2021 Comal County Texas
Medicare Advantage Plans

There are 32 Medicare Advantage Plans available in Comal County TX from 11 different health insurance providers. 12 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $2999 and the highest out of pocket is $7550. Comal County Texas residents can also pick from 24 Medicare Special Needs Plans. The best Medicare Advantage plan in Comal County Texas received a 4.5 overall star rating from CMS and the lowest rated plan is 3 stars.



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(⇅ Click the Header to Sort)

Name ⇅ Premium Deductible MOOP Gap Plan
Rating
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AARP Medicare Advantage Choice (PPO)
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$0 $345.00 $6,400 NoToo NewEnroll
AARP Medicare Advantage SecureHorizons (HMO)
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$0 $0 $3,900 YesEnroll
Aetna Medicare Choice Plan (PPO)
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$15.00 $300.00 $7,550 YesToo NewEnroll
Aetna Medicare Premier Plan (HMO)
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$0 $250.00 $5,900 YesEnroll
Aetna Medicare Prime Plan (HMO)
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$0 $250.00 $5,000 YesEnroll
Aetna Medicare Value Plan (HMO)
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$0 $150.00 $4,500 YesToo NewEnroll
Allwell Medicare (HMO)
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$0 $0 $7,550 NoEnroll
Allwell Medicare (HMO)
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$0 $0 $4,300 NoEnroll
Allwell Medicare Complement (HMO)
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$14.10 $445.00 $3,450 NoEnroll
Amerivantage Classic (HMO)
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$0 $0 $7,550 YesEnroll
Amerivantage Classic Plus (HMO)
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$0 $0 $5,600 YesToo NewEnroll
Blue Cross Medicare Advantage Choice Plus (PPO)
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$0 $350.00 $7,550 YesEnroll
Blue Cross Medicare Advantage Value (HMO)
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$0 $195.00 $4,000 YesEnroll
CFHP Medicare Advantage with Part D Standard Plan (HMO)
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$0 $300.00 $7,550 NoToo NewEnroll
Humana Gold Plus H0028-030 (HMO)
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$0 $195.00 $3,900 NoEnroll
HumanaChoice H5216-042 (PPO)
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$93.00 $175.00 $6,700 NoEnroll
HumanaChoice H5216-043 (PPO)
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$10.00 $295.00 $6,700 NoEnroll
HumanaChoice R4182-003 (Regional PPO)
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$93.00 $175.00 $7,200 NoEnroll
HumanaChoice R4182-004 (Regional PPO)
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$55.00 $175.00 $7,200 NoEnroll
Imperial Insurance Company Traditional (HMO)
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$0 $0 $2,999 YesToo NewEnroll
UnitedHealthcare Medicare Advantage Choice (Regional PPO)
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$49.00 $395.00 $7,550 NoEnroll
WellCare Compass (HMO)
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$16.20 $445.00 $3,450 NoEnroll
WellCare Dividend Prime (HMO)
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$0 $300.00 $6,700 NoEnroll
WellCare Rx Plus (PPO)
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$0 $300.00 $6,000 NoToo NewEnroll
WellCare TexanPlus Classic (HMO)
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$0 $0 $3,400 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
Rating
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AARP Medicare Advantage Patriot (HMO)
$0 Local HMO * $5,400 Enroll
Allwell Medicare Simple (HMO)
$0 Local HMO * $3,450 Enroll
Humana Honor (PPO)
$0 Local PPO * $5,400 Enroll
HumanaChoice R4182-001 (Regional PPO)
$0 Regional PPO * $5,700 Enroll
Lasso Healthcare Growth (MSA)
MSA * $- Too NewEnroll
Lasso Healthcare Growth Plus (MSA)
MSA * $- Too NewEnroll





2021 Medicare Special Needs Plans in Comal county Texas

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Aetna Medicare Dual Complete Plan (HMO D-SNP)     $20.60 $220.0  No Dual-EligibleToo New
Allwell Dual Medicare Harmony (HMO D-SNP)     $20.30 $445.0  No Dual-Eligible
Allwell Medicare Nurture (HMO D-SNP)     $22.50 $445.0  No Dual-Eligible
Amerivantage Dual Coordination (HMO D-SNP)     $22.50 $445.0  Yes Dual-Eligible
Amerivantage Dual Coordination Plus (HMO D-SNP)     $22.50 $445.0  Yes Dual-EligibleToo New
Amerivantage Dual Secure (HMO D-SNP)     $22.50 $445.0  Yes Dual-Eligible
Amerivantage Dual Secure Plus (HMO D-SNP)     $20.60 $445.0  Yes Dual-EligibleToo New
Amerivantage ESRD Care (HMO-POS C-SNP)     $22.50 $100.0  Yes Chronic or Disabling Condition
Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)     $23.30 $445.0  No Dual-EligibleToo New
CFHP Medicare Advantage D-SNP Standard Plan (HMO D-SNP)     $22.50 $445.0  No Dual-EligibleToo New
Humana Gold Plus - Diabetes and Heart (HMO C-SNP)     $0 $200.0  No Chronic or Disabling Condition
Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP)     $22.50 $445.0  No Dual-Eligible
Imperial Insurance Company Dual (HMO D-SNP)     $22.50 $445.0  Yes Dual-EligibleToo New
Imperial Insurance Value (HMO C-SNP)     $0 $0  Yes Chronic or Disabling ConditionToo New
Molina Medicare Complete Care (HMO D-SNP)     $22.50 $445.0  Yes Dual-Eligible
UnitedHealthcare Chronic Complete (HMO C-SNP)     $0 $0  Yes Chronic or Disabling Condition
UnitedHealthcare Dual Complete (HMO D-SNP)     $16.40 $445.0  No Dual-Eligible
UnitedHealthcare Dual Complete Choice (Regional PPO D-SNP     $22.50 $445.0  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)     $4.90 $445.0  No Chronic or Disabling Condition
WellCare Access (HMO D-SNP)     $17.70 $445.0  No Dual-Eligible
WellCare Guardian (HMO C-SNP)     $0 $0  Yes Chronic or Disabling Condition
WellCare Imperial (PPO D-SNP)     $22.50 $445.0  No Dual-EligibleToo New
WellCare Liberty (HMO D-SNP)     $20.30 $445.0  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

GAP

In 2021 once you and your plan provider have spent $4130 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 8, 2020.
Plans are subject to change as contracts are finalized.
Includes 2021 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2021, 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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