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Washington County, Idaho — 2026 Medicare Advantage plans

Contract year 2026 · data updated October 01, 2026 · source files

27 individual Medicare Advantage plan segments from 6 parent organizations are filed for Washington County for 2026, per CMS public files. This page reports what was filed; it does not rank or recommend plans.

CMS public dataReported, not recommendedNo broker influenceNo paid placementDirect from CMS sources
27plans filed −1 vs prior year
17with a $0 premium +2 vs prior year
$6,700median in-network MOOP +$550 vs prior year
11on 4-star or better contracts
23report comprehensive dental
17report an OTC allowance

Tick Compare on up to three plans to see them side by side.

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PlanTypePremiumIn-network MOOPPart D deductibleStar ratingOTC allowanceSupplemental benefits reported
Humana Essentials Plus Giveback H5216-429 (PPO)
Humana Inc. · H5216-429-000 · SoB ✓
PPO$0$8,800$6153.5out of 5 stars, Average—Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals
Humana Gold Plus H2486-005 (HMO)
Humana Inc. · H2486-005-000 · SoB ✓
HMO$0$6,400$2003.0out of 5 stars, Average—Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals
Humana Total Complete H5619-177 (HMO)
Humana Inc. · H5619-177-000 · SoB ✓
HMO$0$6,400$6153.0out of 5 stars, Average—Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals
Humana Value Choice H5216-132 (PPO)
Humana Inc. · H5216-132-000 · SoB ✓
PPO$0$6,750$6153.5out of 5 stars, AverageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
Humana Value Choice H7617-031 (PPO)
Humana Inc. · H7617-031-000 · SoB ✓
PPO$0$6,750$6154.5out of 5 stars, Above averageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
HumanaChoice - Diabetes and Heart (PPO C-SNP)
Humana Inc. · H7617-034-000 · SoB ✓
PPO C-SNP$0$5,000$6154.5out of 5 stars, Above averageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
Molina Medicare Complete Care Select (HMO D-SNP)
Molina Healthcare, Inc. · H5628-014-002 · SoB ✓
HMO D-SNP$0$9,250$6153.0out of 5 stars, AverageReportedComprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
Saint Alphonsus Health Plan Cash Back (HMO)
Trinity Health Corporation · H6910-005-000 · SoB
HMO$0$7,900$3254.0out of 5 stars, Above average$25Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
Saint Alphonsus Health Plan Choice (PPO)
Trinity Health Corporation · H3828-001-000 · SoB
PPO$0$6,100$250Not rated$50Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
Saint Alphonsus Health Plan No Premium (HMO)
Trinity Health Corporation · H6910-001-000 · SoB
HMO$0$5,500$2254.0out of 5 stars, Above average$75Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
UHC Complete Care ID-12 (HMO-POS C-SNP)
UnitedHealth Group, Inc. · H4604-024-000 · SoB ✓
HMO-POS C-SNP$0$6,700$6004.0out of 5 stars, Above averageReportedVision exam Eyewear Hearing aids Transportation OTC allowance Meals
HumanaChoice - Diabetes and Heart (PPO C-SNP)
Humana Inc. · H7617-033-000 · SoB ✓
PPO C-SNP$14.90$9,250$6154.5out of 5 stars, Above averageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
UHC Dual Complete ID-Q1 (HMO-POS D-SNP)
UnitedHealth Group, Inc. · H4032-002-000 · SoB ✓
HMO-POS D-SNP$21.40$9,250$615Not ratedReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
Humana Full Access H7617-028 (PPO)
Humana Inc. · H7617-028-000 · SoB ✓
PPO$29$5,900$6154.5out of 5 stars, Above average—Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals
American Health Advantage of Idaho (HMO I-SNP)
Mitchell Family Office · H4232-003-000 · SoB
HMO I-SNP$37.60$9,250$615Not rated—Vision exam Eyewear Hearing aids Transportation
Molina Medicare Complete Care (HMO D-SNP)
Molina Healthcare, Inc. · H5628-013-002 · SoB ✓
HMO D-SNP$37.60$9,250$6153.0out of 5 stars, AverageReportedVision exam Eyewear Hearing aids Transportation OTC allowance Meals
UHC Complete Care Support ID-1A (PPO C-SNP)
UnitedHealth Group, Inc. · H2001-050-000 · SoB ✓
PPO C-SNP$37.60$9,250$6154.5out of 5 stars, Above averageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
UHC Dual Complete ID-Y1 (HMO-POS D-SNP)
UnitedHealth Group, Inc. · H4032-001-000 · SoB ✓
HMO-POS D-SNP$37.60$9,250$615Not ratedReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
AARP Medicare Advantage from UHC ID-0005 (HMO-POS)
UnitedHealth Group, Inc. · H4604-012-000 · SoB ✓
HMO-POS$64$5,900$5204.0out of 5 stars, Above average—Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals
HumanaChoice H5216-048 (PPO)
Humana Inc. · H5216-048-000 · SoB ✓
PPO$87$6,750$6153.5out of 5 stars, Average—Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals
True Blue Rx 37 (HMO)
Gemstone Holdings, Inc. · H1350-037-000 · SoB ✓
HMO$153$5,900$1503.5out of 5 stars, Average—Vision exam Eyewear Hearing aids
AARP Medicare Advantage Patriot No Rx ID-MA01 (HMO-POS)
UnitedHealth Group, Inc. · H4604-019-000 · SoB ✓
HMO-POS—$6,700—4.0out of 5 stars, Above averageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
Humana USAA Honor Giveback (PPO)
Humana Inc. · H5216-427-004 · SoB ✓
PPO—$9,150—3.5out of 5 stars, AverageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
Humana USAA Honor Giveback (PPO)
Humana Inc. · H5216-455-000 · SoB ✓
PPO—$5,100—3.5out of 5 stars, AverageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
Saint Alphonsus Health Plan Glory No RX (HMO)
Trinity Health Corporation · H6910-004-000 · SoB
HMO—$5,900—4.0out of 5 stars, Above average$75Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
Secure Blue Courage (PPO)
Gemstone Holdings, Inc. · H1302-004-000 · SoB ✓
PPO—$5,200—Not rated—Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids
True Blue Valor (HMO)
Gemstone Holdings, Inc. · H1350-006-000 · SoB
HMO—$3,000—3.5out of 5 stars, Average—Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids

What the star rating means. CMS rates every Medicare Advantage contract (the "H" number in the plan ID — all plans under it share the rating) on a 1-to-5 scale each October, from about 40 measures of care quality, member experience, complaints and appeals, customer service and, for plans with drug coverage, drug safety and pricing. The 2026 rating is largely based on performance measured in 2024.

5 Excellent4 Above average3 Average2 Below average1 Poor

Not rated means CMS published no overall rating — usually a contract too new to be measured or with too few members ("not enough data"); it is not a low score. A 5-star contract can be joined outside the normal enrollment windows (the 5-star Special Enrollment Period, Dec 8 – Nov 30). Medicare.gov flags contracts rated below 3 stars for three years running as low-performing. Stars describe the contract's past performance as CMS measured it; they are not a recommendation, and they do not tell you whether a plan's network, drugs or costs fit you.

How to read this table

Yes — the plan's approved bid reports the benefit. No — the bid reports it is not offered. — — CMS did not publish a value for this field; that is not the same as No. Reported under an allowance column means the benefit is offered but CMS published no dollar amount. Premium is the CMS consolidated monthly premium (Part C + Part D). MOOP is the in-network maximum out-of-pocket. Star rating is the contract's overall rating in the CMS file used for this build. SNP plans (D-SNP, C-SNP, I-SNP) are limited to people who meet the plan's eligibility rules. A plan's own Summary of Benefits and Evidence of Coverage govern the details.

Click a column header to sort. On small screens the Part D deductible and OTC columns are hidden; open a plan for the full record.

Is a drug covered by plans in Washington County?

Shows the tier, prior-authorization / step-therapy / quantity-limit flags and tier cost sharing for every plan above, plus the 10 stand-alone Part D plans in the Idaho, Utah region. From the CMS monthly formulary file.

Before enrolling or making a coverage decision, confirm current details with the plan, Medicare.gov, your State Health Insurance Assistance Program (SHIP), or 1-800-MEDICARE (1-800-633-4227, TTY 1-877-486-2048). MedicareBenefits.care reports CMS-filed data and does not verify provider networks, pharmacy participation, or final plan terms.

Download all 27 Washington County plans as CSVEvery column on this page plus the 14 benefit flags and published allowances — part of Pro, $99/month or $990/year.

Pro data Free 10-row sample

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