Medicare Advantage Plans in Gem County, ID:
Your Complete 2026 Guide
Gem County, ID offers 21 Medicare Advantage plans in 2026. This includes 15 with $0 monthly premiums. Currently, about 2,870 beneficiaries in the County are enrolled, and 37% of available plans have a 4-star rating or higher. Special Needs Plans are not included in the figures shown above. Explore SNP options for Gem County, ID here.
Page last revised:
Enrollment data refreshed: May 2, 2026
* Each year CMS evaluates Medicare Advantage plans on a 5-star scale. Data sources
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans offer flexibility by allowing you to see both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs may appeal to people who want more choice in doctors and hospitals.
- Total PPO Plans 10
- Average Premium $11.60/mo
- Beneficiaries Enrolled 511
- $0 Premium PPOs 8
- Average MOOP $6,700
- Most Popular PPO Humana Value Choice H5216-132 (PPO) with 161 enrollees
- PPOs Without Drug Coverage 4
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Humana Full Access H7617-028 | $29 | $5,900 | $615 | H7617 028 0 | |
| Humana Value Choice H7617-031 | $0 | $6,750 | $615 | H7617 031 0 | |
| Humana Essentials Plus Giveback H5216-429 | $0 | $8,800 | $615 | H5216 429 0 | |
| Humana USAA Honor Giveback | $0 | $9,150 | N/A | H5216 427 4 | |
| Humana USAA Honor Giveback | $0 | $5,100 | N/A | H5216 455 0 | |
| Humana Value Choice H5216-132 | $0 | $6,750 | $615 | H5216 132 0 | |
| HumanaChoice H5216-048 | $87 | $6,750 | $615 | H5216 048 0 | |
| PacificSource Medicare Explorer 6 | $0 | $6,500 | N/A | H4754 006 0 | |
| Saint Alphonsus Health Plan Choice | $0 | $6,100 | $250 | H3828 001 0 | |
| Secure Blue Courage | $0 | $5,200 | N/A | H1302 004 0 |
What is the most popular PPO plan in Gem?
Humana Value Choice H5216-132 (PPO) is the top PPO in Gem, with 161 enrollees.
What is the number of PPO plans without Part D coverage in Gem?
There are 4 PPO plans in Gem without prescription drug coverage.
Medicare Advantage HMO Plans
With an HMO, you’ll typically get care from providers and facilities in the plan’s network. In exchange for this limitation, HMO plans usually feature lower monthly premiums and reduced cost-sharing, which can help enrollees better manage their healthcare expenses.
- Total HMO Plans
- 8
- Average Premium
- $9.38/mo
- Beneficiaries Enrolled
- 1,850
- $0 Premium HMOs
- 6
- Average MOOP
- $5,863
- Most Popular HMO
- True Blue Rx 33 (HMO) with 876 enrollees
- HMOs Without Drug Coverage
- 2
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Saint Alphonsus Health Plan Cash Back | $0 | $7,900 | $325 | H6910 005 0 | |
| Saint Alphonsus Health Plan Glory No RX | $0 | $5,900 | N/A | H6910 004 0 | |
| Saint Alphonsus Health Plan No Premium | $0 | $5,500 | $225 | H6910 001 0 | |
| True Blue Rx 32PSP | $16 | $5,900 | $175 | H1350 032 0 | |
| True Blue Rx 33 | $59 | $5,900 | $175 | H1350 033 0 | |
| True Blue Valor | $0 | $3,000 | N/A | H1350 006 0 | |
| Humana Gold Plus H2486-005 | $0 | $6,400 | $200 | H2486 005 0 | |
| Humana Total Complete H5619-177 | $0 | $6,400 | $615 | H5619 177 0 |
What is the typical premium for HMO plans in Gem?
On average, HMO plans in Gem cost $9.38 per month.
Which HMO plan do most beneficiaries choose in Gem?
The leading HMO in Gem is True Blue Rx 33 (HMO), with 876 members.
How many HMO options are offered without prescription drug coverage in Gem?
There are 2 HMO plans available in Gem without Part D benefits.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans blend elements of HMO and PPO coverage. You can see providers outside the network, but out-of-network services typically cost more. This type of plan may appeal to people who like the lower costs of an HMO but also want occasional flexibility to go out of network.
- Total HMO-POS Plans 3
- Average Premium $40.33/mo
- Beneficiaries Enrolled 509
- $0 Premium HMO-POS 1
- Average MOOP $6,433
- Most Popular HMO-POS AARP Medicare Advantage from UHC ID-0005 (HMO-POS) with 329 enrollees
- HMO-POS Without Drug Coverage 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC ID-0005 | $64 | $5,900 | $520 | H4604 012 0 | |
| AARP Medicare Advantage Patriot No Rx ID-MA01 | $0 | $6,700 | N/A | H4604 019 0 | |
| PacificSource Medicare MyCare Choice Rx 24 | $57 | $6,700 | $499 | H3864 024 0 |
What is the total number of HMO-POS plans in Gem?
In 2026, Gem has 3 HMO-POS plans, with 509 enrollees.
How much do HMO-POS plans cost on average in Gem?
The mean monthly HMO-POS premium is $40.33, and 1 have no premium.
The table below shows the quality ratings for Medicare Advantage plans offered in Gem County, ID for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 7 | 37% |
| 3 Stars | 12 | 63% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 2 | 10% |
| Average Rating | 3.66 | |
For residents of Gem County, signing up for a Medicare Advantage plan isn’t just about benefits—it’s about timing. Learning the key enrollment periods ensures you don’t lose access to the coverage that works best for you.
When You Can Sign Up
- Initial Enrollment Period (IEP): Lasting seven months around your 65th birthday, this period lets you enroll in Medicare for the first time. You may also choose a Medicare Advantage plan during this time. Learn more
- Medicare Advantage Open Enrollment Period (MA OEP): Between January 1 and March 31, people already enrolled in Medicare Advantage can make a one-time change—switch to another plan or return to Original Medicare. Learn more
- Annual Enrollment Period (AEP): From October 15 through December 7 each year, you can make changes to your Medicare coverage for the following year. Learn more
- Special Enrollment Periods (SEPs): Life events like moving to a new service area, losing other health coverage, or becoming eligible for assistance may open a Special Enrollment Period to adjust your Medicare coverage. Learn more
Ways to Enroll in Medicare Advantage
- Consult a Licensed Agent: Call a licensed insurance agent at HealthCompare 1-833-748-3201 (TTY 711), available Monday through Friday 5am–6pm and Saturday 6am–5pm PST, for help reviewing your Medicare options.
- Contact the Plan Provider Directly: Start enrollment by reaching out to the plan provider through their website or by phone with their member services team.
- Use Medicare.gov: At Medicare.gov, you can compare Medicare Advantage plans side by side and enroll securely online.
The MA and MAPD plans on this page are available to people on Medicare enrolled in both Medicare Part A and Part B living in Emmett, and all other areas of Gem County, Idaho.
Plans Offered for Enrollment through Medicare.org
Medicare Advantage and Part D plans and benefits offered by the following carriers: Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Baylor Scott & White Health Plan, Capital Blue Cross, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, GlobalHealth, Health Care Service Corporation, HealthSpring℠, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint
- CMS.gov, Landscape Source Files — Last accessed September 26, 2025
- CMS.gov, Medicare Part C & D Performance — Last accessed October 10, 2025
- CMS.gov, Plan Benefits Package — Last accessed October 13, 2025
- CMS.gov, Medicare Advantage/Part D Contract and Enrollment Data — Last accessed May 2, 2026
Some facts and percentages shown on this page (such as average premiums, distribution of plan types, and percentage of $0 premium plans) are calculated by Medicare.org using data from the CMS Landscape file, Plan Benefits Package (PBP) files and Part C & D Performance files. All underlying values originate from CMS, and calculations are refreshed whenever CMS issues updated data. Enrollment counts and rankings (such as Top 3 plans by enrollment) are derived from CMS monthly enrollment files and aggregated at the county level.
Medicare.org separates Medicare Advantage (MA/MAPD) plans and Special Needs Plans (SNPs) into different pages for clarity. As a result, plan counts, percentages, and other calculations shown here may differ from the aggregate totals published in the CMS Landscape files. All plan availability and benefit details originate from CMS.
Learn more about how we use CMS data.
- CMS.gov, "Medicare Advantage Plan Fact Sheet" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 25 May, 2025
- Medicare.gov, "Joining a plan" — Last accessed 25 May, 2025
Some facts and percentages shown on this page (such as average premiums, distribution of plan types, and percentage of $0 premium plans) are calculated by Medicare.org using data from the CMS Plan Benefits Package (PBP) files and Part C & D Performance files. All underlying values originate from CMS, and calculations are refreshed whenever CMS issues updated data.
To explore how 2026 Medicare Advantage plans available in Gem County compare with plans offered elsewhere, you can search the Medicare Advantage plan directory to review options nationwide using the same authoritative data sources.
Medicare.org is owned and operated by Health Network Group, LLC, an Allstate company. Medicare.org provides information only and is not connected with or endorsed by the U.S. Government or the federal Medicare program.
Data provenance documentation is maintained in alignment with the U.S. Core Data for Interoperability (USCDI) Provenance standard.
Page content independently curated and maintained by David W. Bynon, Medicare Technical Operator, using a standardized, data-driven methodology designed for accurate, non-commercial Medicare plan interpretation and resolution.