Raleigh 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 & Performance"
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#1 FirstMedicareDirect (SmartHMO) $2,240 FirstMedicareDirect (SmartHMO) $3,190 FirstMedicareDirect (SmartHMO) $5,140
#2 Humana
(Gold Plus HMO) 
$2,710 Humana
(Gold Plus HMO) 
$3,820 Humana
(Gold Plus HMO) 
$5,690

#3

Gateway Health
(Medicare Assured Select)  
$3,040 Aetna
(Medicare Prime HMO)
$4,240 Aetna
(Medicare Prime HMO)
$6,350
#4 Aetna
(Medicare Prime HMO)
$3,060 Aetna
(Medicare Premier PPO) 
$4,420 Aetna
(Medicare Premier PPO) 
$6,610
#5 First Medicare Direct (Preferred Plus HMO-$29)  $3,130 First Medicare Direct (Preferred Plus HMO-$29) $4,460 Coventry
(Advantra Gold PPO-$44)
$6,620
#6 Aetna
(Medicare Premier PPO) 
$3,190 Gateway Health
(Medicare Assured Select)
$4,550 Humana
(Choice PPO-$53)
$6,840
#7 Coventry
(Advantra Gold PPO-$44)
$3,530 Coventry
(Advantra Gold PPO-$44)
$4,620 First Medicare Direct (Preferred Plus HMO-$29) $6,850
#8 Humana
(Choice PPO-$53)
$3,560 Humana
(Choice PPO-$53)
$4,850 Gateway Health
(Medicare Assured Select)
$7,540
#9 Gateway Health
(Medicare Assured Prime-$92)
$3,790 United Healthcare
(AARP Medicare Complete HMO-$37)
$5,090 United Healthcare
(AARP Medicare Complete HMO-$37)
$7,540
#10 United Healthcare
(AARP Medicare Complete HMO-$37)
$3,800 Gateway Health
(Medicare Assured Prime-$92)
$5,110 Gateway Health
(Medicare Assured Prime-$92)
$7,990
#11 Blue Cross Blue Shield
(BlueMedicare HMO Enhanced-$72)
$4,440 Blue Cross Blue Shield
(BlueMedicare HMO Enhanced-$72)
$5,960 Blue Cross Blue Shield
(BlueMedicare HMO Enhanced-$72)
$8,380
#12 Blue Cross Blue Shield
(BlueMedicare HMO Essential-$86)
$4,470 Blue Cross Blue Shield
(BlueMedicare HMO Essential-$86)
$6,090 Blue Cross Blue Shield
(BlueMedicare HMO Essential-$86)
$8,600
  Average: All Plans $3,377 Average: All Plans $4,700 Average: All Plans $7,013

*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.) 

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