Secure Blue Courage (PPO) Medicare Advantage Plan H1302-004 • 2027 • Boise County, ID
- Monthly Premium
- $0.00Plus Part B premium.
- Medical Deductible
- $0.00
- Maximum Out-of-Pocket
- $5200.00In-network
- Part B Giveback
- −$45.00 reduction
- Prescription Coverage
- Not Included
- Additional Benefits
- Dental, Vision, Hearing
- Service Area
- Boise County, ID
- Local Enrollment
- 27 beneficiaries in Boise County
Secure Blue Courage (PPO) Introduction
CMS Plan ID H1302-004 identifies Secure Blue Courage, a Medicare Advantage PPO plan offered by Blue Cross of Idaho. The plan uses a Preferred Provider Organization (PPO) provider network and comes without prescription drug coverage. Its costs for the 2027 plan year include a $0.00 monthly premium, $0.00 medical deductible, and $5200.00 in-network maximum out-of-pocket.
Eligible Medicare beneficiaries residing in Boise County, Idaho can enroll in this plan. CMS reports local enrollment of 27 beneficiaries for this plan in Boise County. New members can contact the plan at (888)492-2583 (TTY 711) for help and additional plan information.
Compare Similar Plans in Boise County
Compare this plan with the two most-enrolled PPO plans available in Boise County, Idaho. Enrollment is based on CMS local enrollment data.
| Plan Detail | Secure Blue Courage | Humana Value Choice | Humana Value Choice |
|---|---|---|---|
| CMS Plan ID | H1302-004-0 |
H7617-031-0 |
H5216-132-0 |
| Local Enrollment | 27 | 76 | 53 |
| Monthly Premium | $0.00 | $0.00 | $0.00 |
| Medical Deductible | $0.00 | $0.00 | $0.00 |
| Maximum Out-of-Pocket | $5,200.00 | $7,150.00 | $7,000.00 |
| Part B Giveback | −$45.00 reduction | Not offered | Not offered |
| Primary Care | $0 copay | $0 copay | $0 copay |
| Specialist | $40 copay | $35 copay | $40 copay |
| Part D Deductible | Not Applicable | $700.00 | $700.00 |
| CMS Star Rating | Not yet rated | 4.5 | 4.0 |
| Dental | $0 copay | $0 copay | $0 copay |
| Vision | $20 copay | $0 copay | $0 copay |
| Hearing | $0 copay | $0 copay | $0 copay |
Plan Benefits
Secure Blue Courage includes cost-sharing, which refers to out-of-pocket expenses for covered healthcare services. The tables below outline the most common in-network out-of-pocket costs associated with plan H1302-004.
You can also compare 2027 costs and coverage with last year, side-by-side: Plan H1302-004-0 Cost Compare.
Office Visits
- Primary care
- In-network: $0 copay
Out-of-network: $45 copay - Specialist
- In-network: $40 copay
Out-of-network: $45 copay
Preventive and Wellness Services
- Annual wellness exam
- In-network: $0 copay
Out-of-network: 25% coinsurance - Telehealth benefit
- In-network: $0-$40 copay
- Routine chiropractic
- Not covered
- Fitness benefits
- Coming soon
- Health education
- Not covered
- Counseling services
- Not covered
- Over-the-counter drug benefits
- Not covered
- Health transportation (non-emergency)
- Coming soon
Diagnostic, Lab, and Imaging Services
- Diagnostic radiology services
- In-network: $0-$200 copay
Out-of-network: 25% coinsurance - Lab services
- In-network: $0 copay
Out-of-network: 25% coinsurance - Outpatient x-rays
- In-network: $15 copay
Out-of-network: 25% coinsurance - Diagnostic tests and procedures
- In-network: $30 copay, 10% coinsurance
Out-of-network: 25% coinsurance
Emergency and Urgent Care Services
- Emergency room care
- $130 copay
- Worldwide emergency care
- Coming soon
- Urgent care
- $50 copay
- Inpatient hospital care
- 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 - Skilled Nursing Facility
- In-network:
Tier 1
$0 per day for days 1-20
$221 per day for days 21-55
$0 per day for days 56-100
Out-of-network:
$100 per day for days 1-12
$221 per day for days 13-100
$0 per stay - Ground ambulance
- In-network: $275 copay
Out-of-network: $275 copay
Mental Health Services
- Outpatient individual therapy
- In-network: $40 copay
Out-of-network: 25% coinsurance - Outpatient group therapy
- In-network: $40 copay
Out-of-network: 25% coinsurance - Inpatient psychiatric hospital care
- 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
Rehabilitation Services
- Physical therapy and speech and language therapy
- In-network: $40 copay
Out-of-network: $45 copay - Occupational therapy
- In-network: $40 copay
Out-of-network: $45 copay
Medical Equipment and Supplies
- Diabetes supplies
- In-network: $0 copay
Out-of-network: 30% coinsurance - Durable medical equipment
- In-network: 20% coinsurance
Out-of-network: 30% coinsurance - Prosthetics
- In-network: 20% coinsurance
Out-of-network: 30% coinsurance
Medicare Part B Drugs
- Chemotherapy
- In-network: 0%-20% coinsurance
Out-of-network: 0%-30% coinsurance - Other Part B drugs (Medicare-covered)
- In-network: 0%-20% coinsurance
Out-of-network: 0%-30% coinsurance
Dental Services
- Oral exam
- In-network: $0 copay
Out-of-network: 50% coinsurance - Dental x-rays
- In-network: $0 copay
Out-of-network: 50% coinsurance - Cleaning
- In-network: $0 copay
Out-of-network: 50% coinsurance - Periodontics
- In-network: $0 copay
Out-of-network: 50% coinsurance - Endodontics
- In-network: 50% coinsurance
Out-of-network: 50% coinsurance - Restorative services
- In-network: $0 copay
Out-of-network: 50% coinsurance - Implant services
- In-network: 50% coinsurance
Out-of-network: 50% coinsurance - Orthodontics
- Not covered
- Oral/Maxillofacial surgery
- In-network: $0 copay
Out-of-network: 50% coinsurance
Vision Services
- Routine eye exam
- In-network: $20 copay
Out-of-network: 50% coinsurance - Contact lenses
- In-network: $0-$35 copay
Out-of-network: $0-$35 copay - Eyeglass frames only
- Not covered
- Eyeglass lenses only
- Not covered
- Eyeglasses (frames & lenses)
- In-network: $35 copay
Out-of-network: 50% coinsurance - Upgrades
- In-network: $0 copay
Out-of-network: 50% coinsurance
Hearing Services
- Hearing exam
- In-network: $0 copay
Out-of-network: 90% coinsurance - Fitting/evaluation
- In-network: $0 copay
Out-of-network: 90% coinsurance - Prescription hearing aids
- In-network: $499-$999 copay
Out-of-network: 90% coinsurance - OTC hearing aids
- Not covered
Additional and Special Needs Services
- Adult day health services
- Not covered
- Home-based palliative care
- Not covered
- Personal emergency response system
- Coming soon
- Weight management programs
- Not covered
- Wigs for chemotherapy-related hair loss
- Coming soon
- Alternative therapies
- Not covered
- Massage therapy
- Not covered
- Home/bathroom safety devices
- Not covered
Certain preventive services are covered 100% by Secure Blue Courage as a Part B benefit.
Prescription Drug Coverage
This plan does not include a Medicare Part D plan for prescriptions.
CMS 5-Star Performance Ratings (Contract ID: H1302)
The Centers for Medicare & Medicaid Services (CMS) rates Medicare Advantage (Part C) and Part D prescription drug plans each year using a 5-star system. These ratings measure plan performance in areas such as preventive care, management of chronic conditions, and member experience.
| CMS Measure | Star Rating |
|---|---|
| 2027 Overall Rating | |
| Staying Healthy: Screenings, Tests, Vaccines | |
| Managing Chronic (Long Term) Conditions | |
| Member Experience with Health Plan | |
| Complaints and Changes in Plans Performance | |
| Health Plan Customer Service | Not enough data available |
| Drug Plan Customer Service | Not enough data available |
| Complaints and Changes in the Drug Plan | |
| Member Experience with the Drug Plan | Not enough data available |
| Drug Safety and Accuracy of Drug Pricing | Not enough data available |
Contact Information for Blue Cross of Idaho
- Website
- Blue Cross of Idaho Plan Page
- Providers
- Blue Cross of Idaho Providers Page
- Formulary
- Blue Cross of Idaho Formulary Page
- Pharmacy
- Blue Cross of Idaho Pharmacy Page
- New Member Health Plan Help
- (888)492-2583
- New Member Health Plan TTY
- 711
Enrollment status and eligibility information are available through the Social Security Administration. Additional information about Medicare Advantage is available at Medicare.gov.
Medicare Plan Data Sources and Methodology
| Data Source | Publisher | CMS Version |
|---|---|---|
| Landscape Source Files | Centers for Medicare & Medicaid Services | CY2027 Landscape (202609.1) |
| Medicare Part C & D Performance | Centers for Medicare & Medicaid Services | 2027 Star Ratings Data Tables |
| Plan Benefits Package | Centers for Medicare & Medicaid Services | PBP Benefits-2027 |
| Monthly Enrollment by Contract/Plan/State/County | Centers for Medicare & Medicaid Services | 2026-09 |
Data sources and methodology documentation.
| Publisher | Reference | Last Accessed |
|---|---|---|
| Blue Cross of Idaho (official source) | http://medicare.bcidaho.com | October 4, 2026 |
| Medicare.gov | Compare types of Medicare Advantage Plans | 25 May, 2025 |
| Medicare.gov | Joining a plan | 25 May, 2025 |
| Medicare.gov | Compare Original Medicare & Medicare Advantage | 25 May, 2025 |
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