2012 Medicare Advantage COSTSHARE REPORT

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Jackson (Hinds County) Area Comparisons

Annual estimated out-of-pocket costs for Medicare Advantage Plan members*
All Plans below include Medicare Part D-Drug Benefits
  Indicates $0 Premium Plans
Indicates Part D drug "gap" coverage included

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#1

 Windsor
(Medicare Extra Emerald) 		$448 Humana
(Gold Plus HMO - $71) 		$1,694SCGA Humana
(Gold Plus HMO - $71)		 $2,872SCGA

#2

 Windsor
(Medicare Extra Gold - $25)		 $711 Windsor
(Medicare Extra Gold - $25)		 $1,814 Windsor
(Medicare Extra Gold - $25)0		 $4,050

#3

 Humana
(Choice PPO - $39) 		$900 Windsor
(Medicare Extra Emerald) 		$2,017 Windsor
(Medicare Extra
Diamond - $110) 		$4,255

#4

 Humana
(Gold Plus HMO - $71) 		$1,105SCGA Windsor
(Medicare Extra
Diamond - $110) 		$2,406 Windsor
(Medicare Extra Emerald) 		$5,141

#5

 Universal American
(Today's Options
PPO 850 - $51) 		$1,132 Humana
(Choice PPO - $39) 		$2,734 Humana
(Choice PPO - $39) 		$6,296

#6

 		Windsor
(Medicare Extra
Diamond - $110) 		$1,489 Universal American
(Today's Options
PPO 850 - $51) 		$3,184 Universal American
(Today's Options 250 - $122) 		$6,540

#7

 		Universal American
(Today's Options 250 - $122) 		$1,820 Universal American
(Today's Options 250 - $122) 		$3,474 Universal American
(Today's Options
PPO 850 - $51) 		$7,392
  Average: All Plans $1,087 Average: All Plans $2,475 Average: All Plans $5,221


*Annual cost (out-of-pocket expenses) include applicable copayments, deductibles, and premiums. Premiums may vary depending on county of residence. Medicare Part B premium ($99.90 per month in 2012) is not included in cost calculations.

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The information contained herein is neither guaranteed nor intended to represent actual enrollee experiences for any Medicare plan. Medicare plan benefits, copayments, deductibles, and premiums are subject to change. HealthMetrix Research Inc. does not endorse or recommend specific Medicare plans.

This is not a complete listing of plans available in your service area.  For a complete listing, please contact 1-800-MEDICARE or consult www.medicare.gov.

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