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PacificSource Medicare Advantage Plan Information for Idaho
PacificSource Medicare Advantage Plan Information
Helpful Information
PacificSource Customer Support

Existing Customers

From October 1st - February 14th:
8:00 a.m. - 8:00 p.m., seven days a week

From February 15th - September 30:
8:00 a.m. - 8:00 p.m., Monday - Friday

(208) 433-4612 - Boise
(888) 863-3637 - Toll Free
(800) 735-2900 - TTY

2014 Idaho Medicare Advantage Plans

Essentials RX 16 (HMO MAPD)
Explorer RX 2 (PPO MAPD)
Explorer RX 9 (PPO MAPD)
Explorer RX 11 (PPO MAPD)
Explorer 6 (PPO MA)
Essentials RX 20 (HMO MAPD)
Essentials RX 21 (HMO MAPD)
Explorer 10 (PPO MA)
Explorer 12 (PPO MA)

PacificSource Plan List
Plan Name Plan Type Plan Details Application Premium
Essentials RX 16 HMO MAPD Benefit Summary Apply online
Download app
$32
Available in Ada, Boise, Canyon, Gem, Owyhee, Payette, Twin Falls, Valley, Washington Counties
Explorer RX 2 PPO MAPD Benefit Summary Apply online
Download app
$72
Available in Ada, Blaine, Boise, Camas, Canyon, Cassia, Elmore, Gem, Gooding, Jerome, Lincoln, Minidoka, Owyhee, Payette, Twin Falls, Valley, Washington Counties
Explorer 6 PPO MA Benefit Summary Apply online
Download app
$19
Available in Ada, Blaine, Boise, Camas, Canyon, Cassia, Elmore, Gem, Gooding, Jerome, Lincoln, Minidoka, Owyhee, Payette, Twin Falls, Valley, Washington Counties
Essentials RX 20 HMO MAPD Benefit Summary Apply online
Download app
$32
Available in Bonner, Boundary, Kootenai Counties
Explorer 12 PPO MA Benefit Summary Apply online
Download app
$25
Available in Bonner, Boundary, Kootenai Counties
Essentials RX 21 HMO MAPD Benefit Summary Apply online
Download app
$42
Available in Bannock, Bingham, Bonneville, Jefferson, Madison Counties
Explorer 10 PPO MA Benefit Summary Apply online
Download app
$34
Available in Bannock, Bingham, Bonneville, Jefferson, Madison Counties
Explorer RX 9 PPO MAPD Benefit Summary Apply online
Download app
$76
Available in Bannock, Bingham, Bonneville, Jefferson, and Madison Counties.
Explorer RX 11 PPO MAPD Benefit Summary Apply online
Download app
$66
Available in Boundary, Bonner and Kootenai Counties.

Important details and dates

  • You must be enrolled in both Medicare Part A and Medicare Part B and live in the plan's service area to be eligible for these plans.
  • You are first eligible during the 7–month Initial Coverage Enrollment Period (ICEP), the 3 months before your 65th birthday, the month of, and 3 months after. CAUTION: You only have one choice so take your time, ask for help and choose wisely.
  • You are also eligible during the Annual Election Period (AEP) which is from Oct.15 to Dec.7. You can change as many times as you want. The last change received by CMS prevails.
  • You have an opportunity to disenroll from your plan and return to Original Medicare and purchase a Part D Prescription Drug Plan during the new Annual Disenrollment Period from Jan 1 to Feb 14.
  • You must continue to pay your Medicare Part B premium in addition to any plan premium shown above.
  • You may be eligible for a Special Enrollment Period (SEP) if you reside in a nursing home, join a Special Needs Plan (SNP), move outside the plan's service area, the plan leaves your area, or other special situations.
  • PacificSource Community Solutions Inc., is a health plan with a Medicare contract.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
  • Limitations, copayments, and restrictions may apply.
  • Benefits, formulary, pharmacy network, premium, and copayments/coinsurance may change on January 1 of each year.