2012 Medicare Advantage COSTSHARE REPORT

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Champaign-Urbana 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

 WellCare
(Value) 		$175SCGA WellCare
(Value)  		$1,785SCGA WellCare
(Rx - $33)		 $5,038

#2

 Coventry Health Care
(PersonalCare PPO - $13)		 $406 Coventry Health Care
(PersonalCare PPO - $13)		 $1,986 WellCare
(Value)  		$5,255SCGA

#3

 WellCare
(Rx - $33)		 $569 WellCare
(Rx - $33)		 $2,054 Coventry Health Care
(PersonalCare PPO - $13)		 $5,327

#4

 Health Alliance
(Medicare PPO
030Rx - $89)		 $1,646 Health Alliance
(Medicare PPO
030Rx - $89)		 $3,331 Health Alliance
(Medicare HMO
020Rx - $144)		 $6,476

#5

 Health Alliance
(Medicare HMO
020Rx - $144)		 $2,228 Health Alliance
(Medicare HMO
020Rx - $144)		 $3,563 Health Alliance
(Medicare PPO
030Rx - $89)		 $6,763
  Average: All Plans $1,005 Average: All Plans $2,544 Average: All Plans $5,772


*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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