2013 Medicare Advantage COSTSHARE REPORT

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Los Angeles (San Bernardino County) Area Comparisons

Annual estimated out-of-pocket costs for Medicare Advantage Plan members*
All Plans below include Medicare Part D-Drug Benefits
  Indicates $0 Premium Plans
Indicates Part D drug "gap" coverage included

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#1

 Citizens Choice
(Citizens Choice) 		$100SCGA Citizens Choice
(Citizens Choice) 		$365SCGA Caremore
(Value) 		$1,658

#2

 Care1st 
(Medicare Advantage Optimum) 		$130 Care1st
(Medicare Advantage Optimum) 		$560 Citizens Choice
(Citizens Choice) 		$1,734SCGA

#3

 Caremore
(Value) 		$164 Caremore 
(Value) 		$601 Easy Choice Health
Plan 
(Best) 		$2,157

#4

 Health Net
(Gold Select HMO) 		$220 Easy Choice Health
Plan
(Best) 		$690 Care1st
(Medicare Advantage Optimum) 		$2,200

#5

 Humana
(Gold Plus HMO) 		$253 Health Net
(Gold Select HMO) 		$735 SCAN Health
(Classic) 		$2,338

#6

 Easy Choice Health
Plan
(Best) 		$265 SCAN Health
(Classic)		 $738 Health Net
(Gold Select HMO)		 $2,377

#7

 SCAN Health
(Classic)		 $282 Secure Horizons
(AARP MedicareComplete HMO) 		 $778 Secure Horizons
(AARP MedicareComplete HMO) 		 $2,415

#8

 Intervalley Healthplan
(Total Fit) 		$289 Aetna
(Medicare Select) 		$1,070 Blue Shield
(65 Plus) 		$2,692

#9

 Blue Shield
(65 Plus) 		 $304 Intervalley Healthplan
(Total Fit) 		$1,209 Aetna
(Medicare Select) 		 $2,980

#10

 Secure Horizons
(AARP MedicareComplete HMO) 		 $322 Humana
(Gold Plus HMO) 		 $1,282 Intervalley Healthplan
(Total Fit) 		$3,672

#11

 Aetna
(Medicare Select) 		 $395 Blue Shield
(65 Plus) 		 $1,702 Humana
(Gold Plus HMO) 		 $3,972

#12

 Kaiser Permanente
(Senior Advantage) 		 $480 Kaiser Permanente
(Senior Advantage) 		 $2,120 Kaiser Permanente
(Senior Advantage) 		 $6,112

#13

 		Blue Cross
(Senior Secure Plan 1)		 $534 Blue Cross
(Senior Secure Plan 1)		 $2,346 Blue Cross
(Senior Secure Plan 1) 		 $6,392
  Average: All Plans $288 Average: All Plans $1,092 Average: All Plans $3,131


*Annual cost (out-of-pocket expenses) include applicable copayments, deductibles, and premiums. Premiums may vary depending on county of residence. Medicare Part B premium ($104.90 per month in 2013) is not included in cost calculations.

SCGA
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The information contained herein is neither guaranteed nor intended to represent actual enrollee experiences for any Medicare plan. Medicare plan benefits, copayments, deductibles, and premiums are subject to change. HealthMetrix Research Inc. does not endorse or recommend specific Medicare plans.

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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