- Entity
- county:idaho-gem-16045
- Digest
- 2027-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/idaho/gem/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 14
- PPO Plans
- 7
- HMO Plans
- 5
- HMO-POS Plans
- 2
- PFFS Plans
- 0
- Average Monthly Premium
- 20
- Average MOOP
- 6248.57
- Average Part D Deductible
- 543.89
- $0 Premium Plans
- 9
- Plans Without Part D Coverage
- 5
- Average CMS Star Rating
- 3.85
- $0 Premium Plan Share
- 64.29
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 77
- 3-Star Plan Share
- 23
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 7
- PPO Average Monthly Premium
- 18.14
- PPO Average MOOP
- 6642.86
- PPO Enrollment
- 422
- PPO $0 Premium Plans
- 5
- PPO Plans Without Part D Coverage
- 3
- HMO Average Monthly Premium
- 17.6
- HMO Average MOOP
- 5596
- HMO Enrollment
- 975
- HMO $0 Premium Plans
- 3
- HMO Plans Without Part D Coverage
- 1
- HMO-POS Average Monthly Premium
- 32.5
- HMO-POS Average MOOP
- 6500
- HMO-POS Enrollment
- 380
- HMO-POS $0 Premium Plans
- 1
- HMO-POS Plans Without Part D Coverage
- 1
- Entity
- county:idaho-gem-16045
- Digest
- 2027-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/idaho/gem/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-idaho-gem-16045-landscape-stats
- Plans Indexed
- 14
- Standard Medicare Advantage Plans
-
-
Humana Full Access
H7617-028-0 -
Humana Value Choice
H7617-031-0 -
AARP Medicare Advantage from UHC ID-0005
H4604-012-0 -
AARP Medicare Advantage Patriot No Rx ID-MA01
H4604-019-0 -
Humana Gold Plus H2486-005
H2486-005-0 -
Humana Total Complete
H5619-177-0 -
Humana USAA Honor Giveback
H5216-455-0 -
Humana USAA Honor Giveback
H5216-427-4 -
Humana Value Choice
H5216-132-0 -
HumanaChoice H5216-048
H5216-048-0 -
True Blue Rx 32PSP
H1350-032-0 -
True Blue Rx 33
H1350-033-0 -
True Blue Valor
H1350-006-0 -
Secure Blue Courage
H1302-004-0
-
Humana Full Access
- Total Standard Medicare Advantage Enrollment
- 1777
2027 Medicare Advantage Plans in Gem County, ID
Last update: .
Gem County, ID has 14 Medicare Advantage plans available in 2027. These include 9 plans with no monthly premium, and roughly 77% are rated at least 4 stars based on CMS data.
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 7
- Average Monthly Premium $18.14/mo
- Total PPO Enrollment 422
- $0 Premium PPO Plans 5
- Average MOOP $6,643
- Top PPO by Enrollment Humana Value Choice (PPO) — 147 enrollees
- PPO Plans Without Drug Coverage 3
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Humana Full Access | $30 | $5,900 | $700 | H7617-028-0 | |
| Humana Value Choice | $0 | $7,150 | $700 | H7617-031-0 | |
| Humana USAA Honor Giveback | $0 | $5,100 | N/A | H5216-455-0 | |
| Humana USAA Honor Giveback | $0 | $9,150 | N/A | H5216-427-4 | |
| Humana Value Choice | $0 | $7,000 | $700 | H5216-132-0 | |
| HumanaChoice H5216-048 | $97 | $7,000 | $700 | H5216-048-0 | |
| Secure Blue Courage | $0 | $5,200 | N/A | H1302-004-0 |
What is the most popular PPO plan in Gem?
Humana Value Choice (PPO) is the top PPO in Gem, with 147 enrollees.
What is the number of PPO plans without Part D coverage in Gem?
There are 3 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
- 5
- Average Monthly Premium
- $17.60/mo
- Total HMO Enrollment
- 975
- $0 Premium HMO Plans
- 3
- Average MOOP
- $5,596
- Top HMO by Enrollment
- True Blue Rx 33 (HMO) — 871 enrollees
- HMO Plans Without Drug Coverage
- 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Humana Gold Plus H2486-005 | $0 | $6,520 | $300 | H2486-005-0 | |
| Humana Total Complete | $0 | $6,660 | $700 | H5619-177-0 | |
| True Blue Rx 32PSP | $24 | $5,900 | $205 | H1350-032-0 | |
| True Blue Rx 33 | $64 | $5,900 | $205 | H1350-033-0 | |
| True Blue Valor | $0 | $3,000 | N/A | H1350-006-0 |
What is the typical premium for HMO plans in Gem?
HMO plans in Gem cost $17.60 per month on average.
Which HMO plan do most beneficiaries choose in Gem?
The most popular HMO plan in Gem is True Blue Rx 33 (HMO), with 871 enrollees.
How many HMO options are offered without prescription drug coverage in Gem?
There are 1 HMO plans in Gem without prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network requirements with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.
- Total HMO-POS Plans 2
- Average Monthly Premium $32.50/mo
- Total HMO-POS Enrollment 380
- $0 Premium HMO-POS Plans 1
- Average MOOP $6,500
- Top HMO-POS by Enrollment AARP Medicare Advantage from UHC ID-0005 (HMO-POS) — 319 enrollees
- HMO-POS Plans Without Drug Coverage 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC ID-0005 | $65 | $6,300 | $685 | H4604-012-0 | |
| AARP Medicare Advantage Patriot No Rx ID-MA01 | $0 | $6,700 | N/A | H4604-019-0 |
What is the total number of HMO-POS plans in Gem?
In 2027, Gem has 2 HMO-POS plans with 380 enrollees.
How much do HMO-POS plans cost in Gem?
The typical HMO-POS premium in Gem is $32.50, and 1 plans have no monthly premium.
Below is a breakdown of CMS star ratings for Medicare Advantage plans available in Gem County, ID for 2027.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 10 | 77% |
| 3 Stars | 3 | 23% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 1 | 7% |
| Average Rating | 3.85 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
| 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 |
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.
| Publisher | Reference | Last Accessed |
|---|---|---|
| CMS.gov | Medicare Advantage Plan Fact Sheet | 25 May, 2025 |
| Medicare.gov | Your coverage options | 25 May, 2025 |
| Medicare.gov | Joining a plan | 25 May, 2025 |
MedicarePlans.com is an independent, non-government informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.
Data provenance documentation is maintained in alignment with the U.S. Core Data for Interoperability (USCDI) Provenance standard .
Page content independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate, non-commercial Medicare plan interpretation and resolution.