2012 Medicare Advantage COSTSHARE REPORT

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Providence 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

 Secure Horizons
(AARP Medicare Complete Plus) 		$450 Blue Cross Blue Shield
(BlueCHiP for Medicare Value)		 $1,347 Blue Cross Blue Shield
(BlueCHiP for Medicare Standard w/Drugs - $46)		 $6,158

#2

 Blue Cross Blue Shield
(BlueCHiP for Medicare Value)		 $503 Secure Horizons
(AARP Medicare Complete Plus) 		$2,780 Secure Horizons
(AARP Medicare Complete Plus) 		$6,899

#3

 Blue Cross Blue Shield
(BlueCHiP for Medicare Standard w/Drugs - $46)		 $1,018 Blue Cross Blue Shield
(BlueCHiP for Medicare Standard w/Drugs - $46)		 $3,476 Blue Cross Blue Shield
(BlueCHiP for Medicare Value)		 $7,206
  Average: All Plans $657 Average: All Plans $2,534 Average: All Plans $6,754


*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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