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Idaho Medicaid Plus (IMPlus)

All Idahoans deserve affordable health care, including you. Our IMPlus plan gives you coverage with many extras to help make your health and daily life a little easier. At UnitedHealthcare, we make sure you get the right care — when and where you need it. We work with you and your doctor to understand your health care needs.

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Find plans

Idaho Medicaid Plus (IMPlus)

The Idaho Medicaid Plus (IMPlus) plan is for dual-eligible participants who are 21 years of age or older and are eligible and enrolled in both Medicare (Parts A, B and D) and Enhanced Medicaid. The IMPlus plan covers a variety of Medicaid services and provides members with a care specialist called a Care Coordinator.

View IMPlus plan details
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Dual Special Needs plans

Dual Special Needs plans (also called Dual Health plans or D-SNPs for short) are for people who have both Medicaid and Medicare. Dual plans cover most doctor visits, hospital stays and prescription drugs. They offer many extra benefits beyond those you get with either Original Medicare or Medicaid.
View all Dual Special Needs plans

Idaho Medicaid eligibility and enrollment

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Eligibility

The Idaho Medicaid Plus (IMPlus) plan is for anyone 21 and older who are dual-eligible and enrolled in Medicare (Parts A, B and D) and Enhanced Medicaid.

Enrollment

Ready to enroll in IMPlus? Get started with these easy steps:

  • Call the Idaho Department of Health and Wellness (IDHW) toll-free at 833-814-8568, TTY 711 or contact Idahoduals@dhw.idaho.gov to talk to a specialist
  • When you get your Idaho Medicaid Plus selection notice, you’ll take the following steps:
    • Fill out the form
    • Choose UnitedHealthcare Medicaid Plus
    • Return the form in the envelope provided

It's that easy! To learn more about UnitedHealthcare IMPlus enrollment, view the steps to enroll.

Steps to enroll

Benefits and features

We offer many ways to get the most out of your plan benefits and help you live a healthier life.

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Long-term care services

If you need daily long-term care, IMPlus can help.

With prior approval, you can get get help with daily living needs and rehab care at a licensed nursing care facility.

The Idaho Department of Health and Welfare will decide if you have to pay anything.

Mother and baby

Care coordination

IMPlus helps members, like you, to get the care needed. There’s no extra cost or prior approval needed.

Your main coordinator can:

  • Schedule doctor visits
  • Manage your health care
  • Find doctors and providers
  • Answer your health questions
  • Connect you with local health resources
Transportation

Durable medical equipment

Members can get help with home visits, medical transportation and equipment from IMPlus.

For durable medical equipment, you need a prescription from your physician and prior approval for items and rentals that cost more than $1,000.

Health Talk member newsletter

Our HealthTalk newsletter is now online. The newsletters are a great way to learn about our health plan and important health topics.

You can read it whenever, wherever you want. Check back quarterly for a new edition.


Disclaimer information

(scroll within this box to view)

Looking for the federal government’s Medicaid website? Look here at Medicaid.gov.

UnitedHealthcare Dual Complete plans

Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is available to anyone who has both Medical Assistance from the State and Medicare. Benefits, features and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.

Premium disclaimer

Dual Special Needs plans have a $0 premium for members with Extra Help (Low Income Subsidy).

Benefit disclaimer

Benefits, features, and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply.

Nurse Hotline disclaimer

This service should not be used for emergency or urgent care needs. In an emergency, call 911 or go to the nearest emergency room. The information provided through this service is for informational purposes only. The nurses cannot diagnose problems or recommend treatment and are not a substitute for your provider's care. Your health information is kept confidential in accordance with the law. The service is not an insurance program and may be discontinued at any time. Nurse Hotline not for use in emergencies, for informational purposes only. Access to this service is subject to terms of use.

Star ratings disclaimer

Every year, Medicare evaluates plans based on a 5-Star rating system. The 5-Star rating applies to plan year 2025.

Formularies

The formulary, pharmacy network and provider network may change at any time. You will receive notice when necessary.

Important provider information

The choice is yours

We will provide you with information to help you make informed choices, such as physicians' and health care professionals' credentials. This information, however, is not an endorsement of a particular physician or health care professional's suitability for your needs.

The providers available through this application may not necessarily reflect the full extent of UnitedHealthcare's network of contracted providers. There may be providers or certain specialties that are not included in this application that are part of our network. If you don't find the provider you are searching for, you may contact the provider directly to verify participation status with UnitedHealthcare's network, or contact Customer Care at the toll-free number shown on your UnitedHealthcare ID card. We also recommend that, prior to seeing any physician, including any specialists, you call the physician's office to verify their participation status and availability.

Some network providers may have been added or removed from our network after this directory was updated. We do not guarantee that each provider is still accepting new members.

Out-of-network/non-contracted providers are under no obligation to treat UnitedHealthcare plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost- sharing that applies to out-of-network services.

American Disabilities Act notice

In accordance with the requirements of the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 ("ADA"), UnitedHealthcare Insurance Company provides full and equal access to covered services and does not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities.

Referrals

Network providers help you and your covered family members get the care needed. Access to specialists may be coordinated by your primary care physician.

Paper directory requests

Paper copies of the network provider directory are available at no cost to members by calling the customer service number on the back of your ID card. Non-members may download and print search results from the online directory.

Declaration of disaster or emergency

If you’re affected by a disaster or emergency declaration by the President or a governor, or an announcement of a public health emergency by the Secretary of Health and Human Services, there is certain additional support available to you.

  • Part A, Part B, and supplemental Part C plan benefits are to be provided at specified non-contracted facilities (note that Part A and Part B benefits must be obtained at Medicare certified facilities);
  • Where applicable, requirements for gatekeeper referrals are waived in full;
  • Plan-approved out-of-network cost-sharing to network cost-sharing amounts are temporarily reduced; and
  • The 30-day notification requirement to members is waived, as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the member.

If CMS hasn’t provided an end date for the disaster or emergency, plans will resume normal operation 30 days after the initial declaration.