Grand Rapids Area 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 Priority Health
(Medicare Edge PPO) 
$858 HAP
(Senior Plus Option 1 PPO) 
$4,032 HAP
(Senior Plus Option 1 PPO)   
$8,838
#2 WellCare
(Essential HMO)  
$868 Aetna
(Medicare Value HMO) 
$4,207 Blue Care Network
(Prime Value HMO) 
$9,271
#3 HAP
(Senior Plus Option 1 PPO) 
$893 WellCare
(Essential HMO) 
$4,337 Priority Health
(Medicare Edge PPO) 
$9,872
#4 Aetna
(Medicare Value HMO) 
$893 Priority Health
(Medicare Edge PPO) 
$4,573 Humana
(Gold Plus HMO-$9)  
$10,046
#5 Blue Cross Blue Shield
(Blue Essential PPO)
$1,032 Humana
(Gold Plus HMO-$9)  
$4,607 Blue Cross Blue Shield
(Blue Essential PPO) 
$10,388
#6 Blue Care Network
(Prime Value HMO) 
$1,088 Blue Cross Blue Shield
(Blue Essential PPO) 
$4,638 WellCare
(Essential HMO) 
$13,667
#7 Humana
(Gold Plus HMO-$9)  
$1,136 Blue Care Network
(Prime Value HMO) 
$4,694 Aetna
(Medicare Value HMO) 
$15,317
  Average: All Plans $967 Average: All Plans $4,441 Average: All Plans $11,057

*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.