2012 Medicare Advantage COSTSHARE REPORT

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Miami-Dade County 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 Health
(Summit Ideal) [TIE]
$0
SCGA
Coventry Health
(Summit Ideal) [TIE]
$0
SCGA
Coventry Health
(Summit Ideal) [TIE]
$0
SCGA

#2

Florida Healthcare
(Healthy Advantage Refund) [TIE]
$0 Universal Health Care
(Medicare Masterpiece Premier) [TIE]
$0 Coventry Health
(Vista Ideal) [TIE]
$0

#3

Universal Health Care
(Medicare Masterpiece Premier) [TIE]
$0 Simply Health Care
(Simply Options) [TIE]
$0 CarePlus
(CareOne Plus) [TIE]
$0

#4

Optimum Healthcare
(Gold) [TIE]
$0 Preferred Care Partners
(Preferred Complete Care) [TIE]
$0 Universal Health Care
(Medicare Masterpiece Premier)
$43

#5

Humana
(Gold HMO) [TIE]
$0 Coventry Health
(Vista Ideal) [TIE]
$0 Simply Health Care
(Simply More)  
$230

#6

Simply Health Care
(Simply Options) [TIE]
$0 CarePlus
(CareOne Plus) [TIE]
$0 Medica Healthcare
(MedicareMax)  
$305

#7

Preferred Care Partners
(Preferred Gold) [TIE]
$0 Humana
(Gold HMO) [TIE]
$0 WellCare
(Choice)  
$309

#8

Preferred Care Partners
(Preferred Complete Care) [TIE]
$0 Humana
(Gold HMO) [TIE]
$0 Physicians United
(PUP Easy)
$682

#9

Coventry Health
(Vista Ideal) [TIE]
$0 Preferred Care Partners
(Preferred Gold) [TIE]
$0 Secure Horizons
(AARP Medicare Complete Plan 1)
$712

#10

CarePlus
(CareOne Plus) [TIE]
$0 HealthSpring
(Leon Cares) [TIE]
$0 HealthSun Health Plans
(Sunplus Advantage)
$768

#11

Humana
(Gold HMO) [TIE]
$0 Optimum Healthcare
(Gold) [TIE]
$0 Molina Healthcare
(Medicare Options)
$894

#12

HealthSpring
(Leon Cares) [TIE]
$0 Jackson Health
(HMO)  [TIE]
$0 Preferred Care Partners
(Preferred Gold)
$997

#13

Jackson Health
(HMO)  [TIE]
$0 WellCare
(Choice)  [TIE]
$44 Optimum Healthcare
(Platinum)
$1,114

#14

WellCare
(Choice)  [TIE]
$0 Simply Health Care
(Simply More)  [TIE]
$85 Florida Healthcare
(Healthy Advantage Plus)
$1,150

#15

Medica Healthcare
(MedicareMax)  [TIE]
$15 Medica Healthcare
(MedicareMax)  
$100 Preferred Care Partners
(Preferred Complete Care)
$1,275

#16

Simply Health Care
(Simply More)  [TIE]
$15 Florida Healthcare
(Healthy Advantage Refund)
$133 AvMed Medicare Plan
(Medicare Choice)
$1,319

#17

Physicians United
(PUP Easy)
$30 Physicians United
(PUP Easy)
$170 Simply Health Care
(Simply Options)
$1,336

#18

HealthSun Health Plans
(Sunplus Advantage)
$40 Secure Horizons
(AARP Medicare Complete Plan 1)
$185 Jackson Health
(HMO)  
$1,520

#19

Secure Horizons
(AARP Medicare Complete Plan 1)
$55 HealthSun Health Plans
(Sunplus Advantage)
$210 Humana
(Gold HMO)
$1,563

#20

Molina Healthcare
(Medicare Options)
$75 Molina Healthcare
(Medicare Options)
$275 HealthSpring
(Leon Cares)
$1,591

#21

Freedom Health
(Medicare Plan Rx) [TIE]
$90 Optimum Healthcare
(Platinum)
$370 Optimum Healthcare
(Gold)
$1,700

#22

Optimum Healthcare
(Platinum) [TIE]
$90 Florida Healthcare
(Healthy Advantage Plus)
$380 Blue Cross Blue Shield
(BlueMedicare HMO)
$2,123

#23

Florida Healthcare
(Healthy Advantage Plus)
$105 Freedom Health
(Medicare Plan Rx)
$410 Humana
(Gold HMO)
$2,703

#24

Blue Cross Blue Shield
(BlueMedicare HMO)
$135 AvMed Medicare Plan
(Medicare Choice)
$425 Florida Healthcare
(Healthy Advantage Refund)
$2,784

#25

AvMed Medicare Plan
(Medicare Choice)
$175 Blue Cross Blue Shield
(BlueMedicare HMO)
$740 Freedom Health
(Medicare Plan Rx)
$2,854

#26

Aetna
(Medicare Value)
$475 Aetna
(Medicare Value)
$2,815 Aetna
(Medicare Value)
$7,598
  Average: All Plans $50 Average: All Plans $244 Average: All Plans $1,368


*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.

(TTY users should call 1-877-486-2048, 24 hours a day/7 days a week or consult www.medicare.gov.)

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