2012 Medicare Advantage COSTSHARE REPORT

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Honolulu 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
('Ohana Value) 		$151SCGA WellCare
('Ohana Value) 		$1,624SCGA Kaiser Permanente
(Senior Advantage Enhanced - $129) 		$4,437

#2

 AlohaCare
(Advantage) 		$235 Akamai
(Advantage Select PPO) 		$1,759 Akamai
(Advantage Select
PPO) 		$4,687

#3

 Humana
(Choice PPO 1) 		$285 AlohaCare
(Advantage) 		$1,905 Humana
(Choice PPO 2 - $49) 		$4,753

#4

 Akamai
(Advantage Select PPO) 		$381 Humana
(Choice PPO 1) 		$1,965 WellCare
('Ohana Value) 		$4,813SCGA

#5

 Kaiser Permanente
(Senior Advantage Basic) 		$392 Humana
(Choice PPO 2 - $49)		 $2,036 HMSA BlueCross BlueShield
(65C Plus Basic Option
Rx - $121)		 $4,951

#6

 		AARP
(Medicare Complete Choice PPO) 		$420 Kaiser Permanente
(Senior Advantage Basic) 		$2,323 AlohaCare
(Advantage) 		$5,294

#7

 		Humana
(Choice PPO 2 - $49)		 $783 AARP
(Medicare Complete Choice PPO) 		$2,435 Kaiser Permanente
(Senior Advantage
Basic) 		$5,311

#8

 		Kaiser Permanente
(Senior Advantage Enhanced - $129)		 $1,895 Kaiser Permanente
(Senior Advantage Enhanced - $129)		 $2,661 Humana
(Choice PPO 1) 		$5,470

#9

 		HMSA BlueCross BlueShield
(65C Plus Basic Option
Rx - $121)		 $2,180 HMSA BlueCross BlueShield
(65C Plus Basic Option
Rx - $121)		 $2,945 AARP
(Medicare Complete Choice PPO) 		$5,889
  Average: All Plans $747 Average: All Plans $2,184 Average: All Plans $5,067


*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.

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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