2012 Medicare Advantage COSTSHARE REPORT

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Minneapolis (Hennepin 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

 UCare Minnesota
 (UCare for Seniors Standard D - $54) 		$943SCGA UCare Minnesota
 (UCare for Seniors Standard D - $54) 		$1,826SCGA UCare Minnesota
(UCare for Seniors Classic - $137)		 $3,718

#2

 Humana
(Choice PPO - $29)		 $975 Medica Health Plans
(Clear Solution with Part D Option 3 - $105)		 $2,285 Medica Health Plans
(Clear Solution with Part D Option 3 - $105)		 $3,741

#3

 Humana
(Choice PPO - $49)		 $993 HealthPartners
(Freedom Vital Rx - $60)		 $2,365 UCare Minnesota
 (UCare for Seniors Standard D - $54) 		$3,762SCGA

#4

 HealthPartners
(Freedom Vital Rx - $60)		 $1,220 HealthPartners
(Freedom Balance Rx - $103)		 $2,415 HealthPartners
(Freedom Balance Rx - $103)		 $4,425

#5

 HealthPartners
(Freedom Balance Rx - $103)		 $1,555 UCare Minnesota
(UCare for Seniors Classic - $137)		 $2,457 HealthPartners
(Freedom Vital Rx - $60)		 $4,840

#6

 		Blue Cross Blue Shield
(MediBlue PPO - $84) 		$1,570 Humana
(Choice PPO - $49)		 $2,633 Humana
(Choice PPO - $29)		 $5,672

#7

 		Medica Health Plans
(Clear Solution with Part D Option 3 - $105)		 $1,747 Humana
(Choice PPO - $29)		 $2,711 Medica Health Plans
(Clear Solution with Part D Option 3 - $347)		 $5,892

#8

 		UCare Minnesota
(UCare for Seniors Classic - $137)		 $1,809 Blue Cross Blue Shield
(MediBlue PPO - $84) 		$3,323 Humana
(Choice PPO - $49)		 $6,018

#9

 		Medica Health Plans
(Clear Solution with Part D Option 3 - $347)		 $4,438 Medica Health Plans
(Clear Solution with Part D Option 3 - $347)		 $4,882 Blue Cross Blue Shield
(MediBlue PPO - $84) 		$6,384
  Average: All Plans $1,694 Average: All Plans $2,766 Average: All Plans $4,939


*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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