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Coverage Limits and Additional Requirements

For certain prescription drugs, we have additional requirements or coverage limits. These requirements ensure that our members use their drugs in the most cost effective way and help us control costs. These requirements, developed by a team of doctors and pharmacists, help us provide quality coverage to our members.

Prior Authorization: We require prior authorization for certain drugs. Your physician or provider will help you get approval from us before you fill your prescription. If they don't get approval, we may not cover the drug.

Quantity Limits: For certain drugs, we limit the amount we will cover per prescription for a defined period of time. For example, we provide up to 60 pills in a 30-day period for Celebrex.

Generic Substitution: When there is a generic version of a brand-name drug available, our network pharmacies automatically give you the generic version.

See our drug list to find out which drugs are subject to these additional requirements. You can ask us to make an exception if one of your drugs has additional requirements. See How to request an exception for more information.

2015 Tools, Resources & Other Information

Drug List (Formulary) & Prescription Drug Resources

Membership Information

Member Handbook

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

Other Plan and Benefit Information

Medicare beneficiaries may enroll in Blue Cross of Idaho Medicare Advantage plans through the CMS Medicare Online Enrollment Center located at


Submit feedback about your health plan directly to Medicare, or find Medicare contacts, such as your State of Idaho Ombudsman.


Call from 8 am to 8 pm
7 days a week

Toll-Free: 1-888-492-2583
TTY 1-800-377-1363


3000 E Pine Ave.
Meridian, ID 83642-5996

P.O. Box 8406
Boise ID 83707-2406

If you have special needs, the information on this site may be available in other formats or languages. To find out more call 1-888-494-2583.

Blue Cross of Idaho Care Plus is a PPO, HMO or HMO POS health plan with a Medicare contract. Enrollment in Blue Cross of Idaho Care Plus depends on contract renewal.

Blue Cross of Idaho Care Plus, Inc. Code of Ethical Business Conduct (PDF 180K)pdf download


Blue Cross of Idaho Care Plus Notice of Privacy Practices

Need more help deciding which type of coverage fits your needs? Attend a seminar or find a certified agent.

Member Newsletters

Medicare Newsletters
Y0010_MK15140 Pending 10/29/2014
Last updated: 10/29/2014