True West No Rx 3 (PPO) Medicare Advantage Plan H8267-003 • 2027 • Kootenai County, ID
- Monthly Premium
- $0.00Plus Part B premium.
- Medical Deductible
- $0.00
- Maximum Out-of-Pocket
- $6750.00In-network
- Part B Giveback
- Not offered
- Prescription Coverage
- Not Included
- Additional Benefits
- Dental, Vision, Hearing
- Service Area
- Kootenai County, ID
- Local Enrollment
- 0 beneficiaries in Kootenai County
True West No Rx 3 (PPO) Introduction
True West No Rx 3 is a Medicare Advantage PPO plan offered by Range Health. It uses a Preferred Provider Organization (PPO) provider network and comes without prescription drug coverage. For the 2027 plan year it has a $0.00 monthly premium, $0.00 medical deductible, and $6750.00 in-network maximum out-of-pocket. CMS Plan ID H8267-003 identifies this plan.
This plan is available to eligible residents of Kootenai County, Idaho. CMS reports 0 beneficiaries enrolled in this plan in Kootenai County. For assistance with this plan, new members can call (833)574-6031 (TTY 711).
Compare Similar Plans in Kootenai County
Compare this plan with the two most-enrolled PPO plans available in Kootenai County, Idaho. Enrollment is based on CMS local enrollment data.
| Plan Detail | True West No Rx 3 | Secure Blue Courage | True West Rx 4 |
|---|---|---|---|
| CMS Plan ID | H8267-003-0 |
H1302-004-0 |
H8267-004-0 |
| Local Enrollment | 0 | 873 | 0 |
| Monthly Premium | $0.00 | $0.00 | $139.00 |
| Medical Deductible | $0.00 | $0.00 | $700 |
| Maximum Out-of-Pocket | $6,750.00 | $5,200.00 | $8,000.00 |
| Part B Giveback | Not offered | −$45.00 reduction | Not offered |
| Primary Care | $0 copay | $0 copay | $0 copay |
| Specialist | $35 copay | $40 copay | $50 copay |
| Part D Deductible | Not Applicable | Not Applicable | $205.00 |
| CMS Star Rating | Not yet rated | Not yet rated | Not yet rated |
| Dental | $0 copay | $0 copay | $0 copay |
| Vision | $0 copay | $20 copay | $0 copay |
| Hearing | $0 copay | $0 copay | $0 copay |
Plan Benefits
Cost-sharing for True West No Rx 3 includes out-of-pocket expenses for covered healthcare services. The following tables provide a summary of typical in-network out-of-pocket costs for plan H8267-003.
You can also compare 2027 costs and coverage with last year, side-by-side: Plan H8267-003-0 Cost Compare.
Office Visits
- Primary care
- In-network: $0 copay
Out-of-network: 50% coinsurance - Specialist
- In-network: $35 copay
Out-of-network: 50% coinsurance
Preventive and Wellness Services
- Annual wellness exam
- In-network: $0 copay
Out-of-network: 25% coinsurance - Telehealth benefit
- In-network: $0-$35 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-$250 copay
Out-of-network: 50% coinsurance - Lab services
- In-network: $0 copay
Out-of-network: 50% coinsurance - Outpatient x-rays
- In-network: $0 copay
Out-of-network: 50% coinsurance - Diagnostic tests and procedures
- In-network: $30 copay
Out-of-network: 50% coinsurance
Emergency and Urgent Care Services
- Emergency room care
- $130 copay
- Worldwide emergency care
- Coming soon
- Urgent care
- $45 copay
- Inpatient hospital care
- In-network:
Tier 1
$400 per day for days 1-5
$0 per day for days 6-90
$0 per stay
Out-of-network:
50% per stay - Skilled Nursing Facility
- In-network:
Tier 1
$0 per day for days 1-20
$221 per day for days 21-70
$0 per day for days 71-100
Out-of-network:
50% per day for days 1-100
0% per stay - Ground ambulance
- In-network: $325 copay
Out-of-network: $325 copay
Mental Health Services
- Outpatient individual therapy
- In-network: $35 copay
Out-of-network: 50% coinsurance - Outpatient group therapy
- In-network: $35 copay
Out-of-network: 50% coinsurance - Inpatient psychiatric hospital care
- In-network:
Tier 1
$400 per day for days 1-5
$0 per day for days 6-90
$0 per stay
Out-of-network:
50% per stay
Rehabilitation Services
- Physical therapy and speech and language therapy
- In-network: $35 copay
Out-of-network: 50% coinsurance - Occupational therapy
- In-network: $35 copay
Out-of-network: 50% coinsurance
Medical Equipment and Supplies
- Diabetes supplies
- In-network: $0 copay
Out-of-network: 50% coinsurance - Durable medical equipment
- In-network: 20% coinsurance
Out-of-network: 50% coinsurance - Prosthetics
- In-network: 20% coinsurance
Out-of-network: 50% coinsurance
Medicare Part B Drugs
- Chemotherapy
- In-network: 0%-20% coinsurance
Out-of-network: 0%-50% coinsurance - Other Part B drugs (Medicare-covered)
- In-network: 0%-20% coinsurance
Out-of-network: 0%-50% 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
- Not covered
- Endodontics
- Not covered
- Restorative services
- Not covered
- Implant services
- Not covered
- Orthodontics
- Not covered
- Oral/Maxillofacial surgery
- Not covered
Vision Services
- Routine eye exam
- In-network: $0 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 True West No Rx 3 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: H8267)
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 | {hd1} |
| Managing Chronic (Long Term) Conditions | {hd2} |
| Member Experience with Health Plan | {hd3} |
| Complaints and Changes in Plans Performance | {hd4} |
| Health Plan Customer Service | {hd5} |
| Drug Plan Customer Service | {dd1} |
| Complaints and Changes in the Drug Plan | {dd2} |
| Member Experience with the Drug Plan | {dd3} |
| Drug Safety and Accuracy of Drug Pricing | {dd4} |
Contact Information for Range Health
- Website
- Range Health Plan Page
- Providers
- Range Health Providers Page
- Formulary
- Range Health Formulary Page
- Pharmacy
- Range Health Pharmacy Page
- New Member Health Plan Help
- (833)574-6031
- 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 |
|---|---|---|
| Range Health (official source) | http://rangehealth.com | October 4, 2026 |
| Medicare.gov | Understanding Medicare Advantage Plans | 25 May, 2025 |
| AARP.org | The Big Choice: Original Medicare vs. Medicare Advantage | 25 May, 2025 |
| Medicare.gov | Explore your Medicare coverage options | 25 May, 2025 |
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Provenance documentation for this data is maintained under 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.