True Blue Valor (HMO)

H1350 - 006 - 0
3.5 out of 5 stars (3.5 / 5)

True Blue Valor (HMO) is a Medicare Advantage Plan by Blue Cross of Idaho.

This page features plan details for 2025 True Blue Valor (HMO) H1350 – 006 – 0 available in Select Counties in Idaho.

Locations

True Blue Valor (HMO) is offered in the following locations.

Plan Overview

True Blue Valor (HMO) offers the following coverage and cost-sharing.

Insurer:Blue Cross of Idaho
Health Plan Deductible:$0
MOOP:$3,000 In-network
Drugs Covered:No

Ready to sign up for True Blue Valor (HMO) ?

Get help from a licensed insurance agent.

Call 1-877-354-4611 / TTY 711.

M-F: 8:00 am – 10:00 pm EST

Sat-Sun: 8:00 am – 9:00 pm EST

Premium Breakdown

True Blue Valor (HMO) has a monthly premium of $0.00. This amount includes your Part C premium but does not include your Part B premium.
Part B Part C Part B Give Back Total
$185.00 $34.00 $ $
Please Note:
  • Your Part B premium may differ based on factors including late enrollment, income, and disability status.

Additional Benefits

True Blue Valor (HMO) also provides the following benefits.

Additional benefits and/or reduced cost-sharing for enrollees with certain health conditions?

    • In-Network: No

Comprehensive Dental

  • Adjunctive General Services
    • In-Network: No Coins – 0.00 Copay (Limits Apply, Authorization Required)
  • Endodontics
    • In-Network: No Coins – 0.00 Copay (Authorization Required)
  • Implant Services
    • In-Network: No Coins – 300.00 Copay (Authorization Required)
  • Oral and Maxillofacial Surgery
    • In-Network: No Coins – 0.00 Copay (Limits Apply, Authorization Required)
  • Periodontics
    • In-Network: No Coins – 0.00 Copay (Authorization Required)
  • Prosthodontics, fixed
    • In-Network: No Coins – 300.00 Copay (Authorization Required)
  • Prosthodontics, removable
    • In-Network: No Coins – 0.00 Copay (Authorization Required)
  • Restorative Services
    • In-Network: No Coins – 0.00 Copay (Authorization Required)

Diagnostic and Preventive Dental

  • Dental X-Rays
    • In-Network: No Coins – – Copay
  • Fluoride Treatment
    • In-Network: No Coins – – Copay
  • Oral Exams
    • In-Network: No Coins – – Copay
  • Prophylaxis (cleaning)
    • In-Network: No Coins – – Copay

Diagnostic procedures/lab services/imaging

  • Diagnostic radiology services (e.g., MRI)
    • $0-200 copay (Authorization Required)
  • Lab services
    • $0 copay (Authorization Required)
  • Outpatient x-rays
    • $0 copay (Authorization Required)
  • Diagnostic tests and procedures
    • $0-30 copay (Authorization Required)

Doctor visits

  • Primary
    • $0 copay
  • Specialist
    • $25 copay per visit

Emergency care/Urgent care

  • Urgent care
    • $25 copay per visit (always covered)
  • Emergency
    • $100 copay per visit (always covered)

Foot care (podiatry services)

  • Routine foot care
    • Not covered
  • Foot exams and treatment
    • $25 copay

Ground ambulance

    • $175 copay

Health plan deductible

    • $0

Hearing

  • Fitting/evaluation
    • $0 copay
  • Hearing aids
    • $499-999 copay (Limits Apply)
  • Medicare-Covered Hearing Exam
    • $25 copay
  • Hearing aids OTC
    • Not covered

Inpatient hospital coverage

    • $100 per day for days 1 through 5
      $0 per day for days 6 through 90 (Authorization Required)

Maximum out-of-pocket enrollee responsibility (does not include prescription drugs)

    • $3,000 In-network

Medical equipment/supplies

  • Diabetes supplies
    • $0 copay per item
  • Durable medical equipment (e.g., wheelchairs, oxygen)
    • 10% coinsurance per item (Authorization Required)
  • Prosthetics (e.g., braces, artificial limbs)
    • 10% coinsurance per item (Authorization Required)

Medicare Part B drugs

  • Chemotherapy
    • 0-10% coinsurance (Authorization Required)
  • Other Part B drugs
    • 0-10% coinsurance (Authorization Required)

Mental health services

  • Outpatient group therapy visit
    • $25 copay
  • Outpatient individual therapy visit
    • $25 copay
  • Outpatient individual therapy visit with a psychiatrist
    • $25 copay
  • Inpatient hospital – psychiatric
    • $100 per day for days 1 through 5
      $0 per day for days 6 through 90 (Authorization Required)
  • Outpatient group therapy visit with a psychiatrist
    • $25 copay

Optional supplemental benefits

    • No

Other health plan deductibles?

    • In-Network: No

Outpatient hospital coverage

    • $0-150 copay per visit (Authorization Required)

Preventive care

    • $0 copay

Rehabilitation services

  • Occupational therapy visit
    • $15 copay
  • Physical therapy and speech and language therapy visit
    • $15 copay

Skilled Nursing Facility

    • $0 per day for days 1 through 20
      $203 per day for days 21 through 55
      $0 per day for days 56 through 100 (Authorization Required)

Transportation

    • Not covered

Vision

  • Other
    • Not covered
  • Routine eye exam
    • $20 copay (Limits Apply, Authorization Required)
  • Upgrades
    • $0 copay (Limits Apply, Authorization Required)
  • Eyeglass frames
    • Not covered
  • Contact lenses
    • $0-35 copay (Limits Apply, Authorization Required)
  • Eyeglass lenses
    • Not covered
  • Eyeglasses (frames and lenses)
    • $35 copay (Limits Apply, Authorization Required)

Wellness programs (e.g., fitness, nursing hotline)

    • Covered

Ready to sign up for True Blue Valor (HMO) ?

Get help from a licensed insurance agent.

Call 1-877-354-4611 / TTY 711.

M-F: 8:00 am – 10:00 pm EST

Sat-Sun: 8:00 am – 9:00 pm EST

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