2013 Medicare Advantage COSTSHARE REPORT

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Cleveland (Cuyahoga 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

 Secure Horizons
(AARP Medicare Complete Plan 1) 		$302 Secure Horizons
(AARP Medicare Complete Plan 1) 		$2,263 SummaCare
(Secure Core) 		$3,650SCGA Star Rating

#2

 SummaCare
(Secure Core) 		$355SCGA Star Rating SummaCare
(Secure Core) 		$2,321 SummaCare
(Secure Silver Plus - $43) 		$4,439

#3

 Coventry
(Advantra Silver PPO) 		$374 Coventry
(Advantra Silver PPO) 		$2,333 Kaiser Permanente
(Medicare Plus II - $29) 		$5,578

#4

 Aetna
(Value Plan) 		$405 Kaiser Permanente
(Medicare Plus II - $29)		 $2,407 Secure Horizons
(AARP Medicare Complete Plan 1) 		$6,219

#5

 Humana
(Gold Plus) 		$449 Anthem
(Senior Advantage Plus - $42)		 $2,445 Coventry
(Advantra Gold PPO - $65) 		$6,488

#6

 Secure Horizons
(AARP Medicare Complete Plan 2) 		$463 Aetna
(Value Plan) 		$2,491 Anthem
(Senior Advantage - Basic) 		$6,661

#7

 Anthem
(Senior Advantage - Basic) 		$623 Humana
(Gold Plus) 		$2,543 Humana
(Gold Plus) 		$6,708

#8

 Kaiser Permanente
(Medicare Plus II - $29)		 $713 Anthem
(Senior Advantage - Basic) 		$2,560 Anthem
(Senior Advantage Plus - $42)		 $6,775

#9

 Kaiser Permanente
(Medicare Plus III - $24.40)		 $752 SummaCare
(Secure Core) 		$2,696SCGA Star Rating Aetna
(Value Plan) 		$6,865

#10

 Anthem
(Senior Advantage Plus - $42)		 $826 SummaCare
(Secure Silver Plus - $43)		 $2,709 Kaiser Permanente
(Medicare Plus III - $24.40)		 $6,914

#11

 SummaCare
(Secure Silver Plus - $43)		 $871 Kaiser Permanente
(Medicare Plus III - $24.40)		 $2,717 Coventry
(Advantra Silver PPO) 		$7,032

#12

 Anthem
(Medicare Preferred Standard PPO - $55)		 $1,017 Secure Horizons
(AARP Medicare Complete Plan 2) 		$2,771 Anthem
(Medicare Preferred Standard PPO - $55)		 $7,911

#13

 		Coventry
(Advantra Gold PPO - $65)		 $1,029 Coventry
(Advantra Gold PPO - $65)		 $2,941 Secure Horizons
(AARP Medicare Complete Plan 2) 		$7,995

#14

 		Humana
(ChoicePPO - $72)		 $1,221 Anthem
(Medicare Preferred Standard PPO - $55)		 $3,858 Humana
(ChoicePPO - $72) 		$9,238

#15

 		Aetna
(Medicare Standard PPO - $69)		 $1,283 Humana
(ChoicePPO - $72)		 $4,337 Aetna
(Medicare Standard PPO - $69)		 $9,443
  Average: All Plans $712 Average: All Plans $2,759 Average: All Plans $6,794


*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.

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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.

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