2013 Medicare Advantage COSTSHARE REPORT

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San Jose 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

RANK

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If your health is FAIR
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#1

 Care1st
(Medicare Advantage Optimum) 		$130SCGA Care1st
(Medicare Advantage Optimum) 		$675SCGA Easy Choice
(Best Plan HMO) 		$2,157

#2

 Easy Choice
(Best Plan HMO) 		$265 Easy Choice
(Best Plan HMO)		 $690 Care1st
(Medicare Advantage Optimum) 		$2,530SCGA

#3

 CareMore
(StartSmart) 		$355 CareMore
(StartSmart) 		$2,015 SCAN Health Plan
(Classic - $59) 		$5,891

#4

 SCAN Health Plan
(Classic - $59) 		$1,113 SCAN Health Plan
(Classic - $59) 		$2,288 CareMore
(StartSmart) 		$6,373

#5

 Health Net
(Ruby Select HMO - $69)		 $1,299 Health Net
(Ruby Select HMO - $69)		 $3,082 Kaiser Permanente
(Senior Advantage - $72) 		$6,596

#6

 		Kaiser Permanente
(Senior Advantage - $72) 		$1,394 Kaiser Permanente
(Senior Advantage - $72) 		$3,289 Health Net
(Ruby Select HMO - $69)		 $7,412

#7

 		Secure Horizons
(AARP
MedicareComplete - $106) 		$1,676 Secure Horizons
(AARP
MedicareComplete - $106) 		$3,948 Secure Horizons
(AARP
MedicareComplete - $106) 		$9,662
  Average: All Plans $890 Average: All Plans $2,284 Average: All Plans $5,803


*Annual cost (out-of-pocket expenses) include applicable copayments, deductibles, and premiums. Premiums may vary depending on county of residence. Medicare Part B premium ($104.90 per month in 2013) 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.

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