MedicarePartD.guide

A non-government resource built from CMS public data

Saint Alphonsus Health Plan Choice (PPO)

Available to residents of Gem County, ID for 2026. Contract H3828, plan 001, segment 0.

Plan details

Monthly premium$0.00
Drug deductible$250.00Tier 1 and 2 exempt
Plan typeMedicare Advantage
Contract / planH3828-001-0
Offered bySaint Alphonsus Health Plan
Parent organizationTrinity Health Corporation
Formulary drugs3,507

CMS star ratings

Overall
—
Health plan (Part C)
—
Drug plan (Part D)
—

Drug tiers — preferred pharmacy, initial coverage

TierCost-sharing
Tier 1$0.00
Tier 2$6.00
Tier 325%
Tier 430%
Tier 530%

Also available in 9 other ID counties