2009 Medicare Advantage COSTSHARE REPORT

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Miami (Dade County) Area Comparisons
(WITH Gap Coverage)

Note: There are two tables below. 
The first table shows MA-PD Rx Plans with Gap Coverage
The second table shows MA-PD Rx Plans without Gap Coverage

Annual estimated out-of-pocket costs for Medicare Advantage Plan members*
All Plans below include Medicare Part D-Drug Benefits (With Gap Rx)

RANK

If your health is GOOD
use this column
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If your health is FAIR
use this column
Click to see details

If your health is POOR
use this column
Click to see details

#1

 Summit Health (Plus) **

$0 [Tie]

 Summit Health (Plus) **

$0 [Tie]

 Summit Health (Ideal One) **

$65 

#2

 HealthSun (Healthy Advantage) **

$0 [tie]

 HealthSun (Healthy Advantage) **

$0 [tie]

 CarePlus (CareOne) **  $280 

#3

 Optimum Health Care (Optimum Gold) **

$0 [tie]

 Summit Health (Ideal One) **

$0 [tie]

 Humana (Gold Plus HMO 54) **  $280 

#4

 CarePlus (CareFree) ** 

$0 [tie]

 CarePlus (CareFree) ** 

$0 [tie]

 Medica Healthcare (MedicareMax) **  $300 

#5

 Humana (Gold HMO 127) **

$0 [tie]

 Optimum Health Care (Optimum Gold) **

$0 [tie]

 Summit Health (Plus) ** $516
 

#6

 Summit Health (Ideal One) **

$0 [tie]

 Humana (Gold HMO 127) **

$0 [tie]

 Vista Healthplan (Platinum) **  $605 

#7

 CarePlus (CareOne) ** 

$15 [tie]

 CarePlus (CareOne) ** 

$110 [tie]

 WellCare (Choice) **  $618 

#8

 Humana (Gold Plus HMO 54) ** 

$15 [tie]

 Humana (Gold Plus HMO 54) ** 

$110 [tie]

 Preferred Care Partners (PSO Health Plan) **  $674 

#9

 AmeriVantage (Classic) ** 

$25 [tie]

 Medica Healthcare (MedicareMax) ** 

$130

 Leon Medical Centers (Leon Cares) **  $906 

#10

 Medica Healthcare (MedicareMax) ** 

$25 [tie]

 AmeriVantage (Classic) ** 

$138 

 Quality Health Plans (Silver South) **  $940 

#11

 Vista Healthplan (Platinum) ** 

$30

 WellCare (Choice) ** 

$160 

 Avmed (Premier Care) **  $979 

#12

 Leon Medical Centers (Leon Cares) ** 

$40 [tie]

Vista Healthplan (Platinum) **  $170  HealthSun (Healthy Advantage) ** $1,327 

#13

 WellCare (Choice) ** 

$40 [tie]

 Preferred Care Partners (PSO Health Plan) **  $202  AmeriVantage (Classic) **  $1,460 

#14

 Preferred Care Partners (PSO Health Plan) ** 

$47

 Leon Medical Centers (Leon Cares) **  $210  Secure Horizons (AARP Medicare Complete 1) **  $1,638 

#15

 First Medical (Advantage) ** 

 $60 

 Secure Horizons (AARP Medicare Complete 1) **  $230  CarePlus (CareFree) **  $1,718 

#16

 Quality Health Plans (Silver South) ** 

$70 

 Avmed (Premier Care) **  $315  First Medical (Advantage) **  $1,728 

#17

 Freedom Health (Freedom Medicare Rx+) **  $80 Freedom Health (Freedom Medicare Rx+) **  $345  Humana (Gold HMO 127) ** $1,778 

#18

 HealthSun (SunPlus Advantage) ** $80  Quality Health Plans (Silver South) **  $370  Freedom Health (Freedom Medicare Rx+) **  $1,834 

#19

 Secure Horizons (AARP Medicare Complete 1) **  $85  First Medical (Advantage) **  $390  Optimum Health Care (Optimum Gold) ** $3,125 

#20

 Avmed (Premier Care) **  $185  HealthSun (SunPlus Advantage) ** $1,170  HealthSun (SunPlus Advantage) ** $3,571 

#21

 Blue Cross & Blue Shield (BlueMedicare HMO) ** $266 Blue Cross & Blue Shield (BlueMedicare HMO) ** $1,644 Blue Cross & Blue Shield (BlueMedicare HMO) ** $5,063
 

** $0 premium plans

  

** $0 premium plans

 

** $0 premium plans

 
  Average:All Plans

$51

 Average:All Plans

$271

 Average:All Plans

$1,400

Miami Area Comparisons
(without Gap Coverage)

Annual estimated out-of-pocket costs for Medicare Advantage Plan members*
All Plans below include Medicare Part D-Drug Benefits (No Gap Rx)

RANK

If your health is GOOD
use this column
Click to see details

If your health is FAIR
use this column
Click to see details

If your health is POOR
use this column
Click to see details

#1

 Freedom Health (Freedom Savings) **

$0
[Tie]

Preferred Care Partners (PSO Premium Advantage) **

$0
[Tie]

Preferred Care Partners (PSO Premium Advantage) **

$1,391 

#2

 Universal Health Care (Medicare Masterpiece Plus) **

$0
[Tie]

 Universal Health Care (Medicare Masterpiece Plus) **

$0
[Tie]

 WellCare (Dividend) ** $1,454 

#3

 Preferred Care Partners (PSO Premium Advantage) **

$0
[Tie]

 WellCare (Dividend) **

$0
[Tie]

 Universal Health Care (Medicare Masterpiece Plus) ** $1,558 

#4

 Quality Health Plans (Advantage South) **

$0
[Tie]

Quality Health Plans (Advantage South) **

$0
[Tie]

Quality Health Plans (Advantage South) ** $2,049 

#5

 WellCare (Dividend) **

$0
[Tie]

 Freedom Health (Freedom Savings) **

$0
[Tie]

Freedom Health (Freedom Savings) ** $2,208 

#6

 First Medical (Advantage Freedom) **

$0
[Tie]

 First Medical (Advantage Freedom) **

$0
[Tie]

First Medical (Advantage Freedom) ** $2,900 

#7

 Optimum Health Care (Optimum Choice) **

$0
[Tie]

Optimum Health Care (Optimum Choice) **

$1,640

 Aetna (Golden Medicare Value) **  $5,525 

#8

 Aetna (Golden Medicare Value) **

$441

 Aetna (Golden Medicare Value) **

$1,684

 Optimum Health Care (Optimum Choice) ** $7,062
 

** $0 premium plans

  

** $0 premium plans

 

** $0 premium plans

 
  Average:All Plans

$55

 Average:All Plans

$416

 Average:All Plans

$3,018


*Annual cost (out-of-pocket expenses) include applicable copayments, deductibles, and premiums. Premiums may vary depending on county of residence. Medicare Part B premium ($96.40 minimum per month in 2009) 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. COSTSHARE REPORT is a registered mark of HealthMetrix Research Inc.