2012 Medicare Advantage COSTSHARE REPORT

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Raleigh (Wake 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
(Advantra Gold PPO) 		$300 BCBS of NC
(BlueMedicare HMO Enhanced - $16)		 $2,164SCGA BCBS of NC
(BlueMedicare HMO Enhanced - $16)		 $5,163SCGA

#2

 America's 1st Choice
(Ambassador Plus PPO)		 $354 Coventry
(Advantra Gold PPO) 		$2,180 Windsor Sterling
(Gold Plus Plan PPO - $50)		 $5,214

#3

 BCBS of NC
(BlueMedicare HMO Standard)		 $494 Windsor Sterling
(Gold Plus Plan PPO - $50)		 $2,262 America's 1st Choice
(Ambassador Plus PPO)		 $5,426

#4

 Arcadian
(Southeast Community Care - $19)		 $620 BCBS of NC
(BlueMedicare HMO Standard)		 $2,266 Coventry
(Advantra Gold PPO) 		$5,752

#5

 BCBS of NC
(BlueMedicare HMO Enhanced - $16)		 $635SCGA America's 1st Choice
(Ambassador Plus PPO)		 $2,491 BCBS of NC
(BlueMedicare HMO Standard)		 $5,845

#6

 Secure Horizons
(AARP Medicare Complete Plus - $20)		 $700 Secure Horizons
(AARP Medicare Complete Plus - $20)		 $2,630 Universal American
(Today's Options Advantage Plus 250A PPO - $122)		 $6,540

#7

 Windsor Sterling
(Gold Plus Plan PPO - $50)		 $903 Arcadian
(Southeast Community Care - $19)		 $2,786 Secure Horizons
(AARP Medicare Complete Plus - $20)		 $6,709

#8

 Universal American
(Today's Options Advantage Plus 450F PPO - $51)		 $1,132 Universal American
(Today's Options Advantage Plus 450F PPO - $51)		 $3,184 Humana
(Choice PPO - $23)		 $7,171

#9

 Humana
(Choice PPO - $23)		 $1,756 Universal American
(Today's Options Advantage Plus 250A PPO - $122)		 $3,474 Arcadian
(Southeast Community Care - $19)		 $7,277

#10

 Universal American
(Today's Options Advantage Plus 250A PPO - $122)		 $1,820 Humana
(Choice PPO - $23)		 $3,516 Universal American
(Today's Options Advantage Plus 450F PPO - $51)		 $7,392
  Average: All Plans $871 Average: All Plans $2,695 Average: All Plans $6,249


*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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