Boston-Essex County Comparisons

2021 Medicare Advantage COSTSHARE REPORT

Annual estimated out-of-pocket costs for Medicare Advantage Plan members*
All Plans below include Medicare Part D - Drug Benefits      Indicates $0 Premium Plans
Click the Senior Choice Gold Award highlighted Medicare Plan for enrollment details

RANK If your health is EXCELLENT
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If your health is FAIR
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If your health is POOR
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#1 Tufts Health
(Medicare Preferred HMO Saver Rx)  
$1,223 Fallon Health
(Medicare Plus Orange HMO)  
$4,972 Harvard Pilgrim
(Stride Basic Rx HMO) 
$9,553
#2 United HealthCare
(AARP Medicare Advantage 1 HMO) 
$1,245 Tufts Health 
(Medicare Preferred HMO Saver Rx)  
$4,987 United HealthCare
(AARP Medicare Advantage 1 HMO) 
$10,890
#3 Fallon Health
(Medicare Plus Orange HMO) 
$1,258 United HealthCare
(AARP Medicare Advantage 1 HMO) 
$4,991 Fallon Health
(Medicare Plus Orange HMO) 
$11,070
#4 Aetna
(Medicare Value HMO)
$1,270 Harvard Pilgrim
(Stride Basic Rx HMO) 
$5,157 Tufts Health 
(Medicare Preferred HMO Saver Rx)  
$11,236
#5 Blue Cross/Blue Shield
(Medicare PPO Blue Saver Rx) 
$1,351 Aetna
(Medicare Value HMO) 
$5,259 Blue Cross/Blue Shield
(Medicare PPO Blue Saver Rx) 
$11,720
#6 Harvard Pilgrim
(Stride Basic Rx HMO) 
$1,383 Blue Cross/Blue Shield
(Medicare PPO Blue Saver Rx) 
$5,323 Aetna
(Medicare Value HMO) 
$17,845
  Average: All Plans $1,288 Average: All Plans  $5,115 Average: All Plans $12,052

*Annual estimated costs (out-of-pocket expenses) include applicable 2021 plan copayments, deductibles, and premiums as posted on Medicare Plan Finder (www.Medicare.gov). Medicare Part B monthly premiums ($144.60 in 2020 for most beneficiaries) are not included.  Estimated costs may be greater for beneficiaries who are late enrolling for Medicare Part D (prescription drug) coverage or lower for beneficiaries with limited income and resources who may be eligible for low-income subsidies.  Estimates do not include cost-sharing for additional popular benefits provided by some plans, e.g., eyewear, hearing aids, transportation.  

The information contained herein is neither guaranteed nor intended to represent actual enrollee experiences for any Medicare plan.  HealthMetrix Research Inc. does not endorse or recommend specific Medicare plans. 

Medicare has neither reviewed nor endorsed this information.  The Senior Choice Gold Award is not given by Medicare.

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.) 

COSTSHARE REPORT is a registered mark of HealthMetrix Research Inc.