2012 Medicare Advantage COSTSHARE REPORT

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Philadelphia (Philadelphia 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 Healthcare
(Hassle-Free PPO)		 $357 HealthAmerica
 (Advantra Gold PPO - $39) 		$1,843SCGA HealthAmerica
 (Advantra Gold PPO - $39) 		$4,303SCGA

#2

 HealthAmerica
(Advantra Silver HMO)		 $393 Bravo Health
(Bravo Classic)		 $2,097 Bravo Health
(Bravo Classic)		 $5,682

#3

 Bravo Health
(Bravo Classic)		 $403 HealthAmerica
(Advantra Silver HMO)		 $2,177 HealthAmerica
(Advantra Silver HMO)		 $5,937

#4

 HealthAmerica
 (Advantra Gold PPO - $39) 		$718SCGA Universal Healthcare
(Hassle-Free PPO)		 $2,528 Independence Blue Cross
(Keystone 65 Select
Rx - $42) 		$6,553

#5

 Bravo Health
(Bravo Gold Rx - $28)		 $738 Bravo Health
(Bravo Gold Rx - $28)		 $2,612 Bravo Health
(Bravo Gold Rx - $28)		 $6,563

#6

 Aetna
(Medicare Standard - $39)		 $1,081 Independence Blue Cross
(Keystone 65 Select Rx - $42)		 $2,985 Universal Healthcare
(Hassle-Free PPO)		 $7,014

#7

 		Independence Blue Cross
(Keystone 65 Select Rx - $42)		 $1,187 Aetna
(Medicare Standard - $39)		 $3,177 Independence Blue Cross
(Keystone 65 Preferred Rx - $155)		 $7,113

#8

 		Humana
(Choice PPO - $58)		 $1,352 Humana
(Choice PPO - $58)		 $3,195 Humana
(Choice PPO - $58)		 $7,206

#9

 		Aetna
(Medicare Premier - $140)		 $2,111  Independence Blue Cross
(Keystone 65 Preferred Rx - $155)		 $3,882 Aetna
(Medicare Standard - $39)		 $7,582

#10

 		Independence Blue Cross
(Keystone 65 Preferred Rx - $155)		 $2,242 Aetna
(Medicare Premier - $140)		 $4,244 Aetna
(Medicare Premier - $140)		 $8,388

#11

 		Independence Blue Cross
(Personal Choice 65 Rx - $287)		 $4,094 Independence Blue Cross
(Personal Choice 65 Rx - $287)		 $5,622 Independence Blue Cross
(Personal Choice 65 Rx - $287)		 $8,938
  Average: All Plans $1,334 Average: All Plans $3,124 Average: All Plans $6,844


*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.

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

COSTSHARE REPORT is a registered mark of HealthMetrix Research Inc.