Idaho Medicare Insurance Plans

The state flag of Idaho | Idaho Medicare Insurance plans

Medicare is a federally sponsored health insurance program available to those over the age of 65, as well as to individuals who have certain disabilities. At the state level, however, there exist specific organizations that help beneficiaries better understand the Medicare process, and Medicare recipients may even qualify to receive state subsidies, depending on their circumstances. Consider the following information if you are interested in obtaining Medicare coverage in the state of Idaho.

Medicare Supplement Insurance (Medigap) Policies

A Medicare Supplement Insurance policy is private health insurance that’s designed to supplement Medicare Parts A and B.  You must have both Medicare Part A and Part B to get a Medigap policy.  You pay the private insurance company a monthly premium for your Medigap policy in addition to your monthly Part B premium according to CMS.

 Mini-COBRA Policies (Small Group)

If you work for an employer that has over 20 full-time employees, then federal COBRA law applies.  If you work for an employer that has under 20 full-time employees, Idaho does not provide a law, mini COBRA, that is similar to COBRA.

Idaho Medicare Savings Program

Idaho has four Medicare Savings Programs available, depending on your income level.

*The following data is from 2017 and is based on federal amounts. If your income and resources are slightly higher, you should still apply, you may qualify for benefits even if your income is higher than the limits listed.

    • *Qualified Medicare Beneficiaries (QMBs): For QMBs, Idaho covers all premiums for Medicare Part B and all co-payments and deductibles for Medicare Parts A and B. This program is for individuals with a monthly income below $1,010 and couples with a monthly income below $1,355.
    • *Specified Low-Income Medicare Beneficiaries (SLMBs): For individuals with a monthly income under $1,208 (or couples with income under $1,622 per month), the state pays premiums for Medicare Part B under a second-tier plan for Specified Low-Income Medicare Beneficiaries.
    • *Qualified Individuals (QIs): The state will pay Medicare Part B premiums for individuals with a monthly income under $1,357 (or couples with a combined income under $1,823 a month).
    • *Qualified Disabled and Working Individuals (QDWIs): For individuals with monthly income under $4,045 (or couples with combined income under $5,425 a month), the state will cover premiums for Medicare Part A.

*Data from

Health Insurance Counseling and Advocacy Program (SHIBA)

Local Idaho SHIBA centers are there to help you understand the variety of Medicare programs available. Idaho SHIBA provides local counseling sessions and personal phone and office consultations for patients throughout the state, all of which aim to educate you about the wide variety of medical care and insurance options available (which can vary from region to region), including:

  • Medicare (Parts A and B)
  • Medicare Advantage Plans (Part C)
  • Medicare Prescription Drug Plans (Part D)
  • Medicare Supplement Insurance (Medigap)
  • Prescription assistance programs
  • Long-term care and payment options
  • Health care rights and protections
  • Low-income assistance programs

Idaho SHIP works on your behalf to deal with claims and disputes through a network of hundreds of trained, certified SHIP volunteers throughout the state of Idaho.

(Extra Help) for Prescription Drugs

In 2017, you may qualify if you have up to $17,820 in yearly income ($24,030 for a married couple) and up to $13,640 in resources ($27,250 for a married couple).

If you are an Idaho resident looking for answers about Idaho Medicare Insurance Plans available in your area, consult with a licensed sales agent at Our knowledgeable licensed sales agents can help tailor the best solutions for your needs based on both your income and local region.