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Open enrollment 2027 · Idaho

Medicare Advantage in Gem County, ID, for 2027.

CMS lists 22 Medicare Advantage plans here for 2027, 8 fewer than 2026 (30). 3,531 people in the county had an individual Medicare Advantage plan in October 2026.

Sources: CMS CY2027 plan file (October 2026 release), CMS CY2026 plan file (September 2026 release), CMS enrollment by county (CPSC), October 2026, CMS 2027 Plan Crosswalk (October 1, 2026), CMS 2027 Star Ratings Data Tables (October 8, 2026). Member counts are floors because CMS hides counts of 10 or fewer.

The county in numbers

2027 plans228 fewer than 2026 (30)
$0 premium plans11of 22
Insurers5parent companies
Must pick a plan1,231their plan ends here
Rated 4 stars or more13of 17 rated plans

Plans that end here for 2027

9 plans with members in the county end or leave it, plus 8 with 10 or fewer members here. CMS moves 0 members to another plan, and 2,163 stay in the same plan.

PlanInsurerMembersWhy
Saint Alphonsus Health Plan No Premium (HMO)Trinity Health452Plan terminated
Saint Alphonsus Health Plan Cash Back (HMO)Trinity Health419Plan terminated
PacificSource Medicare MyCare Choice Rx 24 (HMO-POS)PacificSource116Plan terminated
HumanaChoice - Diabetes and Heart (PPO C-SNP)Humana80Plan terminated
Humana Essentials Plus Giveback H5216-429 (PPO)Humana46Plan terminated
Molina Medicare Complete Care Select (HMO D-SNP)Molina Healthcare39Plan terminated
Saint Alphonsus Health Plan Choice (PPO)Trinity Health32Plan terminated
PacificSource Medicare Explorer 6 (PPO)PacificSource28Plan terminated
Saint Alphonsus Health Plan Glory No RX (HMO)Trinity Health19Plan terminated

Who holds the members

  • Gemstone1,017
  • Trinity Health922
  • UnitedHealth681
  • Humana519
  • Molina Healthcare175
  • PacificSource144

Individual Medicare Advantage members by parent company, October 2026.

Top rated plans sold here

  • Humana Full Access (PPO)Humana4.5
  • Humana Value Choice (PPO)Humana4.5
  • HumanaChoice - Diabetes and Heart (PPO C-SNP)Humana4.5
  • UHC Complete Care Support ID-1A (PPO C-SNP)UnitedHealth4.5

2027 overall Star Rating, 4.5 or more. Each plan's measure stars are in the county lookup.

See every plan, premium and copay in the free lookup.

Sort all 22 plans, open each plan's benefits and star measures, and see what each insurer paid agents in 2026.

Open Gem in the lookup

Working this county for AEP?

The AEP 2027 County Kit puts this county and your others in one file: the plans that end, where members land, what is still sold and a crosswalk sheet, with every number tied to its CMS file.

See the AEP 2027 County Kit

All Idaho county pages. Facts from public CMS files, prepared by Health and Tech Now. Not plan advice. Check a plan's Summary of Benefits before you enroll.