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Out-of-Network Coverage

Our plans have networks of doctors, specialists, and hospitals.

True Blue HMO members must receive covered benefits from providers who are part of the plan's network but do not need a referral to see a participating specialist. True Blue Connected Care HMO members will work with their primary care provider to get referrals and prior authorizations. Those choosing to go to a provider outside the network must pay for these services themselves except in limited situations (for example, emergency care). Neither True Blue HMO or Original Medicare will pay for services from out-of-network providers.

Our Secure Blue PPO plans include out-of-state coverage through the Visitor/Traveler program available in 33 states and U.S. one territory: Alabama, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Indiana, Kentucky, Maine, Massachusetts, Michigan, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Puerto Rico, South Carolina, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, and Wisconsin. For some of the states listed, network providers are only available in portions of the state. Members who see Medicare Advantage PPO providers in the geographic area where the Visitor/Travel Program is offered will pay the same in-network cost sharing level they would pay if they received covered benefits from in-network providers in their service area. Please contact Customer Service help locating a provider when using the Visitor/Traveler program.

Secure Blue PPO plan members have coverage for both in- and out-of-network benefits and may also see specialists and providers outside the plans network without a referral. Secure Blue PPO members may pay more for out-of-network services with the exception of emergencies and urgent care.

The providers in our network can change at any time. Visit our online provider directory for the most up-to-date list of participating providers. Call Customer Service for more information about out-of-network coverage.

2014 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_MK 14070 Approved 12-26-2013
Last updated 12-27-2013