2018 CostShare Report Details
The COSTSHARE REPORT comparisons estimate annual out-of-pocket costs for Medicare plan members based on overall health status - GOOD, FAIR, POOR - and the corresponding use - Low, Moderate, High - of the most common plan benefits during one year (physician office visits, emergency or urgent care, inpatient hospital care, home health visits, prescriptions). The comparisons rank the Medicare plans from the lowest to highest out-of-pocket costs based on the approved member copayments and premiums that appear in the Medicare Options Compare database (www.medicare.gov).
| Health Status: GOOD Requiring occasional routine care |
Health Status: FAIR Requiring episodic care for non-chronic conditions |
Health Status: POOR Requiring chronic disease care and management |
|
Low annual utilization - 4 Doctor office visits (in-network) |
Moderate annual utilization - 12 Doctor office visits (in-network) |
High annual utilization - 24 Doctor office visits (in-network) |
Additional Notes
Vision exam average cost of $75 is included if not a covered benefit.
Hearing exam average cost of $75 is included if not a covered benefit.
Dental prevention visit average cost of $125 is included if not a covered benefit.
Prescriptions based on $45 average cost for up to a 30-day generic prescription ($135 for 90-day mail order); $250 average cost for up to a 30-day brand prescription ($750 for 90-day mail order)
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