2012 Medicare Advantage COSTSHARE REPORT

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Baltimore 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
(Hassle-Free PPO) 		$357 Kaiser Permanente
(Medicare Plus Std. w/D) 		$1,634SCGA Kaiser Permanente
(Medicare Plus High w/D - $99)		 $3,983

#2

 Kaiser Permanente
(Medicare Plus Std. Deductible) 		$396SCGA Kaiser Permanente
(Medicare Plus High w/D - $99)		 $2,258 Kaiser Permanente
(Medicare Plus Std. w/D) 		$4,362SCGA

#3

 Bravo Health
(Bravo Classic) 		$459 Bravo Health
(Bravo Classic) 		$2,497 Bravo Health
(Bravo Classic) 		$6,748

#4

 Aetna
(Choice Standard - $38) 		$951 Universal Health
(Hassle-Free PPO) 		$2,528 Universal Health
(Hassle-Free PPO) 		$7,014

#5

 Bravo Health
(Bravo Premier Plus - $79)		 $1,254 Aetna
(Choice Standard - $38) 		$3,251 Aetna
(Medicare Premier Plan - $98)		 $7,124

#6

 		Kaiser Permanente
(Medicare Plus High w/D - $99)		 $1,483 Bravo Health
(Bravo Premier Plus - $79)		 $3,292 Bravo Health
(Bravo Premier Plus - $79)		 $7,538

#7

 		Aetna
(Medicare Premier Plan - $98)		 $1,611 Aetna
(Medicare Premier Plan - $98)		 $3,391 Aetna
(Choice Standard - $38) 		$7,964
  Average: All Plans $930 Average: All Plans $2,693 Average: All Plans $6,390


*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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