2012 Medicare Advantage COSTSHARE REPORT

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San Jose 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

 Care1st
(Value Plus) 		$130SCGA Care1st
(Value Plus) 		$660SCGA Care1st
(Value Plus) 		$1,863SCGA

#2

 CareMore
(StartSmart) 		$375 CareMore
(Value Plus - $49) 		$1,918 CareMore
(Value Plus - $49) 		$4,006

#3

 CareMore
(Value Plus - $49) 		$873 CareMore
(StartSmart) 		$2,035 SCAN Health Plan
(SCAN Classic - $69) 		$4,962

#4

 SCAN Health Plan
(SCAN Options - $59) 		$1,113 SCAN Health Plan
(SCAN Options - $59) 		$2,273 SCAN Health Plan
(SCAN Options - $59) 		$4,973

#5

 SCAN Health Plan
(SCAN Classic - $69) 		$1,148 SCAN Health Plan
(SCAN Classic - $69) 		$2,383 Health Net
(Healthy Heart 1 - $119) 		$5,295

#6

 		Kaiser Permanente
(Senior Advantage - $72) 		$1,394 Health Net
(Healthy Heart 1 - $119) 		$2,891 CareMore
(StartSmart) 		$5,585

#7

 		Secure Horizons
(AARP
MedicareComplete - $105) 		$1,653 Kaiser Permanente
(Senior Advantage - $72) 		$3,139 Kaiser Permanente
(Senior Advantage - $72) 		$6,021

#8

 		Health Net
(Healthy Heart 1 - $119) 		$1,840 Anthem
(Medicare Preferred Standard PPO - $131)		 $3,805 Anthem
(Medicare Preferred Standard PPO - $131)		 $6,995

#9

 		Anthem
(Medicare Preferred Standard PPO - $131)		 $2,294 Secure Horizons
(AARP
MedicareComplete - $105) 		$3,922 Secure Horizons
(AARP
MedicareComplete - $105) 		$8,764
  Average: All Plans $1,202 Average: All Plans $2,558 Average: All Plans $5,385


*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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