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The 2021 Medicare Advantage Plans in Bexar County TX.

2020 Bexar County Texas
Medicare Advantage Plans

There are 33 Medicare Advantage Plans available in Bexar County TX from 12 different health insurance providers. 13 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $3400 and the highest out of pocket is $6700. Bexar County Texas residents can also pick from 22 Medicare Special Needs Plans. The highest rated plan available in Bexar County received a 5 overall star rating from CMS and the lowest rated plan is 3 stars

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Name ⇅ Premium Deductible MOOP Gap Plan
AARP Medicare Advantage SecureHorizons (HMO)
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$0 $195.00 $3,900 YesEnroll
AARP Medicare Advantage Walgreens (PPO)
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$0 $345.00 $6,400 NoToo NewEnroll
Aetna Medicare Choice Plan (PPO)
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$15.00 $300.00 $6,700 YesToo NewEnroll
Aetna Medicare Plus Plan (PPO)
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$0 $350.00 $6,700 YesToo NewEnroll
Aetna Medicare Premier Plan (HMO)
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$0 $250.00 $5,500 YesEnroll
Aetna Medicare Prime Plan (HMO)
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$0 $250.00 $3,400 YesEnroll
Allwell Medicare (HMO)
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$0 $0 $3,900 NoEnroll
Amerivantage Classic (HMO)
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$0 $0 $5,600 YesEnroll
Amerivantage Select (HMO)
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$0 $0 $3,500 YesEnroll
Blue Cross Medicare Advantage Choice Plus (PPO)
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$0 $435.00 $6,700 YesEnroll
Blue Cross Medicare Advantage Value (HMO)
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$0 $255.00 $4,000 YesEnroll
Cigna-HealthSpring Preferred (HMO)
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$0 $0 $3,400 YesEnroll
Cigna-HealthSpring Preferred (HMO)
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$0 $0 $3,900 NoEnroll
Clover Health Choice (PPO)
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$0 $0 $6,700 NoEnroll
Clover Health Classic (HMO)
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$0 $0 $3,400 NoToo NewEnroll
Humana Gold Choice H8145-084 (PFFS)
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$134.00 $250.00 $- NoEnroll
Humana Gold Plus H0028-030 (HMO)
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$0 $195.00 $3,400 NoEnroll
HumanaChoice H5216-042 (PPO)
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$92.00 $175.00 $6,700 NoEnroll
HumanaChoice H5216-043 (PPO)
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$18.00 $295.00 $6,700 NoEnroll
HumanaChoice R4182-003 (Regional PPO)
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$95.00 $175.00 $6,700 NoEnroll
HumanaChoice R4182-004 (Regional PPO)
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$54.00 $175.00 $6,700 NoEnroll
Imperial Health Insurance Traditional (HMO)
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$0 $0 $4,000 YesToo NewEnroll
Mutual of Omaha CareAdvantage Complete (HMO)
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$0 $0 $3,400 NoToo NewEnroll
UnitedHealthcare Medicare Advantage Choice (Regional PPO)
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$42.00 $395.00 $6,700 NoEnroll
WellCare Dividend Prime (HMO)
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$0 $300.00 $6,700 NoEnroll
WellCare Prime (PPO)
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$0 $250.00 $3,400 NoToo NewEnroll
WellCare TexanPlus Classic (HMO)
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$0 $250.00 $3,500 YesEnroll
WellCare Value (HMO-POS)
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$0 $0 $4,500 YesEnroll

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Medicare Advantage Health Plans Without Drug Coverage

Plan Name ⇅ Premium Type MOOP Overall
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AARP Medicare Advantage SecureHorizons Essential (HMO)
$0 Local HMO * $3,900 Enroll
Humana Gold Choice H8145-126 (PFFS)
$69.00 PFFS * $- Enroll
HumanaChoice H5216-128 (PPO)
$0 Local PPO * $5,400 Enroll
HumanaChoice R4182-001 (Regional PPO)
$0 Regional PPO * $5,700 Enroll
Lasso Healthcare (MSA)
MSA * $- NAEnroll

2020 Medicare Special Needs Plans in Bexar county Texas

Plan Name ⇅ Monthly
Part D
 Gap  Special Needs
Aetna Medicare Dual Complete Plan (HMO D-SNP)     $17.90 $275.0  No Dual-EligibleToo New
Allwell Dual Medicare (HMO D-SNP)     $15.60 $200.0  No Dual-Eligible
Amerivantage Dual Coordination (HMO D-SNP)     $20.30 $435.0  Yes Dual-Eligible
Amerivantage Dual Secure (HMO D-SNP)     $20.40 $435.0  Yes Dual-Eligible
Amerivantage ESRD (HMO-POS C-SNP)     $6.90 $100.0  Yes Chronic or Disabling Condition
Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)     $20.80 $435.0  No Dual-EligibleToo New
Cigna-HealthSpring TotalCare (HMO D-SNP)     $15.90 $435.0  No Dual-Eligible
Cigna-HealthSpring TotalCare (HMO D-SNP)     $17.50 $435.0  No Dual-Eligible
Humana Gold Plus - Diabetes and Heart (HMO C-SNP)     $0 $195.0  No Chronic or Disabling Condition
Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP)     $20.70 $435.0  No Dual-Eligible
Imperial Health Insurance Dual (HMO D-SNP)     $20.80 $435.0  Yes Dual-EligibleToo New
Imperial Health Insurance Value (HMO C-SNP)     $0 $0  Yes Chronic or Disabling ConditionToo New
Molina Medicare Complete Care (HMO D-SNP)     $20.80 $435.0  Yes Dual-Eligible
ProCare Advantage (HMO I-SNP)     $20.80 $435.0  No InstitutionalToo New
UnitedHealthcare Chronic Complete (HMO C-SNP)     $0 $0  Yes Chronic or Disabling Condition
UnitedHealthcare Dual Complete (HMO D-SNP)     $3.10 $435.0  No Dual-Eligible
UnitedHealthcare Dual Complete Choice (Regional PPO D-SNP     $20.40 $435.0  No Dual-Eligible
UnitedHealthcare Medicare Gold (Regional PPO C-SNP)     $29.00 $295.0  No Chronic or Disabling Condition
UnitedHealthcare Medicare Silver (Regional PPO C-SNP)     $0 $403.0  No Chronic or Disabling Condition
WellCare Access (HMO D-SNP)     $20.80 $435.0  No Dual-Eligible
WellCare Guardian (HMO C-SNP)     $0 $0  Yes Chronic or Disabling Condition
WellCare Liberty (HMO D-SNP)     $20.80 $435.0  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


In 2020 once you and your plan provider have spent $4020 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 25% 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 3, 2019.
Star Rating as of October 11, 2019.
For More Information on Ratings Please See the CMS Tech Notes.
Plans are subject to change as contracts are finalized.
Includes 2020 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2020, 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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