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Thank you for registering with Blue Cross of Idaho

If you are an Individual or Family Member under age 65, please register here.

If you are an Medicare or Medicare Supplement member, please register here.

Secure Blue PPO is a Medicare Advantage Preferred Provider Organization plan offered by Blue Cross of Idaho. Secure Blue PPO offers quality healthcare coverage with the freedom you've been looking for. Secure Blue PPO gives you the option to choose your healthcare providers from the plan's network or to choose your doctors outside the network including providers in 30 states and one territory with Blue Cross and Blue Shield Medicare Advantage PPO plans. And, Secure Blue PPO provides valuable protection from unexpected healthcare costs with low out of pocket limits and coverage beyond Medicare.

 

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2013 Plan Overview

 PremiumDeductibleOffice VisitInpatient Hospital CareOut-of-Pocket Maximum
     

In-Network

Out-of-Network

In-Network

Out-of-Network

In-Network

 Out-of-Network

Secure Blue PPO
(H1302-006)
includes Part D Coverage
Available only in Ada, Boise, Canyon Gem and Owyhee Counties

Secure Blue PPO (H1302-001)
includes Part D Coverage

$63

 

$93

$0

$20
no referral needed

$40
no referral needed

$175
per day
for days 1-5
$200
per day
for days 1-10
$3,400
in-network
per calendar year

$4,500 
combined in- and
out-of-network
per calendar year 

Secure Blue PPO
without Part D Coverage

$40

$3,400
per calendar year combined in- and out-of-network

Tools, Resources and Additional Information

PDF Document Information Centerpdf download

2013 Summary of Benefits2013 Evidence of Coverage 2013 Formulary
Secure Blue PPO
includes Secure Blue PPO plans H1302-006, H1302-001
and Secure Blue without drugs

Secure Blue PPO with Part D 
(H1302-001)
Secure Blue PPO with Part D 
(H1302-006)

Formulary/Pharmacy Directory
Secure Blue PPO

Eligibility

You are eligible to enroll in Secure Blue PPO if you are:

  • Entitled to Medicare benefits under Part A
  • Enrolled in Medicare Part B
  • And reside in our service area

Secure Blue PPO is available in the following counties: Ada, Adams, Bannock, Benewah, Bingham, Blaine, Boise, Bonner, Bonneville, Boundary, Canyon, Caribou, Cassia, Clark, Elmore, Fremont, Gem, Gooding, Jefferson, Jerome, Kootenai, Latah, Madison, Minidoka, Nez Perce, Oneida, Owyhee, Payette, Power, Shoshone, Twin Falls, Valley, and Washington counties.

The benefit information provided above is a brief summary, not a comprehensive description of benefits. For more information contact us at the number below. 


Contact Us

1-888-492-2583 or TTY 1-800-377-1363, 8 am to 8 pm, seven days a week

3000 E Pine Ave. Meridian ID 83642-5996 or P.O. Box 8406, Boise ID 83707-2406

Blue Cross of Idaho is a health plan with a Medicare contract. Enrollment in Blue Cross of Idaho plans depends on contract renewal.

Y0010_MK 13121 Approved 12-31-2012
Last updated 11-14-2012