2012 Medicare Advantage COSTSHARE REPORT

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Santa Fe (Sandoval 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)  		$186SCGA Humana
 (Gold Plus)  		$1,249SCGA Humana
 (Gold Plus)  		$3,412SCGA

#2

 AmeriGroup
(Amerivantage Choice)		 $270 Lovelace
(Senior Plan Standard) 		$1,519 Lovelace
(Senior Plan Standard) 		$3,886

#3

 Lovelace
(Senior Plan Standard) 		$371 AmeriGroup
(Amerivantage Choice)		 $1,545 AmeriGroup
(Amerivantage Choice)		 $4,059

#4

 Molina
(Medicare Options - $16)		 $387 Molina
(Medicare Options - $16)		 $1,862 Lovelace
(Senior Plan Enhanced - $55)		 $4,229

#5

 Humana
(Choice PPO - $38)		 $899 Lovelace
(Senior Plan Enhanced - $55)		 $2,095 Molina
(Medicare Options - $16)		 $4,578

#6

 		Lovelace
(Senior Plan Enhanced - $55)		 $1,043 Humana
(Choice PPO - $38)		 $2,488 Presbyterian Health Plan
(Senior Care
Plan 3 - $107) 		$5,048

#7

 		Presbyterian Health Plan
(Medicare PPO Plan 2 - $86)		 $1,467 Presbyterian Health Plan
(Medicare PPO Plan 2 - $86)		 $2,782 Presbyterian Health Plan
(Medicare PPO Plan 2 - $86)		 $5,674

#8

 		Presbyterian Health Plan
(Senior Care Plan 3 - $107)		 $1,699 Presbyterian Health Plan
(Senior Care Plan 3 - $107)		 $2,804 Humana
(Choice PPO - $38)		 $5,787
  Average: All Plans $790 Average: All Plans $2,043 Average: All Plans $4,584


*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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