- Entity
- county:idaho-valley-16085
- Digest
- 2026-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/idaho/valley/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 17
- PPO Plans
- 7
- HMO Plans
- 7
- HMO-POS Plans
- 3
- PFFS Plans
- 0
- Average Monthly Premium
- 21.24
- Average MOOP
- 6347.06
- Average Part D Deductible
- 401.4
- $0 Premium Plans
- 13
- Plans Without Part D Coverage
- 7
- Average CMS Star Rating
- 3.57
- $0 Premium Plan Share
- 76.47
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 33
- 3-Star Plan Share
- 67
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 12
- PPO Average Monthly Premium
- 12.43
- PPO Average MOOP
- 6800
- PPO Enrollment
- 165
- PPO $0 Premium Plans
- 6
- PPO Plans Without Part D Coverage
- 4
- HMO Average Monthly Premium
- 21.86
- HMO Average MOOP
- 5857.14
- HMO Enrollment
- 176
- HMO $0 Premium Plans
- 6
- HMO Plans Without Part D Coverage
- 2
- HMO-POS Average Monthly Premium
- 40.33
- HMO-POS Average MOOP
- 6433.33
- HMO-POS Enrollment
- 877
- HMO-POS $0 Premium Plans
- 1
- HMO-POS Plans Without Part D Coverage
- 1
- Entity
- county:idaho-valley-16085
- Digest
- 2026-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/idaho/valley/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-idaho-valley-16085-landscape-stats
- Plans Indexed
- 17
- Standard Medicare Advantage Plans
-
-
AARP Medicare Advantage from UHC ID-0005
H4604-012-0 -
AARP Medicare Advantage Patriot No Rx ID-MA01
H4604-019-0 -
Saint Alphonsus Health Plan Cash Back
H6910-005-0 -
Saint Alphonsus Health Plan Glory No RX
H6910-004-0 -
Saint Alphonsus Health Plan No Premium
H6910-001-0 -
Humana Essentials Plus Giveback H5216-429
H5216-429-0 -
Humana USAA Honor Giveback
H5216-427-4 -
Humana USAA Honor Giveback
H5216-455-0 -
HumanaChoice H5216-048
H5216-048-0 -
PacificSource Medicare MyCare Choice Rx 24
H3864-024-0 -
True Blue Rx 37
H1350-037-0 -
True Blue Valor
H1350-006-0 -
Humana Gold Plus H2486-005
H2486-005-0 -
Humana Total Complete H5619-177
H5619-177-0 -
PacificSource Medicare Explorer 6
H4754-006-0 -
Saint Alphonsus Health Plan Choice
H3828-001-0 -
Secure Blue Courage
H1302-004-0
-
AARP Medicare Advantage from UHC ID-0005
- Total Standard Medicare Advantage Enrollment
- 1218
2026 Medicare Advantage Plans in Valley County, ID
Last update: .
For 2026, Valley County, ID includes 17 Medicare Advantage plans. Enrollment across these plans totals approximately 1,218, with 13 $0 premium options and 33% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Valley County, ID are summarized separately. Visit Medicare Options in Valley County, ID to see more options.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to choose care from both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in how members access care.
- Total PPO Plans
- 7
- Average Monthly Premium
- $12.43/mo
- Total PPO Enrollment
- 165
- $0 Premium PPO Plans
- 6
- Average MOOP
- $6,800
- Top PPO by Enrollment
- Humana Essentials Plus Giveback H5216-429 (PPO) — 79 enrollees
- PPO Plans Without Drug Coverage
- 4
| PPO Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| 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 | |
| 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 average monthly premium for PPO plans in Valley?
PPO plans in Valley cost $12.43 per month on average.
Which PPO plan has the highest enrollment in Valley?
The most popular PPO plan in Valley is Humana Essentials Plus Giveback H5216-429 (PPO), with 79 enrollees.
How many PPO plans in Valley do not include prescription drug coverage?
4 PPO plans in Valley do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans generally require members to use in-network doctors, hospitals, and other providers, except in emergencies. Because of this structure, HMOs often have lower premiums and out-of-pocket costs than other plan types.
- Total HMO Plans 7
- Average Monthly Premium $21.86/mo
- Total HMO Enrollment 176
- $0 Premium HMO Plans 6
- Average MOOP $5,857
- Top HMO by Enrollment True Blue Rx 37 (HMO) — 55 enrollees
- HMO Plans Without Drug Coverage 2
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | 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 37 | $153 | $5,900 | $150 | H1350-037-0 | |
| 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 top HMO by enrollment in Valley?
True Blue Rx 37 (HMO) is the top HMO in Valley, with 55 enrollees.
What is the number of HMO plans without Part D coverage in Valley?
2 HMO plans in Valley do not include prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO-POS plans are structured like HMOs, requiring in-network care for the lowest costs, while allowing limited out-of-network access at higher cost. This provides added flexibility compared with standard HMO plans.
- Total HMO-POS Plans
- 3
- Average Monthly Premium
- $40.33/mo
- Total HMO-POS Enrollment
- 877
- $0 Premium HMO-POS Plans
- 1
- Average MOOP
- $6,433
- Top HMO-POS by Enrollment
- PacificSource Medicare MyCare Choice Rx 24 (HMO-POS) — 644 enrollees
- HMO-POS Plans Without Drug Coverage
- 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | 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 typical premium for HMO-POS plans in Valley?
HMO-POS plans in Valley cost $40.33 per month on average.
Which HMO-POS plan has the most members in Valley?
The most popular HMO-POS plan in Valley is PacificSource Medicare MyCare Choice Rx 24 (HMO-POS), with 644 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Valley?
There are 1 HMO-POS plans in Valley without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Valley County, ID (2026) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 5 | 33% |
| 3 Stars | 10 | 67% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 2 | 12% |
| Average Rating | 3.57 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202608
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-08
All plan counts, enrollment totals, averages, and percentage distributions are calculated at the county level using CMS data and include standard Medicare Advantage (MA/MAPD) plans only, based on a consistent aggregation methodology.
Data sources and methodology documentation .
- Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Compare Original Medicare & Medicare Advantage" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 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 is documented in accordance 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.