2018 Medicare Advantage Plans in Harris County Texas

2018 Medicare Advantage Plans in Harris County Texas

There are 41 Medicare Advantage Plans available in Harris County TX from 12 different health insurance providers. 16 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $2400 and the highest out of pocket is $6700. The highest rated plan available in Harris County received a 5 overall star rating from CMS and the lowest rated plan is 2.5 stars. Harris County Texas residents can also pick from 16 Medicare Special Needs Plans.



(Click the Plan Name for More Details)

Name Premium
C+D
Part D
Deductible
 Gap  MOOP Overall Rating Formulary Sign Up
AARP MedicareComplete Plan 1 (HMO)
$0.00 $75.00 No $3,400 FormularyEnroll
AARP MedicareComplete Plan 2 (HMO)
$0.00 $225.00 No $6,700 FormularyEnroll
Aetna Medicare Choice Plan (PPO)
$16.00 $95.00 Yes $6,700 FormularyEnroll
Aetna Medicare Premier Plan (HMO)
$0.00 $150.00 Yes $5,000 FormularyEnroll
Aetna Medicare Prime Plan (HMO)
$0.00 $350.00 Yes $3,400 FormularyEnroll
Aetna Medicare Value Plan (PPO)
$123.00 $0.00 Yes $6,700 FormularyEnroll
Amerivantage Classic (HMO)
$0.00 $0.00 Yes $5,500 FormularyEnroll
Amerivantage Select (HMO)
$0.00 $0.00 Yes $3,400 FormularyEnroll
Blue Cross Medicare Advantage Basic (HMO)
$0.00 $0.00 Yes $2,600 FormularyEnroll
Blue Cross Medicare Advantage Basic Plus (HMO-POS)
$0.00 $0.00 Yes $3,700 FormularyEnroll
Blue Cross Medicare Advantage Choice Plus (PPO)
$42.00 $405.00 Yes $6,700 FormularyEnroll
Blue Cross Medicare Advantage Choice Premier (PPO)
$83.00 $405.00 Yes $5,900 FormularyEnroll
Blue Cross Medicare Advantage Premier (HMO)
$47.00 $0.00 Yes $2,400 FormularyEnroll
Care Improvement Plus Medicare Advantage (Regional PPO)
$37.00 $290.00 No $6,700 FormularyEnroll
Cigna-HealthSpring Advantage (HMO)
$0.00 $3,400 Enroll
Cigna-HealthSpring Preferred (HMO)
$0.00 $0.00 Yes $3,400 FormularyEnroll
Erickson Advantage Freedom (HMO-POS)
$49.00 $0.00 No $3,400 Formulary
Erickson Advantage Signature with Drugs (HMO-POS)
$196.00 $0.00 No $5,000 Formulary
Erickson Advantage Signature without Drugs (HMO-POS)
$160.00 $5,000
Humana Gold Choice H8145-084 (PFFS)
$116.00 $250.00 No N/A FormularyEnroll
Humana Gold Choice H8145-126 (PFFS)
$50.00 N/A Enroll
Humana Gold Plus H2649-052 (HMO)
$0.00 $360.00 No $6,700 FormularyEnroll
Humana Gold Plus H2649-064 (HMO)
$0.00 $0.00 No $3,400 FormularyEnroll
HumanaChoice H5216-042 (PPO)
$87.00 $175.00 No $6,700 FormularyEnroll
HumanaChoice H5216-043 (PPO)
$15.00 $360.00 No $6,700 FormularyEnroll
HumanaChoice H5216-128 (PPO)
$0.00 $5,400 Enroll
HumanaChoice R4182-001 (Regional PPO)
$0.00 $5,400 Enroll
HumanaChoice R4182-003 (Regional PPO)
$89.00 $175.00 No $6,700 FormularyEnroll
HumanaChoice R4182-004 (Regional PPO)
$45.00 $175.00 No $6,700 FormularyEnroll
KelseyCare Advantage Essential (HMO)
$0.00 $3,400
KelseyCare Advantage Essential+Choice (HMO-POS)
$0.00 $3,400
KelseyCare Advantage Rx (HMO)
$0.00 $50.00 Yes $3,400 Formulary
KelseyCare Advantage Rx+Choice (HMO-POS)
$77.00 $50.00 Yes $3,400 Formulary
Memorial Hermann Advantage (HMO)
$0.00 $300.00 No $6,700 Formulary
Memorial Hermann Advantage (PPO)
$25.00 $300.00 No $6,700 Formulary
TexanPlus Choice (HMO-POS)
$0.00 $0.00 Yes $6,700 FormularyEnroll
TexanPlus Classic (HMO)
$0.00 $0.00 Yes $3,400 FormularyEnroll
TexanPlus Value (HMO)
$0.00 $3,000 Enroll
WellCare Dividend (HMO)
$0.00 $0.00 No $6,700 FormularyEnroll
WellCare Dividend Prime (HMO)
$0.00 $200.00 No $6,700 FormularyEnroll
WellCare Value (HMO-POS)
$0.00 $0.00 No $6,700 Formulary
Return to 2018 Medicare Advantage Plans in Texas

* Plan Type does not offer Medicare Part D drug coverage.



2018 Medicare Special Needs Plans in Harris county Texas

Plan Name Monthly
Consolidated
Premium C+D
Part D
Deductible
 Gap  Special Needs
Type
Overall Rating
Amerivantage Dual Coordination (HMO SNP)
(H5817- 024)
   24.6 405  Yes Dual-Eligible
Amerivantage Dual Premier (HMO SNP)
(H5817- 026)
   24.6 405  Yes Dual-Eligible
Care Improvement Plus Dual Advantage (Regional PPO SNP)
(R6801- 011)
   15.7 405  No Dual-Eligible
Care Improvement Plus Gold Rx (Regional PPO SNP)
(R6801- 009)
   15 295  No Chronic or Disabling Condition
Care Improvement Plus Silver Rx (Regional PPO SNP)
(R6801- 008)
   0 340  No Chronic or Disabling Condition
Cigna-HealthSpring TotalCare (HMO SNP)
(H4513- 010)
   17.8 405  No Dual-Eligible
Erickson Advantage Champion (HMO-POS SNP)
(H5652- 004)
   196 0  No Chronic or Disabling Condition
Erickson Advantage Guardian (HMO-POS SNP)
(H5652- 003)
   32.8 0  No Institutional
Humana Gold Plus SNP-DE H2649-048 (HMO SNP)
(H2649- 048)
   24.6 250  No Dual-Eligible
Humana Kidney Care (HMO-POS SNP)
(H2649- 056)
   24.6 0  No Chronic or Disabling Condition
Molina Medicare Options Plus (HMO SNP)
(H7678- 001)
   24.6 405  Yes Dual-Eligible
TexanPlus Star (HMO SNP)
(H0174- 001)
   24.6 405  No Dual-Eligible
UnitedHealthcare Dual Complete (HMO SNP)
(H4514- 001)
   20.4 405  No Dual-Eligible
UnitedHealthcare Nursing Home Plan (PPO SNP)
(H0710- 020)
   24.6 405  No Institutional
WellCare Access (HMO SNP)
(H1264- 007)
   20.8 405  No Dual-Eligible
WellCare Liberty (HMO SNP)
(H1264- 020)
   19.5 405  No Dual-Eligible


Plan Type Is the type of organization offering the Medicare Plans.

  • HMO - Health Maintenance Organization
  • PPO - Preferred Provider Organization
  • PDP - Prescription Drug Plan
  • SNP - Special Needs Plan
  • POS - Point of Service
  • PFFS - Private Fee For Service

Monthly Consolidated Premium (Includes Part C + D) Your premium may be lower depending on your eligibility for medical assistance. Call your provider for details.

Part D Total Premium: The Part D Total Premium is the sum of the Basic and Supplemental Premiums. Note: the Part D Total Premium is net of any Part A/B rebates applied to "buy down" the drug premium for Medicare Advantage; for some plans the total premium may be lower than the sum of the basic and supplemental premiums due to negative basic or supplemental premiums.

Benefit Type
  • (EA) Enhanced Alternative may offer additional gap coverage which is calculated as the percentage of generic formulary products with coverage above standard generic coverage gap cost-sharing benefit and/or the percentage of brand formulary products covered in addition to the coverage gap discount for applicable drugs.
  • (DS) Defined Standard Benefit
  • (BA) Basic Alternative
  • (AE) Actuarially Equivalent Standard

  • GAP

    In 2018 once you and your plan provider have spent $3750 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA "donut hole") Once you reach the coverage gap you will pay 35% of the plans cost for covered brand-name prescription drugs and 44% on generic drugs unless your plan offers additional coverage.

    Maximum Out-of-Pocket (MOOP) limit on enrollee spending that includes costs for all in-network Part A and Part B Services. NOT Part D - prescription drugs. N/A is defined as Not Applicable



    Source: CMS.

    Data as of September 5, 2017.

    Plans are subject to change as contracts are finalized.

    Includes 2018 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2018, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part D benefit.

    Call For A licensed Sales Agent

    1-855-492-4169

  • Mon-Fri 8:30am-8:00pm
  • Sat 10:00am-2:00pm (ET)

  • Call to Enroll!

    Call For A licensed Sales Agent

    1-855-492-4169

  • Mon-Fri 8:30am-8:00pm
  • Sat 9:00am-3:00pm (ET)

  • Call to Enroll!