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Medicare Advantage
Baltimore County
Maryland

Enrollment Period for Medicare Advantage plans for January 1, 2011 coverage is from November 15, 2010, to December 31, 2010. Please remember to enroll in time for processing if you want coverage to begin January 1, 2011.

From January 1, 2011 to February 14, 2011, you may switch from Medicare Advantage to Original Medicare but not from one Medicare Advantage plan to another Medicare Advantage plan and not from Original Medicare to Medicare Advantage.

Annual Election Period for Medicare Advantage in 2011 is between October 15, 2011, and December 7, 2011, for coverage beginning January 1, 2012.

Medicare Advantage plans must offer at least the same level of benefits as Original Medicare. Visit the Medicare Advantage websites and telephone the Medicare Advantage insurance companies to compare plans and coverages for basic dental, annual checkups, prescription drug and prescription drug gap coverage, hospitalization, screenings, and other benefits offered above Original Medicare.

Medicare Advantage 2011

Part C Plans	Type	Premium	Drugs	Doctor	Vision	Dental
Bravo Classic (HMO) (H2108-022-0) Bravo Health, Inc.	Health Maintenance Organization	$0	Yes	Plan Doctors Only	Covered	Covered
Bravo Achieve (HMO-SNP) (H2108-030-0) Bravo Health, Inc.	Special Needs Plan only for patients with Diabetes	$0	Yes, including gap coverage for a few generics and a few brands	Plan Doctors Only	Covered	Not Covered
Evercare Plan IP (PPO-SNP) (H2111-001-0) Evercare® by United HealthCare	Special Needs Plan for patients who require a nursing home	$28.80	Yes	Any Doctor	Covered	Covered
Erickson Advantage Guardian (HMO-POS SNP) (H5652-003-0) United Health Care	Special Needs Plan for the health care needs of long-term nursing home residents in Erickson Living Communities' Renaissance Gardens, and a Health Maintenance Organization with Point of Sale option - let's you go outside the HMO system	$31.40	Yes	Any doctor	Covered	Not covered
Bravo Traditions (HMO-SNP) (H2108-020-0) Bravo Health, Inc.	Special Needs Plan for patients who require a nursing home	$34.30	Yes	Plan Doctors Only	Covered	Covered
Bravo Freedom (PPO) (H9184-002-0) Bravo Health, Inc.	Preferred Provider Organization	$69.00	Yes	Any Doctor	Covered	Covered
Care Improvement Plus Gold Rx (HMO-SNP) (H5665-002-0) Care Improvement Plus	Special Needs Plan for patients being treated for chronic heart failure or Diabetes mellitus	$84.00	Yes	Plan Doctors Only	Covered	Covered
Bravo Premier Plus (HMO-POS) (H2108-026-0) Bravo Health, Inc.	Health Maintenance Organization with Point of Sale option - Let's you go outside the HMO system	$97.00	Yes	Any Doctor	Covered	Covered
Erickson Advantage Signature (HMO-POS) (H5652-002-0) United Health Care	Health Maintenance Organization with Point of Sale option - let's you go outside the HMO system - for residents of Erickson Living Communities	$121.00	No	Any Doctor	Covered	Covered
Erickson Advantage SignatureRx (HMO-POS) (H5652-001-0) United Health Care	Health Maintenance Organization with Point of Sale option - let's you go outside the HMO system - for residents of Erickson Living Communities	$159.00	Yes	Any Doctor	Covered	Covered
Erickson Advantage Champion (HMO-POS SNP) (H5652-004-0) United Health Care	Special Needs Plan for cardiovascular disease, chronic heart failure, and diabetes, and a Health Maintenance Organization with Point of Sale option - let's you go outside the HMO system - for residents of Erickson Living Communities	$159.00	Yes	Any Doctor	Covered	Covered

Medicare Advantage 2010
Part C

Part C Plans	Type	Premium	Drugs	Doctor	Vision	Dental
Ætna Medicare Basic Plan (HMO) (H2112-001) Ætna Medicare	Health Maintenance Organization	$0	No	Plan Doctors Only	Covered	Covered (for an extra cost)
Amerivantage Choice + Rx (HMO-POS) (H5896-012) Amerigroup Community Care	Health Maintenance Organization with Point of Sale option - Let's you go outside the HMO system for an additional cost	$0	Yes	Plan Doctors Only (some exceptions)	Covered	Covered
Amerivantage Classic + Rx (HMO) (H5896-008) Amerigroup Community Care	Health Maintenance Organization	$0	Yes	Plan Doctors Only	Covered	Covered
Bravo Achieve (HMO) (H2108-30) Bravo Health	Special Needs Plan only for patients with Diabetes	$0	Yes	Plan Doctors Only	Covered	Covered
Bravo Classic (HMO) (H2108-022) Bravo Health	Health Maintenance Organization	$0	Yes	Plan Doctors Only	Covered	Covered
Bravo Gold (HMO) (H2108-021) Bravo Health	Health Maintenance Organization	$0	No	Plan Doctors Only	Covered	Covered
Bravo Select (HMO) (H2108-001) Bravo Health	Special Needs Plan for patients covered by both Medicare and Medicaid	$29.40	Yes	Plan Doctors Only	Covered	Covered
Amerivantage Specialty + Rx (HMO) (H5896-007) Amerigroup Community Care	Special Needs Plan for patients covered by both Medicare and Medicaid	$30.20	Yes	Plan Doctors Only	Covered	Covered
Bravo Choice (HMO) (H2108-031) Bravo Health	Health Maintenance Organization	$31.00	Yes	Plan Doctors Only	Covered	Covered
Bravo Traditions (HMO) (H2108-020) Bravo Health	Special Needs Plan for patients who require a nursing home or the same amount of care as someone in a nursing home	$33.70	Yes	Plan Doctors Only	Covered	Covered
Evercare Plan IP (PPO) (H2111-001) Evercare® by UnitedHealthCare	Special Needs Plan for patients who require a nursing home or the same amount of care as someone in a nursing home	$33.70	Yes	Any Doctor	Covered	Covered
Ætna Medicare Standard Plan (HMO) (H2112-007) Ætna Medicare	Health Maintenance Organization	$34.00	Yes	Plan Doctors Only	Covered	Covered (for an extra cost)
Any, Any, Any MA Only (PFFS) (H5820 - 029) Universal Health Care Insurance Company Inc.	Private Fee for Service	$49.00	No	Any Willing Doctor	Covered	Covered
Any, Any, Any Gold (PFFS) (H5820 - 011) Universal Health Care Insurance Company Inc.	Private Fee for Service	$59.00	Yes	Any Willing Doctor	Covered	Covered
Bravo Freedom (PPO) (H9184-002) Bravo Health	Local Preferred Provider Organization	$61.00	Yes	Any Doctor	Covered	Not Covered
Care Improvement Plus Gold Rx (HMO) (H5665-002) Care Improvement Plus	Special Needs Plan for patients being treated for chronic heart failure or Diabetes mellitus	$74.00	Yes	Plan Doctors Only	Covered	Covered
Any, Any, Any Platinum (PFFS) (H5820 - 013) Universal Health Care Insurance Company Inc.	Private Fee for Service	$89.00	Yes	Any Willing Doctor	Covered	Covered
Today's Options Value (PFFS) (H3333 - 146) Universal American	Private Fee for Service	$90.00	No	Any Willing Doctor	Covered	Not Covered
Bravo Premier Plus (HMO-POS) (H2108-026) Bravo Health	Health Maintenance Organization with Point of Sale option - Let's you go outside the HMO system for an additional cost	$91.00	Yes	Plan Doctors Only (some exceptions	Covered	Covered
Today's Options Value powered by CCRx (PFFS) (H3333 - 147) Universal American	Private Fee for Service	$104.00	Yes	Any Willing Doctor	Covered	Not Covered
Ætna Medicare Premier Plan (HMO) (H2112-014) Ætna Medicare	Health Maintenance Organization	$126.00	Yes	Plan Doctors Only	Covered	Covered (for an extra cpst)
Today's Options Premier (PFFS) (H3333 - 144) Universal American	Private Fee for Service	$134.00	No	Any Willing Doctor	Covered	Not Covered
Ætna Medicare Standard Plan (PPO) (H5521-036) Ætna Medicare	Local Preferred Provider Organization	$140.00	Yes	Any Doctor	Covered	Covered (for an extra cost)
Today's Options Premier powered by CCRx (PFFS) (H3333 - 145) Universal American	Private Fee for Service	$175.00	Yes	Any Willing Doctor	Covered	Not Covered
Ætna Medicare Premier Plan (PPO) (H5521-035) Ætna Medicare	Local Preferred Provider Organization	$199.00	Yes	Any Doctor	Covered	Covered (for an extra cost)

Any willing doctor - Private-fee-for-service (PFFS) doctors who are in the Medicare program do not have to accept Medicare Advantage patients.

Above 2010 Medicare Advantage
With Drug Gap Coverage
Part C

The following plans have no annual drug deductible

Part C Plans	Drug Gap Coverage	Premium with Gap Coverage	Premium Without Gap Coverage
Amerivantage Choice + Rx (HMO-POS) (H5896-012-0) Amerigroup Community Care	"Some Generics"	$0	$0
Amerivantage Cllasic + Rx (HMO) (H5896-008-0) Amerigroup Community Care	"Some Generics"	$0	$0
Ætna Medicare Premier Plan (HMO) (H2112-014-0) Ætna Medicare	"Many Generics"	$159.20	$126.00
Today's Options Premier powered by CCRx (PFFS) (H3333 -145-0) Universal American	"All Generics"	$212.10	$175.00
Ætna Medicare Premier Plan (PPO) (H5521-035-0) Ætna Medicare	"Many Generics"	$254.20	$199.00

Medicare Advantage Baltimore County Maryland

Medicare Advantage 2011

Medicare Advantage 2010 Part C

Above 2010 Medicare Advantage With Drug Gap Coverage Part C

Medicare Advantage
Baltimore County
Maryland

Medicare Advantage 2010
Part C

Above 2010 Medicare Advantage
With Drug Gap Coverage
Part C