2012 Medicare Advantage COSTSHARE REPORT

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Boston (Norfolk 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

 Fallon Community
(Senior Plan Super Saver Rx) 		$700 Fallon Community
(Senior Plan Saver - Enhanced Rx - $65)
 		$2,269SCGA Fallon Community
(Senior Plan Saver - Enhanced Rx - $65)
 		$4,688SCGA

#2

 Secure Horizons
(AARP Medicare Complete Plus - $20)		 $741 Fallon Community
(Senior Plan Saver - Basic Rx - $54)		 $2,381 Fallon Community
(Senior Plan Saver - Basic Rx - $54)		 $4,839

#3

 Tufts Health Plan
(Preferred HMO Basic Rx - $47) 		$1,046 Fallon Community
(Senior Plan Super Saver Rx) 		$2,803 Tufts Health Plan
(Medicare Preferred HMO Prime Rx - $153) 		$4,871

#4

 Fallon Community
(Senior Plan Saver - Enhanced Rx - $65)
 		$1,226SCGA Tufts Health Plan
(Preferred HMO Basic Rx - $47) 		$2,829 Fallon Community
(Senior Plan Standard - $138)		 $4,979

#5

 Fallon Community
(Senior Plan Saver - Basic Rx - $54)		 $1,338 Fallon Community
(Senior Plan Standard - $138)		 $2,850 Fallon Community
(Senior Plan Super Saver Rx) 		$5,311

#6

 		Tufts Health Plan
(Medicare Preferred HMO Value Rx - $121)		 $1,872 Tufts Health Plan
(Medicare Preferred HMO Value Rx - $121)		 $3,220 Blue Cross Blue Shield
(Medicare PPO Blue Plus Rx - $134)		 $6,064

#7

 		Fallon Community
(Senior Plan Standard - $138)		 $1,947 Tufts Health Plan
(Medicare Preferred HMO Prime Rx - $153) 		$3,221 Tufts Health Plan
(Medicare Preferred HMO Value Rx - $121)		 $6,180

#8

 		Blue Cross Blue Shield
(Medicare PPO Blue Plus Rx - $134)		 $2,020 Blue Cross Blue Shield
(Medicare PPO Blue Plus Rx - $134)		 $3,271 Tufts Health Plan
(Preferred HMO Basic Rx - $47) 		$6,299

#9

 		Tufts Health Plan
(Medicare Preferred HMO Prime Rx - $153) 		$2,233 Secure Horizons
(AARP Medicare Complete Plus - $20)		 $3,574 Blue Cross Blue Shield
(Medicare HMO Blue Plus Rx - $181)		 $7,298

#10

 		Blue Cross Blue Shield
(Medicare HMO Blue Plus Rx - $181)		 $2,601 Blue Cross Blue Shield
(Medicare HMO Blue Plus Rx - $181)		 $4,082 Secure Horizons
(AARP Medicare Complete Plus - $20)		 $9,206
  Average: All Plans $1,572 Average: All Plans $3,050 Average: All Plans $5,974


*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.

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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.

(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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