2012 Medicare Advantage COSTSHARE REPORT

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Little Rock 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

 Coventry
(Advantra Premier Plus PPO)		 $298 Humana
(Gold Plus HMO) 		$1,815 Windsor
(Medicare Extra Gold - $35)		 $4,170SCGA

#2

 Humana
(Gold Plus HMO) 		$390 Windsor
(Medicare Extra Gold -$35)		 $1,934SCGA Humana
(Gold Plus HMO) 		$4,740

#3

 Windsor
(Medicare Extra Emerald) 		$448SCGA Windsor
(Medicare Extra Emerald) 		$2,017SCGA Windsor
(Medicare Extra Diamond - $160)		 $4,855

#4

 Blue Cross Blue Shield
(Medi-Pak Advantage PPO) 		$523 Coventry
(Advantra Premier Plus PPO)		 $2,062 Windsor
(Medicare Extra Emerald) 		$5,141SCGA

#5

 Arkansas Community Care
(Plus - $20)		 $532 Blue Cross Blue Shield
(Medi-Pak Advantage PPO) 		$2,464 Coventry
(Advantra Premier Plus PPO)		 $5,803

#6

 Windsor
(Medicare Extra Gold -$35)		 $831SCGA Arkansas Community Care
(Plus - $20)		 $2,503 Humana
(Choice PPO - $39)		 $6,184

#7

 Care Improvement Plus
(Medicare Advantage - $38)		 $906 Humana
(Choice PPO - $39)		 $2,651 Care Improvement Plus
(Medicare Advantage - $38)		 $6,357

#8

 Humana
(Choice PPO - $39)		 $915 Care Improvement Plus
(Medicare Advantage - $38)		 $2,661 Blue Cross Blue Shield
(Medi-Pak Advantage PPO) 		$6,550

#9

 Universal American
(Today's Options Advantage 850 - $51)		 $1,132 Windsor
(Medicare Extra Diamond - $160)		 $3,006 Arkansas Community Care
(Plus - $20)		 $6,664

#10

 		Windsor
(Medicare Extra Diamond - $160)		 $2,089 Universal American
(Today's Options Advantage 850 - $51)		 $3,184 Universal American
(Today's Options Advantage 850 - $51)		 $7,392
  Average: All Plans $806 Average: All Plans $2,430 Average: All Plans $5,786


*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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