2013 Medicare Advantage COSTSHARE REPORT

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New York Metro (Staten Island) 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

 Easy Choice
 (Rewards)		 $0
SCGA		 Easy Choice
 (Rewards)		 $959SCGA Healthfirst
(Jade Benefits) 		$3,627

#2

 Healthfirst
(Jade Benefits)		 $135 Healthfirst
(Jade Benefits)		 $1,100 EmblemHealth
(VIP Essential)		 $4,254

#3

 Amerivantage
(Classic + Rx)		 $142 EmblemHealth
(VIP Essential)		 $1,123 Touchstone Health
(Medicare Power)		 $4,340

#4

 Quality Healthplan
(Advantage Silver)		 $146 Touchstone Health
(Medicare Power)		 $1,125 Quality Healthplan
(Advantage Silver) 		$4,365

#5

 Visiting Nurse Service
(VNS Medicare Enhanced) 		$150 WellCare
(Choice)		 $1,157 WellCare
(Choice)		 $4,421

#6

 		WellCare
(Choice)		 $153 Quality Healthplan
(Advantage Silver)		 $1,324 Easy Choice
 (Rewards)		 $5,033SCGA

#7

 		Touchstone Health
(Medicare Power)		 $160 AARP
(Medicare Complete Mosaic)		 $1,467 AARP
(Medicare Complete Mosaic)		 $5,283

#8

 		AARP
(Medicare Complete Mosaic)		 $188 Amerivantage
(Classic + Rx)		 $1,673 Amerivantage
(Classic + Rx) 		$5,319

#9

 		EmblemHealth
(VIP Essential)		 $190 Empire Blue Cross
(MediBlue HMO Plus)		 $1,818 Aetna
(Medicare Value)		 $5,844

#10

 		Empire Blue Cross
(MediBlue HMO Plus)		 $317 Aetna
(Medicare Value)		 $1,857 Empire Blue Cross
(MediBlue HMO Plus)		 $5,903

#11

 		Fidelis
(Medicare Advantage HMO)		 $382 Elderplan
(Medicare Classic $0 Premium)		 $2,004 Visiting Nurse Service
(VNS Medicare Enhanced) 		$6,043

#12

 		Aetna
(Medicare Value)		 $383 Visiting Nurse Service
(VNS Medicare Enhanced) 		$2,030 Elderplan
(Medicare Classic $0 Premium)		 $6,315

#13

 		Elderplan
(Medicare Classic $0 Premium)		 $471 Fidelis
(Medicare Advantage HMO)		 $2,377 Fidelis
(Medicare Advantage HMO)		 $7,572
  Average: All Plans $217 Average: All Plans $1,540 Average: All Plans $5,255


*Annual cost (out-of-pocket expenses) include applicable copayments, deductibles, and premiums. Premiums may vary depending on county of residence. Medicare Part B premium ($104.90 per month in 2013) 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.

(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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