2012 Medicare Advantage COSTSHARE REPORT

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Contra Costa 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
Indicates Part D drug "gap" coverage included

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#1

 SCAN Health Plan
(HMO Options - $39) 		$873SCGA SCAN Health Plan
(HMO Options - $39) 		$2,033SCGA SCAN Health Plan
 (HMO Classic - $49) 		$4,722SCGA

#2

 SCAN Health Plan
 (HMO Classic - $49) 		$908SCGA SCAN Health Plan
 (HMO Classic - $49) 		$2,143SCGA SCAN Health Plan
(HMO Options - $39) 		$4,733SCGA

#3

 Health Net
(Healthy Heart 1 - $69) 		$1,210 Health Net
(Healthy Heart 1 - $69) 		$3,101 Kaiser Permanente
(Senior Advantage - $84)
 		 $6,165

#4

 Secure Horizons
(AARP Medicare Complete - $79)
 		 $1,334 Kaiser Permanente
(Senior Advantage - $84)
 		 $3,283 Health Net
(Healthy Heart 1 - $69) 		$6,365

#5

 Kaiser Permanente
(Senior Advantage - $84)
 		 $1,538 Secure Horizons
(AARP Medicare Complete - $79)
 		 $3,567 Secure Horizons
(AARP Medicare Complete - $79)
 		 $8,369
  Average: All Plans $1,173 Average: All Plans $2,825 Average: All Plans $6,071


*Annual cost (out-of-pocket expenses) include applicable copayments, deductibles, and premiums. Premiums may vary depending on county of residence. Medicare Part B premium ($99.90 per month in 2012) 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.

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