2013 Medicare Advantage COSTSHARE REPORT

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Raleigh (Wake 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

 Coventry
(Advantra Gold PPO) 		$360 Blue Cross & Blue Shield
(BlueMedicare HMO Standard)		 $2,281SCGA Star Rating America's 1st Choice
(Ambassador Plus PPO - $6)		 $6,302

#2

 America's 1st Choice
(Ambassador Plus PPO - $6)		 $415 Coventry
(Advantra Gold PPO) 		$2,515 Blue Cross & Blue Shield
(BlueMedicare HMO Standard)		 $6,696SCGA Star Rating

#3

 Blue Cross & Blue Shield
(BlueMedicare HMO Standard)		 $494SCGA Star Rating America's 1st Choice
(Ambassador Plus PPO - $6)		 $2,519 Coventry
(Advantra Gold PPO) 		$7,055

#4

 Secure Horizons
(AARP Medicare Complete Plus - $29)		 $786 Secure Horizons
(AARP Medicare Complete Plus - $29)		 $3,005 Humana
(Choice PPO - $31) 		$7,628

#5

 Humana
(Choice PPO - $31)		 $1,355 Humana
(Choice PPO - $31)		 $3,399 Secure Horizons
(AARP Medicare Complete Plus - $29)		 $8,138

#6

 Universal American
(Today's Options Advantage Plus 650 - $64)		 $1,400 Universal American
(Today's Options Advantage Plus 650 - $64)		 $3,442 Universal American
(Today's Options Advantage Plus 650 - $64)		 $8,505
  Average: All Plans $802 Average: All Plans $2,860 Average: All Plans $7,387


*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
 Senior Choice Gold Award recipient for "Excellence in Medicare Benefits Value"

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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