True Blue HMO is a Medicare Advantage Health Maintenance Organization plan offered by Blue Cross of Idaho. True Blue HMO provides comprehensive coverage with affordable premiums, no deductibles and predictable costs. True Blue HMO gives you an all-around approach to good health with healthcare services from local providers you know and trust.
2010 Plan Overview
| Premium | Deductible | PCP Office Visit | Specialist Office Visit | Inpatient Hospital Care | Out-of-Pocket Maximum | |
|---|---|---|---|---|---|---|
| True Blue HMO includes Part D Coverage |
$114 | $0 | $15 | $25
no referral needed |
$100
per admission |
$3000 per calendar year
includes all plan services |
| True Blue HMO without Part D Coverage |
$20 |
 |
 |
 |
PDF Document Information Center
| Summary of Benefits | Evidence of Coverage | Formulary |
|---|---|---|
| True Blue HMO | True Blue HMO | True Blue HMO Formulary |
| True Blue HMO with Part D | True Blue HMO with Part D |
Eligibliity
You are eligible to enroll in True Blue HMO if you are:
- Entitled to Medicare benefits under Part A
- Enrolled in Medicare Part B
- And reside in our service area
True Blue HMO is available in the following counties: Ada, Bannock, Benewah, Boise, Bonner, Bonneville, Boundary, Canyon, Caribou, Cassia, Gem, Jefferson, Kootenai, Latah, Madison, Minidoka, Nez Perce, Oneida, Owyhee, Payette, Power, Shoshone, Twin Falls, and Washington.
H1350 H1302 H5862 MK 10056 (XX/XX/XX)
Pending CMS Approval
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