2012 Medicare Advantage COSTSHARE REPORT

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Omaha (Douglas 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

 Humana
(Gold Plus) 		$415SCGA Coventry
(Advantra Silver)		 $2,220 Humana
(Gold Plus) 		$5,280SCGA

#2

 Coventry
(Advantra Silver)		 $420 Coventry
(Advantra Platinum
PPO) 		$2,280 Coventry
(Advantra Silver)		 $6,066

#3

 Secure Horizons
(AARP Medicare Complete) 		$439 Humana
(Gold Plus) 		$2,595SCGA Humana
(Choice PPO - $29) 		$6,147

#4

 Coventry
(Advantra Platinum
PPO) 		$440 Humana
(Choice PPO - $29)		 $2,651 Coventry
(Advantra Platinum
PPO) 		$6,186

#5

 Humana
(Choice PPO - $29)		 $955 Secure Horizons
(AARP Medicare Complete) 		$2,806 Blue Cross Blue Shield
(MediBlue PPO - $84)		 $6,384

#6

 		Universal American
(Today's Options Advantage PPO - $51)		 $1,132 Universal American
(Today's Options Advantage PPO - $51)		 $3,184 Secure Horizons
(AARP Medicare Complete) 		$7,010

#7

 		Blue Cross Blue Shield
(MediBlue PPO - $84)		 $1,570 Blue Cross Blue Shield
(MediBlue PPO - $84)		 $3,598 Universal American
(Today's Options Advantage PPO - $51)		 $7,392
  Average: All Plans $767 Average: All Plans $2,762 Average: All Plans $6,352


*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.

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