2012 Medicare Advantage COSTSHARE REPORT

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Seattle 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

 Essence Healthcare
(Advantage) 		$291 Community Health First 
 (MA Plan - $34) 		$995SCGA Community Health First 
 (MA Plan - $34) 		$4,905SCGA

#2

 Community Health
First
(MA Extra) 		$410 Community Health
First
(MA Extra) 		$2,320 Soundpath Health Partners
(Charter Plus - $94)		 $4,970

#3

 Secure Horizons
(AARP Medicare Complete Plan 3) 		$427 Group Health Cooperative
(Clear Care Vital - $19)		 $2,499 Community Health
First
(MA Extra) 		$5,046

#4

 Humana
(Choice HMO) 		$464 Windsor Sterling
(Gold Plus PPO) 		$2,562 Essence Healthcare
(Advantage Plus - $99)		 $5,244

#5

 Southpath Health
Partners
(Sound HMO) 		$609 Southpath Health
Partners
(Sound HMO) 		$2,683 Group Health Cooperative
(Clear Care Vital - $19)		 $5,276

#6

 		Community Health First 
 (MA Plan - $34) 		$636SCGA Essence Healthcare
(Advantage) 		$2,794 Essence Healthcare
(Advantage) 		$5,389

#7

 		Humana
(Choice PPO - $30)		 $804 Humana
(Choice HMO) 		$2,801 Windsor Sterling
(Gold Plus PPO) 		$5,514

#8

 		Group Health Cooperative
(Clear Care Vital - $19)		 $809 Humana
(Choice PPO - $30)		 $2,906 Southpath Health
Partners
(Sound HMO) 		$5,535

#9

 		Molina
(Medicare Options - $66)		 $1,115 Secure Horizons
(AARP Medicare Complete Plan 3) 		$3,108 Group Health Cooperative
(Clear Care Essential - $118)		 $5,777

#10

 		Windsor Sterling
(Gold Plus PPO) 		$1,203 Soundpath Health Partners
(Charter Plus - $94)		 $3,123 Humana
(Choice PPO - $30)		 $5,988

#11

 		Essence Healthcare
(Advantage Plus - $99)		 $1,471 Molina
(Medicare Options - $66)		 $3,194 Molina
(Medicare Options - $66)		 $6,012

#12

 		Soundpath Health Partners
(Charter Plus - $94)		 $1,497 Secure Horizons
(AARP Medicare Complete 1 - $101)		 $3,247 Secure Horizons
(AARP Medicare Complete 1 - $101)		 $7,186

#13

 		Secure Horizons
(AARP Medicare Complete 1 - $101)		 $1,597 Group Health Cooperative
(Clear Care Essential - $118)		 $3,516 Humana
(Choice HMO) 		$7,308

#14

 		Group Health Cooperative
(Clear Care Essential - $118)		 $1,937 Essence Healthcare
(Advantage Plus - $99)		 $3,653 Regence Blue Shield
(MedAdvantage Classic PPO - $119)		 $7,562

#15

 		Regence Blue Shield
(MedAdvantage Classic PPO - $119)		 $1,972 Regence Blue Shield
(MedAdvantage Classic PPO - $119)		 $3,955 Regence Blue Shield
(MedAdvantage Enhanced PPO - $211)		 $7,608

#16

 		Regence Blue Shield
(MedAdvantage Enhanced PPO - $211)		 $2,943 Regence Blue Shield
(MedAdvantage Enhanced PPO - $211)		 $4,561 Secure Horizons
(AARP Medicare Complete Plan 3) 		$7,881
  Average: All Plans $1,137 Average: All Plans $2,995 Average: All Plans $6,075


*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.

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