Boston-Suffolk County 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
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RANK
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#1 | eternal Health (Forever HMO) |
$401 | eternal Health (Forever HMO) |
$2,281 | eternal Health (Forever HMO) |
$6,708 |
#2 | Mass General Brigham (Advantage PPO) |
$426 | Humana (Choice PPO) |
$2,642 | Humana (Choice PPO) |
$6,800 |
#3 | Fallon Health (Medicare Plus Orange HMO) |
$505 | Mass General Brigham (Advantage PPO) |
$2,886 | Mass General Brigham (Advantage PPO) |
$6,851 |
#4 | Humana (Choice PPO) |
$579 | Fallon Health (Medicare Plus Orange HMO) |
$3,055 | United HealthCare (AARP Medicare Choice PPO) |
$7,402 |
#5 | Blue Cross/Blue Shield (Medicare PPO Blue Saver Rx) |
$704 | Tufts Health (Medicare Preferred HMO Saver Rx) |
$3,453 | Tufts Health (Medicare Preferred HMO Saver Rx) |
$7,581 |
#6 | Tufts Health (Medicare Preferred HMO Saver Rx) |
$812 | United HealthCare (AARP Medicare Choice PPO) |
$3,468 | Blue Cross/Blue Shield (Medicare PPO Blue Saver Rx) |
$8,601 |
#7 | United HealthCare (AARP Medicare Choice PPO) |
$916 | Aetna (Medicare Value HMO) |
$4,392 | Fallon Health (Medicare Plus Orange HMO) |
$8,754 |
#8 | Aetna (Medicare Value HMO) |
$1,16 | Blue Cross/Blue Shield (Medicare PPO Blue Saver Rx) |
$5,207 | Aetna (Medicare Value HMO) |
$9,125 |
Average: All Plans | $691 | Average: All Plans | $3,423 | Average: All Plans | $7,728 |
*Annual estimated costs (out-of-pocket expenses) include applicable 2025 plan copayments, deductibles, and premiums as posted on Medicare Plan Finder (www.Medicare.gov). Medicare Part B monthly premiums ($185 in 2025 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.)
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