Health Plan RadarIn this article we rank Idaho Medicare Advantage plans based on our evaluation of government 5-star quality scores.
Read more →Secure Blue Courage (PPO)
by Blue Cross of Idaho
2026 Medicare Advantage plan available in Idaho
Plan ID H1302-004-0
Additional coverage:
HearingVisionDental
Medicare Advantage PPO $0 premium
Monthly plan premium $0 / mo
Annual deductible $0 / yr
Max out-of-pocket · in-network $5,200 / yr
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Plan Overview
Secure Blue Courage (PPO) is a Medicare Advantage Plan Without Prescription Drugs, which is available in Idaho and offered by the health insurance company Blue Cross of Idaho. This plan's network type is PPO, which determines the in-network doctors who accept the plan and whether a referral is needed.
Plan Name Secure Blue Courage (PPO)
Insurance Carrier Blue Cross of Idaho
Plan Type Medicare Advantage Plan Without Prescription Drugs
Network Type PPO
Cost Summary
Secure Blue Courage (PPO) has a monthly premium cost of $0 per month, with an annual deductible of $0 and a maximum out-of-pocket cost sharing of $5,200. The most common costs people evaluate when choosing a plan are listed here; a full list of benefit costs is defined below.
Monthly Premium $0 / mo
Annual Deductible $0 / yr
Max Out-of-Pocket · in-network $5,200 / yr
Primary doctor visit $0 copay
Specialist visit $40 copay
ER visit $100 copay
Ambulance $275 copay
Additional Benefits and Coverage
Secure Blue Courage (PPO) is a Medicare Advantage plan which does not include Medicare Part D prescription drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. Secure Blue Courage (PPO) includes coverage for hearing, vision, dental.
Part D Prescription Drug Coverage No
Dental Yes
Vision Yes
Hearing Yes
Nationwide Coverage No
Other benefits
Fitness benefit Limited coverage
Over-the-counter drug benefits Not covered
In-home support services Not covered
Home & bathroom safety devices Not covered
Meals for short duration Not covered
Annual physical exams Limited coverage
Telehealth Limited coverage
Medical Benefits
Doctor Services
Primary doctor visit In-network: $0 copay
Out-of-network: $45 copay
Out-of-network: $45 copay
Specialist visit In-network: $40 copay
Out-of-network: $45 copay
Out-of-network: $45 copay
Tests, labs & imaging
Diagnostic tests & procedures In-network: $30 copay
Out-of-network: 25% coinsurance
Out-of-network: 25% coinsurance
Lab services In-network: $0 copay
Out-of-network: 25% coinsurance
Out-of-network: 25% coinsurance
Diagnostic radiology services (like MRI) In-network: $0-$200 copay
Out-of-network: 25% coinsurance
Out-of-network: 25% coinsurance
Outpatient x-rays In-network: $15 copay
Out-of-network: 25% coinsurance
Out-of-network: 25% coinsurance
Emergency care $100 copay
Urgent care $40 copay
Hospital Services
Inpatient hospital coverage In-network:
Tier 1
$350 per day for days 1-5
$0 per day for days 6-90
$0 per stay
Out-of-network:
$350 per day for days 1-10
$0 per day for days 11-90
$0 per stay
Tier 1
$350 per day for days 1-5
$0 per day for days 6-90
$0 per stay
Out-of-network:
$350 per day for days 1-10
$0 per day for days 11-90
$0 per stay
Outpatient hospital coverage In-network: $0-$325 copay
Out-of-network: 20% coinsurance
Out-of-network: 20% coinsurance
Skilled nursing facility
Skilled nursing facility In-network:
Tier 1
$0 per day for days 1-20
$218 per day for days 21-55
$0 per day for days 56-100
Out-of-network:
$100 per day for days 1-12
$218 per day for days 13-100
$0 per stay
Tier 1
$0 per day for days 1-20
$218 per day for days 21-55
$0 per day for days 56-100
Out-of-network:
$100 per day for days 1-12
$218 per day for days 13-100
$0 per stay
Preventive services
Preventive services In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Ambulance
Ground ambulance In-network: $275 copay
Out-of-network: $275 copay
Out-of-network: $275 copay
Therapy services
Occupational therapy visit In-network: $40 copay
Out-of-network: $45 copay
Out-of-network: $45 copay
Physical therapy & speech & language therapy visit In-network: $40 copay
Out-of-network: $45 copay
Out-of-network: $45 copay
Mental health services
Outpatient group therapy with a psychiatrist In-network: $40 copay
Out-of-network: 25% coinsurance
Out-of-network: 25% coinsurance
Outpatient individual therapy with a psychiatrist In-network: $40 copay
Out-of-network: 25% coinsurance
Out-of-network: 25% coinsurance
Outpatient group therapy visit In-network: $0 copay
Out-of-network: 25% coinsurance
Out-of-network: 25% coinsurance
Outpatient individual therapy visit In-network: $0 copay
Out-of-network: 25% coinsurance
Out-of-network: 25% coinsurance
Opioid treatment services
Opioid treatment services Covered
Other services
Durable medical equipment (like wheelchairs & oxygen) In-network: 20% coinsurance
Out-of-network: 30% coinsurance
Out-of-network: 30% coinsurance
Prosthetics (like braces, artificial limbs) In-network: 20% coinsurance
Out-of-network: 30% coinsurance
Out-of-network: 30% coinsurance
Diabetes supplies In-network: $0 copay
Out-of-network: 30% coinsurance
Out-of-network: 30% coinsurance
Extra Benefits
Hearing
Hearing exam In-network: $0 copay
Out-of-network: $45 copay
Out-of-network: $45 copay
Fitting/evaluation In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Hearing aids - prescription In-network: $499-$999 copay
Out-of-network: $499-$999 copay
Out-of-network: $499-$999 copay
Hearing aids - over the counter Not covered
Preventive dental
Oral exam In-network: $0 copay
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Cleaning In-network: $0 copay
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Fluoride treatment In-network: $0 copay
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Dental x-rays In-network: $0 copay
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Comprehensive dental
Restorative services In-network: $0 copay
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Endodontics In-network: $0 copay
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Periodontics In-network: $0 copay
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Prosthodontics, removable In-network: $0 copay
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Prosthodontics, fixed In-network: $300 copay
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Maxillofacial prosthetics Not covered
Implant services In-network: $300 copay
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Oral and maxillofacial surgery In-network: $0 copay
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Orthodontics Not covered
Adjunctive general services In-network: $0 copay
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Vision
Routine eye exam In-network: $20 copay
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Contact lenses In-network: $0-$35 copay
Out-of-network: $0-$35 copay
Out-of-network: $0-$35 copay
Eyeglasses (frames & lenses) In-network: $35 copay
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Eyeglass frames (only) Not covered
Eyeglass lenses (only) Not covered
Upgrades In-network: $0 copay
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
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