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Medicare Advantage without drug coverage · PPO · Plan ID H8267-003

True West No Rx 3 (PPO)

Offered by Range Health (Gemstone Holdings, Inc.) · available in 13 counties in ID, MT

Monthly premium$149health coverage only
Yearly out-of-pocket max$6,750in network
Star RatingPlan Too New To Be Measured2027 CMS rating

Extra benefits listed in the CMS file

DentalPreventive dental (cleanings, exams, x-rays)
Visionroutine eye exam; eyewear
Hearingroutine hearing exam; hearing aids
FitnessFitness benefit (gym membership or program)

Allowances and limits come from the plan's filing with CMS and are simplified here. Some benefits are only for members with certain chronic conditions. The plan's Evidence of Coverage is the final word.

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