2020 Lee County Texas
Medicare Advantage Plans

There are 24 Medicare Advantage Plans available in Lee County TX from 8 different health insurance providers. 8 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. Lee County Texas residents can also pick from 8 Medicare Special Needs Plans. The highest rated plan available in Lee County received a 4.5 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 Plan
Aetna Medicare Choice II Plan (PPO)
More details...
$15.00 $300.00 $6,700 YesToo NewEnroll
Aetna Medicare Choice Plan (PPO)
More details...
$0 $350.00 $6,700 YesToo NewEnroll
Amerivantage Classic (HMO)
More details...
$0 $0 $6,700 YesEnroll
Blue Cross Medicare Advantage Basic (HMO)
More details...
$23.00 $300.00 $6,700 YesEnroll
Blue Cross Medicare Advantage Choice Plus (PPO)
More details...
$20.00 $435.00 $6,700 YesEnroll
Blue Cross Medicare Advantage Choice Premier (PPO)
More details...
$90.00 $435.00 $5,900 YesEnroll
Humana Gold Choice H8145-084 (PFFS)
More details...
$134.00 $250.00 $- NoEnroll
HumanaChoice R4182-003 (Regional PPO)
More details...
$95.00 $175.00 $6,700 NoEnroll
HumanaChoice R4182-004 (Regional PPO)
More details...
$54.00 $175.00 $6,700 NoEnroll
SeniorCare Advantage Basic (PPO)
More details...
$36.00 $250.00 $6,700 NoEnroll
SeniorCare Advantage Platinum (PPO)
More details...
$136.00 $50.00 $3,500 YesEnroll
SeniorCare Advantage Preferred Rx (HMO)
More details...
$131.00 $100.00 $3,900 NoEnroll
SeniorCare Advantage Premium Rx (HMO)
More details...
$241.00 $0 $3,400 YesEnroll
SeniorCare Advantage Select Rx (HMO)
More details...
$0 $300.00 $5,300 NoEnroll
UnitedHealthcare Medicare Advantage Choice (Regional PPO)
More details...
$42.00 $395.00 $6,700 NoEnroll
WellCare Prime (PPO)
More details...
$20.00 $200.00 $6,700 NoToo NewEnroll
WellCare TexanPlus Classic (HMO)
More details...
$0 $200.00 $4,000 NoEnroll

Return to 2020 Medicare Advantage Plans in Texas

Medicare Advantage Health Plans Without Drug Coverage

Plan Name ⇅ Premium Type MOOP Overall
Sign Up
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 * $- NA
SeniorCare Advantage Preferred (HMO)
$90.00 Local HMO * $3,900
SeniorCare Advantage Premium (HMO)
$199.00 Local HMO * $3,400
SeniorCare Advantage Select (HMO)
$0 Local HMO * $5,300

2020 Medicare Special Needs Plans in Lee county Texas

Plan Name ⇅ Monthly
Part D
 Gap  Special Needs
Amerivantage Dual Coordination (HMO D-SNP)     $20.30 $435.0  Yes Dual-Eligible
Amerivantage Dual Secure (HMO D-SNP)     $18.90 $435.0  Yes Dual-Eligible
Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)     $20.80 $435.0  No Dual-EligibleToo New
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 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.

Call For A licensed Sales Agent


  • Mon-Fri 8:30am-8:00pm

Or Enroll Online Here

Call to Enroll!