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Secure Blue PPO is a Medicare Advantage Preferred Provider Organization plan offered by Blue Cross of Idaho. Secure Blue PPO offers you 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 29 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.

2012 Plan Overview

 PremiumDeductibleOffice VisitInpatient Hospital CareOut-of-Pocket Maximum






Secure Blue PPO
includes Part D Coverage



no referral needed

no referral needed

per day for days 1-5
per day for days 1-10

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

Secure Blue PPO
without Part D Coverage


Part D Prescription Drug Coverage Information


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PDF Document Information Centerpdf download

2012 Summary of Benefits2012 Evidence of Coverage 2012 Formulary
Secure Blue PPO Secure Blue PPO Secure Blue PPO Formulary
Secure Blue PPO with Part D Secure Blue PPO with Part D


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.

Y0010_MK 12155 CMS Approval 11/9/2011

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