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2009 Medicare Advantage COSTSHARE REPORTSM

Montgomery Area Comparisons

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Annual estimated out-of-pocket costs for Medicare Advantage Plan members*
All Plans below include Medicare Part D-Drug Benefits

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#1

 HealthSpring (Advantage Plus Rx) **  $250  VIVA Health (Medicare Plus Rx) **  $1,265  VIVA Health (Medicare Plus Rx Premier-$76)  $2,971 

#2

 HealthSpring (Healthy Living) **  $268  HealthSpring (Advantage Plus Rx) **  $1,330  Blue Cross Blue Shield (Blue Advantage PPO Pref-$71)  $2,982 

#3

 Secure Horizons (AARP Medicare Complete 1) **  $308  Blue Cross Blue Shield (Blue Advantage Plus PPO-$39)  $1,353  Blue Cross Blue Shield (Blue Advantage Plus PPO-$39)  $3,453 

#4

 Secure Horizons (AARP Medicare Complete 2) **  $355  Blue Cross Blue Shield (Blue Advantage PPO Pref-$71)  $1,362  HealthSpring (Advantage Plus Rx) **  $4,104 

#5

 Blue Cross Blue Shield (Blue Advantage Value PPO) **  $430  VIVA Health (Medicare Plus Rx Premier-$76)  $1,382  VIVA Health (Medicare Plus Rx) **  $4,351 

#6

 VIVA Health (Medicare Plus Rx) **  $500  Secure Horizons (AARP Medicare Complete 2) **  $1,615  Secure Horizons (AARP Medicare Complete 2) **  $4,880 

#7

 Blue Cross Blue Shield (Blue Advantage Plus PPO-$39)  $703  Blue Cross Blue Shield (Blue Advantage Value PPO) **  $1,635  Blue Cross Blue Shield (Blue Advantage Value PPO) **  $5,502 

#8

 Blue Cross Blue Shield (Blue Advantage PPO Pref-$71)  $967  Secure Horizons (AARP Medicare Complete 1) **  $1,757  Humana (Choice PPO 1 - $68)  $5,612 

#9

 VIVA Health (Medicare Plus Rx Premier-$76)  $1,067  HealthSpring (Healthy Living) **  $1,867  HealthSpring (Healthy Living) **  $5,796 

#10

 Humana (Choice PPO 1 - $68) $1,149 Humana (Choice PPO 1 - $68) $2,598 Secure Horizons (AARP Medicare Complete 1) ** $6,158
 

** $0 premium plans

  

** $0 premium plans

 

** $0 premium plans

 
  Average:All Plans

$600

 Average:All Plans

$1,616

 Average:All Plans

$4,581

*Annual cost (out-of-pocket expenses) include applicable copayments, deductibles, and premiums. Premiums may vary depending on county of residence. Medicare Part B premium ($96.40 minimum per month in 2009) is not included in cost calculations.

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