Medicare advantage hmo ppo plans in melbourne florida


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2006 Medicare Advantage COSTSHARE REPORTSM

Melbourne Area Comparisons

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*Estimated Annual Cost-Sharing by Medicare Advantage Plan & Health Status** All Plans below include Medicare Part D-Drug Benefits
RANK	HEALTH STATUS: GOOD See utilization details below		HEALTH STATUS: FAIR See utilization details below		HEALTH STATUS: POOR See utilization details below
#1	Universal Health Care (Medicare Masterpiece)**	$0	Universal Health Care (Medicare Masterpiece)**	$403	American Pioneer Life (Medicare FloridaComplete)	$2,844
#2	United Health Care (Medicare Complete Rx)**	$233	Health First (Classic Secure)	$1,350	Health First (Classic Secure)	$2,878
#3	WellCare (Choice)**	$245	WellCare (Choice)**	$1,430	WellCare (Prescription Plus)**	$3,114
#4	Universal Health Care (Medicare Masterpiece Plus B)**	$305	American Pioneer Life (Medicare FloridaComplete)	$1,564	Universal Health Care (Medicare Masterpiece)**	$3,157
#5	WellCare (Prescription Plus)**	$355	American Pioneer Life (Medicare FloridaPlus)	$1,619	American Pioneer Life (Medicare FloridaPlus)	$3,339
#6	Health First (Classic Secure)	$577	United Health Care (Medicare Complete Rx)**	$1,652	WellCare (Choice)**	$4,358
#7	Universal Health Care (Medicare Masterpiece Ultra)	$923	WellCare (Prescription Plus)**	$1,655	Universal Health Care (Medicare Masterpiece Ultra)	$5,043
#8	American Pioneer Life (Medicare FloridaPlus)	$1,079	Universal Health Care (Medicare Masterpiece Ultra)	$1,908	United Health Care (Medicare Complete Rx)**	$5,285
#9	American Pioneer Life (Medicare FloridaComplete)	$1,339	Universal Health Care (Medicare Masterpiece Plus B)**	$2,195	Humana (Gold Choice PFFS)	$6,401
#10	Humana (Gold Choice PFFS)	$1,628	Humana (Gold Choice PFFS)	$2,938	Universal Health Care (Medicare Masterpiece Plus B)**	$7,044

	Average:All Plans	$668	Average:All Plans	$1,671	Average:All Plans	$4,346

*Annual cost (out-of-pocket expenses) include applicable copayments, deductibles, and premiums. Premiums may vary depending on county of residence. Medicare Part B premium ($88.50 per month in 2006) is not included in cost calculations. The information contained herein is neither guaranteed nor intended to represent actual enrollee experiences for any Medicare plan. Benefits, copayments, deductibles, and premiums are subject to change. HealthMetrix Research Inc. does not endorse or recommend specific Medicare plans.

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** "Zero premium" plans.

PFFS = Private-fee-for-service

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NOTE: The above comparisons are based on the annual utilization assumptions below:

Health Status: GOOD Requiring periodic routine care	Health Status: FAIR Requiring episodic care for non-chronic conditions	Health Status: POOR Requiring chronic disease care and management
Low annual utilization - 4 Doctor office visits (in-network) - 1 Urgent care visit (out-of-area) - 0 Inpatient admissions - 6 Prescriptions (30 day supply) - 1 Physical, vision, hearing exam - 1 Dental prevention visit	Moderate annual utilization - 12 Doctor office visits (in-network) - 1 Emergency room visit - 1 Inpatient admission (4 days) - 24 Prescriptions (2 per month) - 1 Physical, vision, hearing exam - 1 Dental prevention visit	High annual utilization - 24 Doctor office visits (in-network) - 2 Emergency room visits - 3 Inpatient admissions (12 days) - 72 Prescriptions (6 per month) - 1 Physical, vision, hearing exam - 1 Dental prevention visit

Vision exam average cost of $50 is included if not a covered benefit.
Hearing exam average cost of $50 is included if not a covered benefit.
Dental prevention visit average cost of $75 is included if not a covered benefit.
Prescriptions based on $42 average charge for up to a 30-day generic prescription ($84 for 90-day supply); $75 average charge for up to a 30-day brand prescription ($150 for 90-day supply); 1:1 brand-to-generic prescription ratio; includes available 90-day supply by mail; no injectables; other applicable prescription discounts are not included; other additional restrictions including, but not limited to, approved drug formularies, quarterly prescription limits, or prescription cost formulas may affect annual cost-sharing.

To request free information for selected Medicare Plans [click here]

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