2019 Medicare Advantage Plans in
Fort Bend County Texas

There are 33 Medicare Advantage Plans available in Fort Bend County TX from 10 different health insurance providers. 14 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $3000 and the highest out of pocket is $6700. Fort Bend County Texas residents can also pick from 13 Medicare Special Needs Plans. The highest rated plan available in Fort Bend County received a 5 overall star rating from CMS and the lowest rated plan is 3 stars


(Click the Plan Name for More Details)
(⇅ Click the Header to Sort)
Name ⇅ Premium Deductible MOOP Gap Click
for
Formulary
Plan
Rating
Sign
Up
Aetna Medicare Choice Plan (PPO)
$15.00 $245.00 $6,700 YesBrowse
Formulary
Enroll
Aetna Medicare Premier Plan (HMO)
$0 $295.00 $6,700 YesBrowse
Formulary
Enroll
Aetna Medicare Prime Plan (HMO)
$0 $195.00 $3,400 YesBrowse
Formulary
Enroll
Aetna Medicare Value Plan (PPO)
$150.00 $0 $6,700 YesBrowse
Formulary
Enroll
Allwell Medicare (HMO)
$0 $0 $3,400 NoBrowse
Formulary
NA
Amerivantage Classic (HMO)
$0 $0 $5,500 YesBrowse
Formulary
Amerivantage Select (HMO)
$0 $0 $3,400 YesBrowse
Formulary
Blue Cross Medicare Advantage Basic (HMO)
$0 $0 $3,400 YesBrowse
Formulary
Enroll
Blue Cross Medicare Advantage Choice Plus (PPO)
$20.00 $415.00 $6,700 YesBrowse
Formulary
Enroll
Blue Cross Medicare Advantage Choice Premier (PPO)
$90.00 $415.00 $5,900 YesBrowse
Formulary
Enroll
Humana Gold Choice H8145-084 (PFFS)
$116.00 $250.00 $- NoBrowse
Formulary
Enroll
Humana Gold Plus H0028-038 (HMO)
$0 $360.00 $6,700 NoBrowse
Formulary
Humana Gold Plus H0028-042 (HMO)
$0 $0 $3,400 NoBrowse
Formulary
HumanaChoice H5216-042 (PPO)
$87.00 $175.00 $6,700 NoBrowse
Formulary
Enroll
HumanaChoice H5216-043 (PPO)
$15.00 $295.00 $6,700 NoBrowse
Formulary
Enroll
HumanaChoice R4182-003 (Regional PPO)
$89.00 $175.00 $6,700 NoBrowse
Formulary
Enroll
HumanaChoice R4182-004 (Regional PPO)
$48.00 $175.00 $6,700 NoBrowse
Formulary
Enroll
KelseyCare Advantage Rx (HMO)
$0 $50.00 $3,400 YesBrowse
Formulary
KelseyCare Advantage Rx+Choice (HMO-POS)
$77.00 $50.00 $3,400 YesBrowse
Formulary
Memorial Hermann Advantage (HMO)
$0 $300.00 $3,900 NoBrowse
Formulary
WellCare Dividend Prime (HMO)
$0 $200.00 $6,700 NoBrowse
Formulary
NA
WellCare TexanPlus Choice (HMO-POS)
$0 $0 $6,700 YesBrowse
Formulary
Enroll
WellCare TexanPlus Classic (HMO)
$0 $0 $3,400 YesBrowse
Formulary
Enroll
WellCare Value (HMO-POS)
$0 $200.00 $4,500 YesBrowse
Formulary
NA


Return to 2019 Medicare Advantage Plans in Texas





Medicare Advantage Health Plans Without Drug Coverage

Plan Name ⇅ Premium Type MOOP Overall
Rating
Sign Up
HumanaChoice H5216-128 (PPO)
$0 Local PPO * $5,400 Enroll
HumanaChoice R4182-001 (Regional PPO)
$0 Regional PPO * $5,700 Enroll
KelseyCare Advantage Essential (HMO)
$0 Local HMO * $3,400
KelseyCare Advantage Essential+Choice (HMO-POS)
$0 Local HMO * $3,400
Lasso Healthcare (MSA)
MSA * $- NA
WellCare TexanPlus Value (HMO)
$0 Local HMO * $3,000 Enroll





2019 Medicare Special Needs Plans in Fort Bend county Texas

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Click
for
Formulary
Allwell Dual Medicare (HMO SNP)
(H5294- 007)
    $24.00 $185.0  No Dual-EligibleBrowse
Formulary
Amerivantage Dual Coordination (HMO SNP)
(H2593- 030)
    $24.00 $415.0  Yes Dual-EligibleBrowse
Formulary
Amerivantage Dual Premier (HMO SNP)
(H2593- 032)
    $24.00 $415.0  Yes Dual-EligibleBrowse
Formulary
Fresenius Total Health (PPO SNP)
(H9312- 009)
    $24.00 $415.0  No Chronic or Disabling ConditionNABrowse
Formulary
Humana Gold Plus SNP-DE H0028-031 (HMO SNP)
(H0028- 031)
    $23.90 $310.0  No Dual-EligibleBrowse
Formulary
Humana Gold Plus SNP-DE H0028-033 (HMO SNP)
(H0028- 033)
    $23.90 $365.0  No Dual-EligibleBrowse
Formulary
WellCare Access (HMO SNP)
(H0174- 004)
    $24.00 $415.0  No Dual-EligibleNABrowse
Formulary
WellCare Liberty (HMO SNP)
(H0174- 006)
    $24.00 $415.0  No Dual-EligibleNABrowse
Formulary
WellCare TexanPlus Star (HMO SNP)
(H0174- 001)
    $24.00 $415.0  No Dual-EligibleNABrowse
Formulary



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 2019 once you and your plan provider have spent $3820 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 25% of the plans cost for covered brand-name prescription drugs and 37% 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, 2018.
Star Rating as of October 10, 2018.
For More Information on Ratings Please See the CMS Tech Notes.
Plans are subject to change as contracts are finalized.
Includes 2019 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2019, 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.


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