Saint Alphonsus Health Plan Choice (PPO)
Available to residents of Elmore County, ID for 2026. Contract H3828, plan 001, segment 0.
Plan details
| Monthly drug premium | $0.00 |
|---|---|
| Drug deductible | $250.00Tier 1 and 2 exempt |
| Plan type | Medicare Advantage |
| Contract / plan | H3828-001-0 |
| Offered by | Saint Alphonsus Health Plan |
| Parent organization | Trinity Health Corporation |
| Formulary drugs | 3,507 |
CMS star ratings
- Overall
- —
- Health plan (Part C)
- —
- Drug plan (Part D)
- —
Published per contract — every plan under contract H3828 shares this rating.
Drug tiers — preferred pharmacy, initial coverage
| Tier | Cost-sharing |
|---|---|
| Tier 1 | $0.00 |
| Tier 2 | $6.00 |
| Tier 3 | 25% |
| Tier 4 | 30% |
| Tier 5 | 30% |
Also available in 9 other ID counties
Plan facts come from the CMS quarterly prescription drug plan public use files.