PacificSource Medicare River Select Rx (HMO-POS) CY2027
Offered by PacificSource (company name as listed by CMS) · Plan ID H3864-049-000 · Medicare Advantage with drug coverage
Available in 2027 in: 8 counties in Idaho. See full service area
2027 Overall Star Rating: 3 out of 5 stars What star ratings mean
We do not offer every plan available in your area. Currently we represent 11 organizations which offer 45 products in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options. 1-800-MEDICARE (1-800-633-4227) is open 24 hours a day, 7 days a week. TTY users call 1-877-486-2048.
Medicare evaluates plans every year based on a 5-star rating system. Star Ratings shown are 2027 Star Ratings released by CMS on October 8, 2026.
This plan's 2027 documents
Key numbers from CMS files
- Monthly plan premium
- $84. You still pay your Part B premium.
- Most you pay in-network in a year (MOOP)
- $7,150
- Drug deductible
- $700
- Part B giveback
- None
- Extra benefits listed
- Dental, Vision
These numbers come from CMS files. For what each benefit covers and costs, read the Summary of Benefits above. We do not write our own descriptions of plan benefits.
See all benefits
- Preventive dental, most the plan pays
- $1,000 per year
- Comprehensive dental, most the plan pays
- one limit shared with preventive dental (amount above)
- Eyewear, most the plan pays
- $100 every 2 years
Amounts are the most the plan pays, as listed in CMS benefit files.
Service area
Idaho (8)
Ada County, Canyon County, Elmore County, Gooding County, Jerome County, Payette County, Twin Falls County, Valley County
Data used on this page
- CMS CY2027 Landscape Source File, November 2026 release (202611)
- CMS CY2027 plan benefit files and the Medicare Plan Finder benefit summary file dated October 15, 2026
- 2027 Star Ratings data tables dated October 8, 2026
- Summary of Benefits files collected from plan company websites, October 28 to November 11, 2026
- How we build these pages