2012 Medicare Advantage COSTSHARE REPORT

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Salt Lake City 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)		 $375 Humana
(Gold Plus) 		$1,994 Altius
(Advantra)		 $5,260

#2

 Altius
(Advantra)		 $405 Altius
(Advantra)		 $2,105 Humana
(Gold Plus) 		$5,369

#3

 Humana
(Gold Plus) 		$426 Secure Horizons
(AARP Medicare Complete Plus)		 $2,225 Windsor Sterling
(Gold Plus PPO - $60)		 $5,542

#4

 Humana
(Choice PPO - $27)		 $668 Humana
(Choice PPO - $27)		 $2,310 Humana
(Choice PPO - $27)		 $5,814

#5

 Altius
(Advantra Preference - $36)		 $832 Windsor Sterling
(Gold Plus PPO - $60)		 $2,562 Secure Horizons
(AARP Medicare Complete Plus)		 $5,975

#6

 Molina Healthcare
(Medicare Options - $68)		 $1,154 Altius
(Advantra Preference - $36)		 $2,567 Molina Healthcare
(Medicare Options - $68)		 $6,119

#7

 Windsor Sterling
(Gold Plus PPO - $60)		 $1,203 Molina Healthcare
(Medicare Options - $68)		 $2,728 Altius
(Advantra Preference - $36)		 $6,212

#8

 BlueCross BlueShield
(Regence MedAdvantage + Rx Classic PPO - $93)		 $1,752 BlueCross BlueShield
(Regence MedAdvantage + Rx Classic PPO - $93)		 $3,545 BlueCross BlueShield
(Regence MedAdvantage + Rx Enhanced PPO - $163)		 $6,727

#9

 BlueCross BlueShield
(Regence MedAdvantage + Rx Enhanced PPO - $163)		 $2,357 BlueCross BlueShield
(Regence MedAdvantage + Rx Enhanced PPO - $163)		 $3,950 BlueCross BlueShield
(Regence MedAdvantage + Rx Classic PPO - $93)		 $7,311
  Average: All Plans $1,019 Average: All Plans $2,665 Average: All Plans $6,037


*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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