 0%-20% coinsurance
Out-of-network: 0%-20% coinsurance
Hearing
Hearing exam
In-network: $0 copay
Out-of-network: $0 copay
Fitting/evaluation
In-network: $0 copay
Out-of-network: $0 copay
Hearing aids - prescription
In-network: $499-$999 copay
Out-of-network: $499-$999 copay
Hearing aids - over the counter
Preventive Dental
Oral exam
In-network: $0 copay
Out-of-network: $0 copay
Cleaning
In-network: $0 copay
Out-of-network: $0 copay
Fluoride treatment
In-network: $0 copay
Out-of-network: $0 copay
Dental x-rays
In-network: $0 copay
Out-of-network: $0 copay
Comprehensive dental
Prosthodontics, removable
Maxillofacial prosthetics
Oral and maxillofacial surgery
Adjunctive general services
Vision
Routine eye exam
In-network: $0 copay
Out-of-network: $0 copay
Contact lenses
In-network: $0-$35 copay
Out-of-network: $0-$35 copay
Eyeglasses (frames & lenses)
In-network: $35 copay
Out-of-network: $35 copay
Upgrades
In-network: $0 copay
Out-of-network: $0 copay
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