Idaho health plan · 2025

ICON Bronze Essential 9000 With 4 Copay No Deductible Office Visits POS · 44648ID1350003

Regence BlueShield of Idaho offers this marketplace health insurance plan (Plan ID 44648ID1350003) so you can compare premiums, coverage levels, and provider access against other health plan insurance options. Use the modules below to decide whether this is the best health insurance plan for your household or if another insurance health plan fits better.

Metal level: Expanded Bronze Plan type: POS CSR: Zero Cost Sharing Plan Variation Issuer: Regence BlueShield of Idaho
Telehealth Data pending HSA eligible No Dental Not listed Vision Not listed

CMS AV Calculator output: 100.00% (0.00% member share on average). Learn about AV methodology.

2025 cost summary

Key premiums & cost sharing

Rates mirror the latest CMS import (Tue, 02 Dec 2025 06:13 GMT). Personalize costs with your ZIP, age, and subsidies in the plan finder.

Monthly premium

See plan search for live pricing

Before subsidies

Estimate after subsidies

Deductible

$0

N/A

See deductible details

Max out-of-pocket

$0

N/A

Review MOOP rules

Office visits

Primary care See benefits
Specialist See benefits
HSA Not eligible

Drug tiers

Generic See drug coverage
Preferred brand See drug coverage

View formulary tiers

Issuer profile See benefits
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Enrollment guidance

Stay on top of 2025 ACA deadlines

Open Enrollment window

Marketplace enrollment for 2025 coverage typically runs Nov 1 – Jan 15 (dates may vary slightly in Idaho). Submit changes before the deadline to avoid a coverage gap.

  • Enroll by Dec 15 for Jan 1 starts.
  • Finalize plan switches before the window closes.

Special Enrollment Periods

You can change plans mid-year if you experience a qualifying life event (move, childbirth, marriage, loss of other coverage).

  • Report the event within 60 days.
  • Keep documentation handy for Healthcare.gov or your state exchange.

CSR & subsidy reminders

Premium tax credits and cost-sharing reductions (CSR) update annually when you re-submit your marketplace application.

  • Enter accurate income to maximize Advanced Premium Tax Credits.
  • Zero Cost Sharing Plan Variation plans like this one keep deductibles and copays lower if you qualify.

Thinking about switching?

Before you leave your current plan, compare networks, drug coverage, and total cost using the cards on this page.

  • Match provider networks so ongoing care isn’t disrupted.
  • Confirm prescriptions stay on-formulary or budget for tier changes.

Premium snapshot

Plan identifiers & filings

Track the official identifiers, documents, and filing dates tied to this plan. Open the marketing or formulary links whenever you need the latest PDF from the issuer.

Plan ID 44648ID1350003
Coverage year 2025
State Idaho
Issuer Regence BlueShield of Idaho
Formulary document Download formulary
Marketing materials View marketing kit
Variant ID 44648ID1350003-02
Available variants

Standard On Exchange Plan · 44648ID1350003-01

Open to Indians below 300% FPL · 44648ID1350003-02

Open to Indians above 300% FPL · 44648ID1350003-03

Last plan update Thu, 19 Jun 2025 00:00 GMT
Last HealthPorta import Tue, 02 Dec 2025 06:13 GMT

Network stats

Provider access snapshot

Review the network branding plus the number of in-network clinicians we track from issuer filings. Counts update with each CMS import (Tue, 02 Dec 2025 06:13 GMT).

All providers in Idaho N/A
PCPs in Idaho N/A
Telehealth support Data pending
Nationwide providers N/A
Providers Idaho All US states
All N/A N/A
PCP N/A N/A
Allergy N/A N/A
OB/GYN N/A N/A
Dentists N/A N/A

Drug coverage overview

3,748 drugs tracked

Inspect tier distribution plus authorization, step therapy, and quantity-limit counts sourced from HealthPorta’s formulary import.

Tier Covered drugs
GENERIC 2,473
NON-PREFERRED-BRAND 734
SPECIALTY 540
PREFERRED-GENERIC 1
Prior authorization Drugs
Required 413
Not Required 3,335
Step therapy Drugs
Required 0
Not Required 3,748
Quantity limits Drugs
Has Limit 972
No Limit 2,776

Customer highlights

What stands out for members

  • Issuer: Regence BlueShield of Idaho · Plan ID 44648ID1350003 · 2025 filing.
  • Disease management programs available: Pregnancy, Pain Management, Depression, Low Back Pain, Heart Disease.
  • Download the latest formulary directly from the issuer here.
  • Review marketing brochures and SBC PDFs via the issuer marketing repository.
  • Variant 44648ID1350003-02 (Open to Indians below 300% FPL) currently displayed.
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Variant attributes

ICON Bronze Essential 9000 With 4 Copay No Deductible Office Visits POS · Variant 44648ID1350003-02

Plan identifiers & tier

Issuer-provided metadata for this variant.

Business Year

2025

CSR Variation Type

Zero Cost Sharing Plan Variation

HIOS Product ID

44648ID135

Metal Level

Expanded Bronze

Plan ID (Standard Component ID with Variant)

44648ID1350003-02

Plan Marketing Name

IAFN Bronze Essential 8500 With 4 Copay No Deductible Office Visits POS

Plan Variant Marketing Name

IAFN Bronze Essential 8500 With 4 Copay No Deductible Office Visits POS

Issuer & service area

Issuer-provided metadata for this variant.

Issuer ID

44648

Market Coverage

Individual

Multiple In Network Tiers

No

National Network

Yes

Network ID

IDN001

Out of Country Coverage

Yes

Out of Country Coverage Description

Members traveling outside the United States receive coverage for the same benefits as inside the United States. Members who do not seek inpatient care at a BlueCross BlueShield Global Hospital may have to pay a provider upfront for care and submit an international claim form to be reimbursed.

Out of Service Area Coverage

Yes

Out of Service Area Coverage Description

Out of Area benefits are covered on Blue Card which provides access to the largest network of doctors in the United States

Service Area ID

IDS001

State Code

ID

Cost sharing & actuarial values

Issuer-provided metadata for this variant.

AV Calculator Output Number

1

Medical Drug Deductibles Integrated

Yes

Medical Drug Maximum Out of Pocket Integrated

Yes

SBC Scenario, Having a Baby, Coinsurance

$0

SBC Scenario, Having a Baby, Copayment

$0

SBC Scenario, Having a Baby, Deductible

$0

SBC Scenario, Having Diabetes, Coinsurance

$0

SBC Scenario, Having Diabetes, Copayment

$0

SBC Scenario, Having Diabetes, Deductible

$0

SBC Scenario, Treatment of a Simple Fracture, Coinsurance

$0

SBC Scenario, Treatment of a Simple Fracture, Copayment

$0

SBC Scenario, Treatment of a Simple Fracture, Deductible

$0

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Family

$0 per person | $0 per group

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Individual

$0

Combined Medical and Drug EHB Deductible, In Network (Tier 1), Default Coinsurance

0.00%

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Family

$0 per person | $0 per group

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Individual

$0

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Family

$0 per person | $0 per group

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Individual

$0

Enrollment & documents

Issuer-provided metadata for this variant.

Formulary ID

IDF008

SBC Scenario, Having a Baby, Limit

$0

SBC Scenario, Having Diabetes, Limit

$0

SBC Scenario, Treatment of a Simple Fracture, Limit

$0

Additional attributes

Issuer-provided metadata for this variant.

Child-Only Offering

Allows Adult and Child-Only

Composite Rating Offered

No

Dental Only Plan

No

Design Type

Not Applicable

Disease Management Programs Offered

Pregnancy, Pain Management, Depression, Low Back Pain, Heart Disease

EHB Percent of Total Premium

100%

First Tier Utilization

100%

Import Date

1/13/2025

HSA Eligible

No

IsItANewPlan

Existing

Notice Required for Pregnancy

No

Is a Referral Required for Specialist?

No

Plan Effective Date

1/1/2025

Plan Type

POS

QHP/Non QHP

Both

Source Name

SERFF

Plan ID

44648ID1350003

Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Family

$0 per person | $0 per group

Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Individual

$0

Combined Medical and Drug EHB Deductible, In Network (Tier 1), Family

$0 per person | $0 per group

Combined Medical and Drug EHB Deductible, In Network (Tier 1), Individual

$0

TEHBDedOutofNetFamily

$0 per person | $0 per group

Combined Medical and Drug EHB Deductible, Out of Network, Individual

$0

Unique Plan Design

No

Version Number

1

Wellness Program Offered

No

Copay & coinsurance

Pharmacy cost sharing by tier

Drug tier Pharmacy type Copay amount Copay option Coinsurance rate Coinsurance option Mail order

Questions & answers

Frequently asked questions

How do I choose the right ACA plan in Idaho?

ICON Bronze Essential 9000 With 4 Copay No Deductible Office Visits POS (44648ID1350003) is a Expanded Bronze POS from Regence BlueShield of Idaho in Idaho for the 2025 coverage year.

Compare it against other options with the HealthPorta plan finder to confirm premiums, deductibles, and network access fit your household.

Does ICON Bronze Essential 9000 With 4 Copay No Deductible Office Visits POS support telehealth or virtual urgent care?

The issuer has not published telehealth details yet. Review the Summary of Benefits and Coverage to confirm if virtual visits are included.

Is ICON Bronze Essential 9000 With 4 Copay No Deductible Office Visits POS HSA-eligible and does it include dental or vision coverage?

It is not marked as HSA-eligible, so confirm with the issuer before relying on tax-advantaged savings.

Dental coverage is not listed for this plan.

Vision coverage is not listed for this plan.

Does ICON Bronze Essential 9000 With 4 Copay No Deductible Office Visits POS support mail-order prescriptions?

Mail order coverage is not listed for this plan, so confirm with the issuer before relying on home delivery.

Which disease management programs come with ICON Bronze Essential 9000 With 4 Copay No Deductible Office Visits POS?

The issuer lists disease management resources for: Pregnancy, Pain Management, Depression, Low Back Pain, Heart Disease.

Is there out-of-country coverage for ICON Bronze Essential 9000 With 4 Copay No Deductible Office Visits POS?

Yes, limited out-of-country coverage is available. Review the Summary of Benefits for reimbursement steps. Details: Members traveling outside the United States receive coverage for the same benefits as inside the United States. Members who do not seek inpatient care at a BlueCross BlueShield Global Hospital may have to pay a provider upfront for care and submit an international claim form to be reimbursed.

Does ICON Bronze Essential 9000 With 4 Copay No Deductible Office Visits POS cover care outside the service area?

Yes, you have limited out-of-area coverage. See the plan documents for referral and prior authorization rules. Details: Out of Area benefits are covered on Blue Card which provides access to the largest network of doctors in the United States

How do I enroll in or manage payments for ICON Bronze Essential 9000 With 4 Copay No Deductible Office Visits POS?

Use the issuer portal https://regence.com to pay premiums or start enrollment, then return to HealthPorta for benefit comparisons.

Disclaimer: Based on the Tue, 02 Dec 2025 06:13 GMT HealthPorta import from CMS issuer filings. Data is best-effort and should be validated with the issuer directly. Sources: CMS.gov and the HealthPorta Healthcare MRF API.
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