2012 Medicare Advantage COSTSHARE REPORT

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New York Metro (Staten Island) 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

 Elderplan
(Medicare Classic $0 Premium)		 $126 Liberty Health Advantage
(Preferred Choice)		 $450SCGA Liberty Health Advantage
(Preferred Choice)		 $1,263SCGA

#2

 Healthfirst
(65 Plus) 		$140 HealthPlus
(Advantage)		 $1,050 AmeriVantage
(Classic Rx) 		$2,028

#3

 Visiting Nurse Service
(VNS Medicare Enhanced)		 $150 EmblemHealth
(VIP Essential)		 $1,123 HealthPlus
(Advantage)		 $2,903

#4

 Empire Blue Cross
(MediBlue HMO Plus)		 $155 Elderplan
(Medicare Classic $0 Premium)		 $1,244 EmblemHealth
(VIP Essential)		 $3,314

#5

 Liberty Health Advantage
(Preferred Choice)		 $165SCGA Healthfirst
(65 Plus) 		$1,310 Elderplan
(Medicare Classic $0 Premium)		 $3,491

#6

 		HealthPlus
(Advantage)		 $167 Empire Blue Cross
(MediBlue HMO Plus)		 $1,350 Healthfirst
(65 Plus) 		$3,808

#7

 		Touchstone Health
(Medicare Power) 		$175 Touchstone Health
(Medicare Power) 		$1,380 Empire Blue Cross
(MediBlue HMO Plus)		 $4,022

#8

 		EmblemHealth
(VIP Essential)		 $190 EmblemHealth
(Medicare PPO 2)		 $1,583 Touchstone Health
(Medicare Power) 		$4,130

#9

 		Secure Horizons
(AARP Medicare Complete)		 $265 AmeriVantage
(Classic + Rx)		 $1,615 EmblemHealth
(Medicare PPO 2)		 $4,454

#10

 		EmblemHealth
(Medicare PPO 2)		 $295 Visiting Nurse Service
(VNS Medicare Enhanced)		 $1,805 Visiting Nurse Service
(VNS Medicare Enhanced)		 $5,089

#11

 		Fidelis
(Medicare Advantage HMO - $40)		 $875 Secure Horizons
(AARP Medicare Complete)		 $2,080 Secure Horizons
(AARP Medicare Complete)		 $5,955

#12

 		Aetna
(Medicare Value - $50)		 $1,023 Aetna
(Medicare Value - $50)		 $2,837 Aetna
(Medicare Value - $50)		 $6,591

#13

 		AmeriVantage
(Classic + Rx)		 $1,130 Fidelis
(Medicare Advantage HMO - $40)		 $3,192 Fidelis
(Medicare Advantage HMO - $40)		 $8,073
  Average: All Plans $374 Average: All Plans $1,617 Average: All Plans $4,240


*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.

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.

(TTY users should call 1-877-486-2048, 24 hours a day/7 days a week or consult www.medicare.gov.)

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