Medicare plays a key role in providing health and financial security to beneficiaries residing in Idaho. With more than 342,800 Idaho beneficiaries enrolled in Medicare, we’ll cover some very important information below about Medicare in Idaho. We want to help you better understand your options and make the decision-process as seamless as possible once you’re ready to enroll in Medicare or discover different coverage options.

Idaho Medicare Enrollments

215,710

Original Medicare Plans (Part A and B)

127,124

Medicare Advantage & Other Health Plans

131,234

Stand-alone Medicare Part D (Drug Plans)

342,834

Total Medicare Beneficiaries in Idaho

Who Qualifies for Medicare in Idaho?

Medicare covers most Idaho residents who are 65 or older, and it also covers disabled Idaho residents. In general, Medicare enrollment in Idaho works the same way as it does in the rest of the country. If you qualify for Original Medicare, also known as Part A and Part B, it will help cover 80% of your health care costs.

When you’re first eligible for Medicare, you have a 7-month Initial Enrollment Period to sign up for Part A and/or Part B. If you’re eligible for Medicare when you turn 65, you can sign up during the 7-month period that:

  • Begins 3 months before the month you turn 65
  • Includes the month you turn 65
  • Ends 3 months after the month you turn 65

In most cases, if you don’t sign up for Part B when you’re first eligible, you’ll have to pay a late enrollment penalty. You’ll be responsible for paying this penalty for as long as you have Part B, and you could have a gap in your health coverage.

Once you reach Medicare eligibility, you can begin choosing additional coverage options to help pay for the remaining 20% of your medical expenses through Medicare Advantage (Part C), Medigap, and/or a Medicare Prescription Drug (Part D) plan.

Who Qualifies for Medicare

Local Medicare Health Plan Resources in Idaho

  • Idaho’s Senior Health Insurance Benefits Advisors (SHIBA) serves Idahoans on Medicare and those who help them by offering free, unbiased Medicare benefits information and assistance through workshops, group presentations, and personal counseling.
    Contact: Call (800) 247-4422

  • Idaho’s Senior Medicare Patrol helps prevent, detect, and report health care fraud. The program relies on volunteers in local communities to provide education and one-to-one counseling to help protect our identity and identify other types of Medicare fraud like double-billing and overcharging and unnecessary or inappropriate services.
    Contact your SMP program through your local Area Agency on Aging. Links to the six AAAs in Idaho are available on the Idaho Commission on Aging, Senior Medicare Patrol website.

  • The Idaho Commission on Aging is a state-run organization that assists older adults and people with disabilities to remain independent, avoid institutionalization, and age in place in their own homes and communities of choice.
    Contact: Call (208) 334-3833

  • Located in Coeur d’Alene and serving Benewah, Bonner, Boundary, Kootenai, and Shoshone counties, the Area Agency on Aging of North Idaho is part of a nationwide aging network created through the Older Americans Act. Each of the Area Agencies has a volunteer commissioner appointed by the governor through the Idaho Commission on Aging (ICOA). The focus of the AAANI is helping people stay independent and contributing members of their community.
    Contact: Call (208) 667-3179, (800) 786-5536, or email infoassist@nic.edu

The licensed agents that are partnered with Timefor65 can help you compare the availability, benefits, and costs of Medicare plans in your specific region of Idaho. Our process makes it easier for you to access your Medicare eligibility in Idaho so that you receive personalized, affordable, and easy-to-use coverage options and solutions. Fill out the form or give us a call at (866) 327‑0148 anytime to get a free quote or to ask any questions.

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