Medicare Advantage · HMO · 2027
True Blue Rx 36 (HMO)
At a glance: $79 monthly premium and $0 primary care visits.
- Monthly premium
- $79
- Part B premium separate
- Yearly limit
- $5,900
- Most you’d pay for in-network care
- Hearing
- $499–$999
- Copay per hearing aid
- Doctor visits
- $0
- Primary care · specialists $40
Check this plan for you
Referral needed to see a specialist
Add your doctors and prescriptions to see how they work with this plan.
- HearingCopay per hearing aid
- $499–$999
- DentalPreventive dental ($0 copay)
- Included
- VisionRoutine vision benefit
- Included
- Fitness$0 fitness benefit
- Included
This is a supplemental benefit with plan-specific limits. See plan documents for details.
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TTY: 711 · Monday to Friday, 8:00 AM to 6:00 PM CST
Costs and copays
Deductibles, yearly limit, visits, hospital stays and drug tiers
- DeductiblesMedical · $205 for drugs
- $900
- Yearly limitIn-network care, not counting drugs
- $5,900
- Primary doctorPer visit
- $0
- SpecialistPer visit · referral needed
- $40
- Hospital stayNo limit on covered hospital days
- Days 1-5: $425/day, Days 6-90: $0/day
- Inpatient mental healthHospital stay
- Days 1-5: $425/day, Days 6-90: $0/day
- Outpatient surgeryPer procedure
- $500
- Emergency roomPer visit
- $130
- Urgent carePer visit
- $50
- Tier 1 · Preferred Generic30-day supply at a retail pharmacy
- $0
- Tier 2 · Generic30-day supply at a retail pharmacy
- $4
- Tier 3 · Preferred Brand30-day supply at a retail pharmacy, after deductible
- 22%
- Tier 4 · Non-Pref Brand30-day supply at a retail pharmacy, after deductible
- 26%
- Tier 5 · Specialty30-day supply at a retail pharmacy, after deductible
- 31%
Our take
Where this plan shines, and what to know
Where this plan shines
- See your primary doctor for $0.
Things to know before you enroll
- This plan’s out-of-pocket maximum is above the national median.
- You’ll need to use in-network providers except in emergencies.
- Limited coverage while traveling outside the plan’s service area.
Similar plans
Other Medicare Advantage plans offered in Idaho
Browse the full 2027 Medicare Advantage with drug coverage directory. This plan is offered in Idaho. Plan availability can vary by county.
More Medicare Advantage with drug coverage options
These plans are offered in at least one of the same states. Check your ZIP or county before choosing a plan.
- True Blue Rx 32PSP (HMO)Blue Cross of Idaho · H1350-032Offered in Idaho
- True Blue Rx 33 (HMO)Blue Cross of Idaho · H1350-033Offered in Idaho
- True Blue Rx 34 (HMO)Blue Cross of Idaho · H1350-034Offered in Idaho
- True Blue Rx 35PSP (HMO)Blue Cross of Idaho · H1350-035Offered in Idaho
- True Blue Rx 37 (HMO)Blue Cross of Idaho · H1350-037Offered in Idaho
- AARP Medicare Advantage from UHC ID-0001 (PPO)UnitedHealthcare · H2406-044Offered in Idaho
Common questions
6 answers about this plan
What does True Blue Rx 36 (HMO) cover?
True Blue Rx 36 (HMO) is a Medicare Advantage plan that the current plan record identifies as including Part D prescription drug coverage. The plan record also identifies Part D prescription drug coverage. Its published drug benefit lists 5 formulary tiers. Published supplemental benefits include dental (Preventive dental ($0 copay)), vision (Routine vision benefit), hearing ($499–$999 copay per hearing aid), and fitness ($0 fitness benefit). Review the plan documents for covered services, limits, and rules. Coverage can change each plan year.
Learn about Medicare AdvantageHow much does True Blue Rx 36 (HMO) cost in 2027?
The published 2027 monthly plan premium for True Blue Rx 36 (HMO) is $79. Any Medicare premiums you owe are separate from the listed plan premium. The listed medical deductible is $900. The listed Part D deductible is $205. The in-network medical out-of-pocket maximum is $5,900; it does not include Part D drug spending. Published visit costs include primary care $0 and specialist visits $40. These figures are plan data, not a personal yearly-cost estimate.
Understand Medicare drug-cost limitsCan I use my current doctors with True Blue Rx 36 (HMO)?
CMS lists True Blue Rx 36 (HMO) as a HMO plan. The plan record says specialist referrals are required. A network label alone does not confirm that a specific doctor participates. Use the doctor lookup tool, then confirm with the doctor's office and the plan before receiving care. Provider networks and member costs can change. Emergency care and travel coverage can follow different network rules.
Check your doctorsDoes True Blue Rx 36 (HMO) cover my prescriptions?
True Blue Rx 36 (HMO) has 5 published formulary tiers in the current plan record. Published preferred-pharmacy 30-day retail costs include Tier 1 at $0, Tier 2 at $4, Tier 3 at 22%, Tier 4 at 26%, and Tier 5 at 31%. The listed Part D deductible is $205. A tier listing does not confirm that a specific prescription is covered. Check each medication against the plan's current formulary, restrictions, pharmacy network, and costs before enrolling.
Check your prescriptionsWhat dental, vision, and hearing benefits does True Blue Rx 36 (HMO) include?
The current plan record for True Blue Rx 36 (HMO) lists dental (Preventive dental ($0 copay)), vision (Routine vision benefit), and hearing ($499–$999 copay per hearing aid). Benefit allowances, frequency, eligibility, and participating providers can have additional limits, so review the Summary of Benefits or Evidence of Coverage for the complete rules.
When can I enroll in True Blue Rx 36 (HMO)?
True Blue Rx 36 (HMO) is a 2027 Medicare Advantage plan. The Annual Enrollment Period runs from October 15 through December 7, with changes taking effect January 1. The Medicare Advantage Open Enrollment Period runs from January 1 through March 31 for people already enrolled in Medicare Advantage. A qualifying circumstance may create a Special Enrollment Period outside those dates. Confirm the enrollment window and effective date that apply to you before changing coverage.
Review Medicare enrollment periodsPlan documents
Summary of Benefits and Evidence of Coverage
- Summary of Benefits (PDF)Download the plan's official Summary of Benefits document
- Evidence of Coverage (PDF)Complete plan details and rules
- Check Your DoctorsSee if your doctors accept this plan
- Documentos en españolLlame a The Pocket Protector al 1-866-764-3312 (TTY: 711) para recibir ayuda con documentos en español
Talk to a licensed agent
Talk with a licensed advisor
A licensed agent can review this plan and other plans in your area that fit your needs.
TTY: 711 · Monday to Friday, 8:00 AM to 6:00 PM CST
