2012 Medicare Advantage COSTSHARE REPORT

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Jacksonville (Duval 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

 Universal Health Care
 (Medicare Masterpiece Premier) [TIE]		 $0
SCGA		 Universal Health Care
 (Medicare Masterpiece Premier) 		$0
SCGA
 Universal Health Care
 (Medicare Masterpiece Premier) 		$1,621SCGA

#2

 Universal Health Care
(Medicare Masterpiece)[TIE]		 $0 Universal Health Care
(Medicare Masterpiece)		 $839 Universal Health Care
(Medicare Masterpiece)		 $4,221

#3

 Freedom Health
(Freedom Savings) [TIE]		 $0 Freedom Health
(Freedom Savings) 		$1,415 Humana
(Gold Plus HMO-81)		 $4,312

#4

 Optimum Healthcare
(Optimum Platinum) 		$140 Optimum Healthcare
(Optimum Platinum) 		$1,555 Freedom Health
(Freedom Savings) 		$4,479

#5

 Blue Cross Blue Shield
(Blue Medicare PPO) 		$234 Humana
(Gold Plus HMO-81)		 $1,636 Optimum Healthcare
(Optimum Platinum) 		$4,670

#6

 		Secure Horizons
(AARP Medicare Choice PPO) 		$288 WellCare
(Choice)		 $1,936 WellCare
(Choice)		 $5,327

#7

 		Humana
(Gold Plus HMO-81)		 $289 Blue Cross Blue Shield
(Blue Medicare PPO) 		$2,346 Humana
(Reader's Digest Healthy Living)		 $6,644

#8

 		Humana
(Reader's Digest Healthy Living)		 $305 Humana
(Reader's Digest Healthy Living)		 $2,430 Blue Cross Blue Shield
(Blue Medicare PPO) 		$6,695

#9

 		WellCare
(Choice)		 $379 Secure Horizons
(AARP Medicare Choice PPO) 		$2,647 Secure Horizons
(AARP Medicare Choice PPO) 		$7,560

#10

 		Aetna
(Medicare Value)		 $475 Aetna
(Medicare Value)		 $2,815 Aetna
(Medicare Value)		 $7,598
  Average: All Plans $211 Average: All Plans $1,762 Average: All Plans $5,313


*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.

SCGA
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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.

(TTY users should call 1-877-486-2048, 24 hours a day/7 days a week or consult www.medicare.gov.)

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