PacificSource Medicare MyCare Choice Rx 24 (HMO-POS)
Available to residents of Canyon County, ID for 2026. Contract H3864, plan 024, segment 0.
Plan details
| Monthly drug premium | $52.00 |
|---|---|
| Drug deductible | $499.00Tier 1 and 2 exempt |
| Plan type | Medicare Advantage |
| Contract / plan | H3864-024-0 |
| Offered by | PacificSource Medicare |
| Parent organization | PacificSource |
| Formulary drugs | 3,742 |
CMS star ratings
- Overall
- 3.5 out of 5 stars for Overall
- Health plan (Part C)
- 3.5 out of 5 stars for Health plan (Part C)
- Drug plan (Part D)
- 3.5 out of 5 stars for Drug plan (Part D)
Published per contract — every plan under contract H3864 shares this rating.
Drug tiers — preferred pharmacy, initial coverage
| Tier | Cost-sharing |
|---|---|
| Tier 1 | $0.00 |
| Tier 2 | $6.00 |
| Tier 3 | 20% |
| Tier 4 | 25% |
| Tier 5 | 27% |
Also available in 12 other ID counties
Plan facts come from the CMS quarterly prescription drug plan public use files.