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Idaho Medicare Coverage Guide

Find dental, vision, hearing aid, and nursing home Medicare benefits available to Idaho residents.

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Idaho Dental Coverage

Limited

Idaho Medicaid covers limited dental for dual-eligible beneficiaries. Rural areas face significant dental provider shortages.

Available Programs

  • Idaho Medicaid Dental
  • Medicare Advantage dental plans
  • Idaho State University dental hygiene clinic

Typical Out-of-Pocket Cost

$800โ€“$2,500/year

Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.

Tips for Idaho Residents

  1. ISU dental clinic in Pocatello offers low-cost care
  2. Mobile dental units serve rural areas
  3. Idaho SHIBA (1-800-247-4422) for plan counseling
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Idaho Vision Coverage

Limited

Idaho Medicaid covers vision for dual-eligible members. Limited MA plan competition in many counties.

Available Programs

  • Idaho Medicaid vision
  • Medicare Advantage vision
  • Idaho Commission for the Blind and Visually Impaired

Typical Out-of-Pocket Cost

$200โ€“$450/year

Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.

Tips for Idaho Residents

  1. ICBVI: 208-334-3220
  2. Annual diabetic eye exam covered by Part B
  3. SHIBA: 1-800-247-4422 for counseling
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Idaho Hearing Aids Coverage

Not Covered

Original Medicare does not cover hearing aids. Idaho has limited audiology centers outside Boise.

Available Programs

  • Medicare Advantage hearing plans
  • Idaho Council for the Deaf and Hard of Hearing
  • Idaho Assistive Technology Project

Typical Out-of-Pocket Cost

$1,000โ€“$6,500 per pair

Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.

Tips for Idaho Residents

  1. Idaho ATP: 1-800-432-8324 for assistive technology
  2. OTC hearing aids a cost-effective option
  3. Telehealth audiology expanding in rural Idaho
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Idaho Nursing Home Coverage

Not Covered

Medicare Part A SNF coverage. Idaho Medicaid pays for long-term nursing home care. Idaho emphasizes home and community-based care.

Available Programs

  • Medicare Part A SNF
  • Idaho Medicaid LTC
  • Idaho SHIBA (1-800-247-4422)

Typical Out-of-Pocket Cost

$200โ€“$260/day semi-private

Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.

Tips for Idaho Residents

  1. Idaho has relatively affordable nursing home costs
  2. HCBS waiver programs support aging in place
  3. SHIBA: 1-800-247-4422
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๐Ÿ“Š Live CMS Data Idaho Medicare Snapshot

Source: CMS Medicare Monthly Enrollment 2024 & CMS MA Landscape 2025 โ€” public data from data.cms.gov

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394,620
Total Medicare Beneficiaries (2024)
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191,874
Enrolled in Medicare Advantage (2024) 48.6% of total
๐Ÿ“‹
202,746
Original Medicare (Parts A & B) Only
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51,484
Dual Eligible (Medicare + Medicaid)
2025 Medicare Advantage Plans
44
Plans available in Idaho
Average Monthly Premium (2025)
$12.4
Weighted avg across all MA plans
Top Medicare Advantage Insurers
  1. Regence BCBS
  2. UnitedHealth
  3. Humana
Free SHIP Counseling
Idaho SHIBA
1-800-247-4422
Free, unbiased Medicare help

Get Free Help in Idaho

SHIP Counseling

Your state's State Health Insurance Assistance Program (SHIP) offers free, unbiased Medicare counseling from trained volunteers. They can help you compare plans and enroll.

Find Idaho SHIP โ†’

1-800-MEDICARE

Call 1-800-633-4227 (TTY: 1-877-486-2048) 24/7 for Medicare questions, plan comparisons, and enrollment help. Free and official.

Medicare.gov โ†’

Medicare Plan Finder

Use the official Medicare Plan Finder tool at Medicare.gov to compare all Medicare Advantage, Part D, and Medigap plans available in Idaho by ZIP code.

Compare Plans โ†’

Nursing Home Compare

Research and compare nursing home quality ratings, staffing levels, health inspection results, and more for facilities across Idaho.

Care Compare โ†’