Houston, Texas, has 919,547 Medicare beneficiaries enrolled in either an Original Medicare plan or a Medicare Advantage plan. In this group, 460,615 enrollees have Original Medicare, and 458,932, or 49.91%, have Medicare Advantage. Let’s explore the supplemental plans available for Medicare in Houston, Texas.
Medicare plans in Houston, Texas
Supplemental Medicare plans offer many benefits to Medicare beneficiaries. First, choose between Medigap or Medicare Advantage plans to supplement Part A and Part B. These plans help pay for costs Medicare does not cover. In Houston, Texas, Original Medicare recipients breakdown to 46.08% male and 53.92% female enrollees with an average age of 72.
Medicare Advantage plans
Medicare Advantage plans are quite popular. More than 458,932 beneficiaries can access Houston, Texas, Medicare Advantage plans. People residing in Harris County can choose from over 69 plans.
HMO-POS plans have zero monthly premiums, a maximum out-of-pocket (MOOP) rate of $3,900, and a four-star rating. These plans combine features of both HMO and PPOs, making them a versatile choice.
Imperial HMO plans have zero monthly premiums with a MOOP rate of $3,400. Imperial plans offer services for patients that require Special Needs Plans (SNPs).
Cigna HMO plans have zero monthly premiums, a MOOP rate of $4,300, and a four-star rating. Cigna lets you choose from a local network of doctors and hospitals.
Another option is KelseyCare’s HMO plans with zero monthly premiums, a MOOP rate of $3,450, and a five-star rating. These plans let you visit contracted providers and services without a referral.
Lastly, Humana Regional PPO plans allow you to visit any Medicare-approved doctor. Besides the zero monthly premium, this plan has a MOOP rate of $5,700 and a four-star rating.
The average costs of Medicare Advantage plans in Houston, Texas
| PLAN | PREMIUM | MOOP | Plan Type | Star Rating |
| $0 | $3,900 | HMOPOS | 4 | |
| Imperial | $0 | $3,400 | HMO | N/A |
| Cigna | $0 | $4,300 | HMO | 4 |
| KelseyCare | $0 | $3,450 | HMO | 5 |
| Humana | $0 | $5,700 | REGIONAL PPO | 4 |
Medicare Supplement plans
Medicare supplement plans cover out-of-pocket expenses or gaps in Medicare coverage. Plan benefits for Medicare Supplements in Houston, Texas, remain the same in all states.
Plan G is a popular Medicare Supplement plan that ranges from $133.30 to $533.12 monthly. This plan covers 100% of Medicare Part A and B costs except for the Part B deductible.
Another choice is Plan HDG. This plan is available for $38.50 to $85.63. Compared to Plan G, HDG has lower premiums but higher deductibles.
Lastly, you can select Plan F. This plan ranges from $152.86 to $562.15. Plan F offers coverage for foreign travel emergencies and skilled nursing facility coinsurance.
The average costs of Medicare Advantage plans in Houston, Texas
| LETTER PLAN | LOWEST PREMIUM | HIGHEST PREMIUM |
| PLAN A | $133.20 | $748.75 |
| PLAN B | $155.99 | $386.50 |
| PLAN C | $158.23 | $473.12 |
| PLAN D | $147.90 | $243.00 |
| PLAN F | $152.86 | $562.15 |
| PLAN HDF | $42.00 | $91.79 |
| PLAN G | $133.30 | $533.12 |
| PLAN HDG | $38.50 | $85.63 |
| PLAN K | $63.27 | $158.50 |
| PLAN L | $87.50 | $280.00 |
| PLAN M | $94.15 | $94.15 |
| PLAN N | $101.07 | $509.05 |
Medicare Part D prescription drug plans
Medicare Part D is a prescription medicine plan that is separate from Medicare. After you enroll in Medicare, we recommend enrolling in a Houston, Texas, Part D prescription drug plan. Many Medicare Advantage plans cover prescription medicines.
Wellcare’s plan costs $12.90 per month with a deductible of $480 and has a three-star rating. The Clear Spring Health plan has a monthly premium of $17.70, a deductible of $480, and a two-star rating. For Cigna, the monthly premium is $23.10, with a $480 deductible and a three-star rating.
The average costs of Medicare Part D plans in Houston, Texas
| PLAN | PREMIUM | DEDUCTIBLE | STAR RATING |
| Aetna | $6.90 | $480.00 | 3 |
| Wellcare | $12.90 | $480.00 | 3 |
| Clear Spring Health | $17.70 | $480.00 | 2 |
| Humana | $22.70 | $480.00 | 4 |
| Cigna | $23.10 | $480.00 | 3 |
Special Needs plans
Patients with special needs can join Special Needs Plans (SNPs) through Medicare Advantage. These plans are highly beneficial for individuals with chronic disabilities. Patients with disabilities may qualify for Medicare earlier.
HMO-POS plans include chronic or disabling conditions with no monthly premiums and a MOOP of $3,900. Another option is Memorial Herman’s HMO, which has zero premiums with a MOOP rate of $7,550 and dual eligibility. Lastly, the Aetna HMO charges no monthly premiums with a MOOP rate of $7,550 and dual eligibility.
The average costs of Medicare Special Needs plans in Houston, Texas
| PLAN | PREMIUM | MOOP | Plan Type | Eligibility |
| Memorial Herman | $0 | $7,550 | HMO | Dual |
| Molina Healthcare | $0 | $7,550 | HMO | Dual |
| $0 | $3,900 | HMO-POS | Chronic or Disabling | |
| Aetna | $0 | $7,550 | HMO | Dual |
| Humana | $0 | $7,550 | HMO | Dual |
How to sign up for Medicare plans in Houston, TX
Let us help you find the Medicare supplement plan that is right for you. We work with all carriers and compare plans to find the best one for you. Get in touch with us by phone or complete our rate form to get rates for Medicare in Houston, Texas.
