Philadelphia Area Comparisons

2017 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

  Senior Choice Gold Award recipient for "Excellence in Medicare Benefits Value"
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#1 Gateway
(Medicare Assured Select HMO) 
   $2,910 Humana
(Gold Plus HMO) 

$4,250

Humana
(Gold Plus HMO) 
$6,320
#2 Humana
(Gold Plus HMO) 
$2,940 Gateway
(Medicare Assured Select HMO)  
 $4,350 Health Partners
(Medicare Value HMO)   
$6,550

#3

HealthAmerica
(Advantra One PPO-$23)
$3,050 HealthAmerica
(Advantra One PPO-$23) 
$4,390 Keystone
(65 Focus Rx HMO)
 
$6,550
#4 Keystone
(65 Focus Rx HMO)
$3,110 Keystone
(65 Focus Rx HMO)
 
$4,410 HealthAmerica
(Advantra One PPO-$23) 
$6,680
#5 Health Partners
(Medicare Prime HMO-$39)
$3,300 Health Partners
(Medicare Value HMO)   
$4,820 Health Partners
(Medicare Prime HMO-$39) 
$6,710
#6 Health Partners
(Medicare Value HMO) 
$3,470 Health Partners
(Medicare Prime HMO-$39) 
$4,820 UPMC for Life
(HMO HD Rx-$23) 
$7,100
#7 UPMC for Life
(HMO HD Rx-$23)
 $3,470 UPMC for Life
(HMO HD Rx-$23) 
 $4,870 Aetna
(Medicare Choice HMO)  
$7,340
#8 Aetna
(Medicare Choice HMO)
$3,620 Aetna
(Medicare Choice HMO)  
$4,990 Humana
(Choice PPO-$77 
$7,340
#9 United HealthCare
(AARP Complete Choice PPO-$52)
$3,620 United HealthCare
(AARP Complete Choice PPO-$52) 
$5,060 Gateway
(Medicare Assured Select HMO)  
$7,400
#10 HealthAmerica
(Advantra Silver HMO-$29)
 $3,920 HealthAmerica
(Advantra Silver HMO-$29) 
 $5,240 HealthAmerica
(Advantra Silver HMO-$29) 
 
$7,510
#11 Humana
(Choice PPO-$77) 
 $3,930 Humana
(Choice PPO-$77 
 $5,290 UPMC for Life
(HMO Rx-$83) 
$7,530
#12 Keystone
(65 Select Rx HMO-$56)
$3,980 UPMC for Life
(HMO Rx-$83) 
$5,360 Keystone
(65 Select Rx HMO-$56) 
$7,590
#13 UPMC for Life
(HMO Rx-$83)
$4,020 Keystone
(65 Select Rx HMO-$56) 
$5,450 United HealthCare
(AARP Complete Choice PPO-$52) 
$7,630
  Average: All Plans $3,488 Average: All Plans $4,869 Average: All Plans $7,096

*Annual estimated cost (out-of-pocket expenses) from Medicare Plan Finder (www.Medicare.gov) include applicable plan copayments, deductibles, and premiums. Medicare Part B monthly premiums ($134 or $109 in 2017 for most beneficiariesare included in cost calculations.  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.  Estimates do not include cost-sharing for additional popular benefits provided by some plans, e.g., eyewear, hearing aids, dental prevention services, 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.

 

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