2012 Medicare Advantage COSTSHARE REPORT

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Montgomery 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

 HealthSpring
(Advantage Plus Rx Preferred) 		$302
SCGA		 HealthSpring
(Advantage Plus Rx Preferred) 		$1,973
SCGA		 HealthSpring
(Advantage Plus Rx Preferred) 		$5,068
SCGA

#2

 Secure Horizons   
(AARP Medicare Complete Plan 1) 		$440 Blue Cross Blue Shield
(Blue Advantage Complete PPO)		 $2,356 HealthSpring
(Advantage
Premier - $38)		 $5,524

#3

 VIVA Health
(Medicare Plus Rx) 		$531 HealthSpring
(Advantage
Premier - $38)		 $2,399 Blue Cross Blue Shield
(Blue Advantage Complete PPO)		 $5,560

#4

 Blue Cross Blue Shield
(Blue Advantage Complete PPO)		 $619 Secure Horizons   
(AARP Medicare Complete Plan 1) 		$2,440 Humana
(Choice PPO - $39)		 $6,075

#5

 HealthSpring
(Advantage
Premier - $38)		 $733 VIVA Health
(Medicare Plus Rx) 		$2,461 VIVA Health
Medicare Plus Rx Premier - $99)		 $6,373

#6

 Humana
(Choice PPO - $39)		 $909 Humana
(Choice PPO - $39)		 $2,592 BlueCross BlueShield
(BlueAdvantage
Premier PPO - $119)		 $6,433

#7

 VIVA Health
Medicare Plus Rx Premier - $99)		 $1,448 VIVA Health
Medicare Plus Rx Premier - $99)		 $3,008 VIVA Health
(Medicare Plus Rx) 		$6,558

#8

 BlueCross BlueShield
(BlueAdvantage
Premier PPO - $119)		 $1,781 BlueCross BlueShield
(BlueAdvantage
Premier PPO - $119)		 $3,276 Secure Horizons   
(AARP Medicare Complete Plan 1) 		$6,609
  Average: All Plans $845 Average: All Plans $2,563 Average: All Plans $6,025


*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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