2026 Medicare Advantage Plans in Gem County, ID
Last update: . Enrollment data updated: June 13, 2026
In Gem County, ID, there are 21 Medicare Advantage plans available for 2026. Of these, 15 offer a $0 monthly premium, and about 37% are rated 4 stars or higher based on CMS quality ratings.
Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Gem County, ID. Or explore all Medicare Options available in Gem County, ID.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow access to both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in choosing doctors and hospitals.
- Total PPO Plans 10
- Average Monthly Premium $11.60/mo
- Total PPO Enrollment 520
- $0 Premium PPO Plans 8
- Average MOOP $6,700
- Top PPO by Enrollment Humana Value Choice H5216-132 (PPO) — 156 enrollees
- PPO Plans Without Drug Coverage 4
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Humana Full Access H7617-028 | $29 | $5,900 | $615 | H7617-028-0 | |
| Humana Value Choice H7617-031 | $0 | $6,750 | $615 | H7617-031-0 | |
| Humana Essentials Plus Giveback H5216-429 | $0 | $8,800 | $615 | H5216-429-0 | |
| Humana USAA Honor Giveback | $0 | $9,150 | N/A | H5216-427-4 | |
| Humana USAA Honor Giveback | $0 | $5,100 | N/A | H5216-455-0 | |
| Humana Value Choice H5216-132 | $0 | $6,750 | $615 | H5216-132-0 | |
| HumanaChoice H5216-048 | $87 | $6,750 | $615 | H5216-048-0 | |
| PacificSource Medicare Explorer 6 | $0 | $6,500 | N/A | H4754-006-0 | |
| Saint Alphonsus Health Plan Choice | $0 | $6,100 | $250 | H3828-001-0 | |
| Secure Blue Courage | $0 | $5,200 | N/A | H1302-004-0 |
What is the total number of PPO plans offered in Gem?
There are 10 PPO plans in 2026, covering 520 beneficiaries.
How much do PPO plans cost in Gem?
The average PPO premium in Gem is $11.60 per month, with 8 plans offering $0 premiums.
What is the most popular PPO plan in Gem?
Humana Value Choice H5216-132 (PPO) is the top PPO in Gem, with 156 enrollees.
What is the number of PPO plans without Part D coverage in Gem?
There are 4 PPO plans in Gem without prescription drug coverage.
Medicare Advantage HMO Plans
HMO plans typically require members to use in-network providers and facilities, except in emergencies. In return, HMOs often offer lower monthly premiums and reduced cost-sharing.
- Total HMO Plans
- 8
- Average Monthly Premium
- $9.38/mo
- Total HMO Enrollment
- 1,857
- $0 Premium HMO Plans
- 6
- Average MOOP
- $5,863
- Top HMO by Enrollment
- True Blue Rx 33 (HMO) — 874 enrollees
- HMO Plans Without Drug Coverage
- 2
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Saint Alphonsus Health Plan Cash Back | $0 | $7,900 | $325 | H6910-005-0 | |
| Saint Alphonsus Health Plan Glory No RX | $0 | $5,900 | N/A | H6910-004-0 | |
| Saint Alphonsus Health Plan No Premium | $0 | $5,500 | $225 | H6910-001-0 | |
| True Blue Rx 32PSP | $16 | $5,900 | $175 | H1350-032-0 | |
| True Blue Rx 33 | $59 | $5,900 | $175 | H1350-033-0 | |
| True Blue Valor | $0 | $3,000 | N/A | H1350-006-0 | |
| Humana Gold Plus H2486-005 | $0 | $6,400 | $200 | H2486-005-0 | |
| Humana Total Complete H5619-177 | $0 | $6,400 | $615 | H5619-177-0 |
What is the average monthly premium for HMO plans?
HMO plans in Gem cost $9.38 per month on average.
Which HMO plan is most popular in Gem?
The most popular HMO plan in Gem is True Blue Rx 33 (HMO), with 874 enrollees.
How many HMO plans in Gem do not include drug coverage?
There are 2 HMO plans in Gem without prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network rules with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC ID-0005 | $64 | $5,900 | $520 | H4604-012-0 | |
| AARP Medicare Advantage Patriot No Rx ID-MA01 | $0 | $6,700 | N/A | H4604-019-0 | |
| PacificSource Medicare MyCare Choice Rx 24 | $57 | $6,700 | $499 | H3864-024-0 |
What is the leading HMO-POS plan in Gem?
AARP Medicare Advantage from UHC ID-0005 (HMO-POS) is the top HMO-POS in Gem, with 324 enrollees.
What is the number of HMO-POS plans without Part D coverage in Gem?
1 HMO-POS plans in Gem do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Gem County, ID for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 7 | 37% |
| 3 Stars | 12 | 63% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 2 | 10% |
| Average Rating | 3.66 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed June 13, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed June 13, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed June 13, 2026
County-level figures shown on this page, including plan counts, enrollment totals, averages, and percentage distributions, reflect standard Medicare Advantage (MA/MAPD) plans only and are derived from CMS datasets using a standardized aggregation methodology.
Data sources and methodology documentation .
- Medicare.gov, "Compare types of Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 25 May, 2025
- Medicare.gov, "Joining a plan" — Last accessed 25 May, 2025
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