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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

$50 Gym MembershipSecure Blue PPO offers new, lower office visit copays! Only $15 when you see in-network primary care providers. Plus a gym membership, a $4 generic drug copay and the freedom to see providers in- or out-of-network. Plus when you travel you have access to providers in 33 states and Puerto Rico with Blue Cross and Blue Shield Medicare Advantage PPO plans.

2014 PLAN OVERVIEW

 PremiumIn-Network PCP Office VisitFitness OptionsPart D DeductibleIn-Network Specialist Office VisitIn-Network Inpatient Hospital CareOut-of-Pocket Maximum
Secure Blue PPO Treasure Valley
includes Part D Coverage
Available exclusively in Ada, Boise, Canyon, Gem and Owyhee counties
$68 $15 $50
annual gym membership


OR

$10
annually for three at home fitness kits
$200 $25
no referral needed
$175
per day for days 1 - 5
$3,400
in-network

$4,500
in- and out-of-network per calendar year
Secure Blue PPO Idaho
includes Part D Coverage
Not available in Ada, Boise, Canyon, Gem, Owyhee counties
$98 $200
Secure Blue PPO
without Part D Coverage
$42 N/A $3,400
per calendar year
includes all plan services

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
  • Reside in the plan's service area

Secure Blue PPO Treasure Valley is available in Ada, Boise, Canyon, Gem and Owyhee counties.

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

Secure Blue PPO is available in 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.

2014 TOOLS, RESOURCES, & ADDITIONAL 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 www.medicare.gov.

CONTACT US

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

PHONE

Call from 8 am to 8 pm
7 days a week

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

ADDRESS

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

Need more help deciding which type of coverage fits your needs? Attend a seminar or find a certified agent.
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Y0010_MK 14070 Approved 12-26-2013
Last updated 12-27-2013