2022 Austin County Texas
Medicare Advantage Plans

There are 35 Medicare Advantage Plans available in Austin County TX from 10 different health insurance providers. 16 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 $7550. Austin County Texas residents can also pick from 14 Medicare Special Needs Plans. The best Medicare Advantage plan in Austin County Texas 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 Plan
Rating
Click
for
Formulary
AARP Medicare Advantage Choice (PPO)
(H1278-014)
$10.00 $245.00 $6,700 YesBrowse
Formulary
AARP Medicare Advantage Plan 1 (HMO-POS)
(H4527-037)
$0 $195.00 $3,900 YesBrowse
Formulary
AARP Medicare Advantage Plan 2 (HMO)
(H4514-007)
$0 $195.00 $5,900 YesBrowse
Formulary
Aetna Medicare Choice II Plan (PPO)
(H3288-018)
$15.00 $195.00 $7,550 YesBrowse
Formulary
Aetna Medicare Choice Plan (PPO)
(H3288-006)
$0 $300.00 $7,550 YesBrowse
Formulary
Amerivantage Classic (HMO)
(H2593-029)
$0 $0 $7,550 YesBrowse
Formulary
Amerivantage Classic Plus (HMO)
(H8849-008)
$0 $0 $5,500 YesToo NewBrowse
Formulary
Blue Cross Medicare Advantage Classic (PPO)
(H4801-010)
$0 $480.00 $6,500 YesToo NewBrowse
Formulary
Blue Cross Medicare Advantage Flex (PPO)
(H4801-014)
$215.40 $480.00 $- NoToo NewBrowse
Formulary
HumanaChoice H5216-042 (PPO)
(H5216-042)
$94.00 $200.00 $6,700 NoBrowse
Formulary
HumanaChoice H5216-043 (PPO)
(H5216-043)
$10.00 $250.00 $6,700 YesBrowse
Formulary
HumanaChoice R4182-003 (Regional PPO)
(R4182-003)
$92.00 $175.00 $7,200 NoBrowse
Formulary
HumanaChoice R4182-004 (Regional PPO)
(R4182-004)
$54.00 $175.00 $7,200 NoBrowse
Formulary
KelseyCare Advantage Gold Community (HMO-POS)
(H0332-008)
$15.00 $100.00 $3,450 YesBrowse
Formulary
Molina Medicare Choice Care (HMO)
(H7678-004)
$0 $125.00 $7,550 NoBrowse
Formulary
Molina Medicare Choice Care Select (HMO)
(H7678-005)
$0 $480.00 $7,550 NoBrowse
Formulary
UnitedHealthcare Medicare Advantage Choice (Regional PPO)
(R6801-012)
$49.00 $395.00 $7,550 YesBrowse
Formulary
Wellcare Assist (HMO)
(H0174-009)
$20.60 $480.00 $3,450 NoBrowse
Formulary
Wellcare Giveback (HMO)
(H0174-013)
$0 $300.00 $6,700 NoBrowse
Formulary
Wellcare No Premium (HMO)
(H0174-010)
$0 $0 $3,300 YesBrowse
Formulary
Wellcare No Premium (HMO-POS)
(H0174-012)
$0 $0 $4,500 YesBrowse
Formulary
Wellcare No Premium Open (PPO)
(H7323-003)
$0 $200.00 $6,700 YesNABrowse
Formulary
Wellcare No Premium Rx Plus Open (PPO)
(H7323-006)
$0 $300.00 $6,000 NoNABrowse
Formulary
Wellcare TexanPlus Classic No Premium (HMO)
(H4506-003)
$0 $0 $3,400 YesBrowse
Formulary
Wellcare TexanPlus No Premium (HMO-POS)
(H4506-029)
$0 $250.00 $3,400 YesBrowse
Formulary


Return to 2022 Medicare Advantage Plans in Texas





Medicare Advantage Health Plans Without Drug Coverage





2022 Medicare Special Needs Plans in Austin county Texas

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Amerivantage Dual Coordination (HMO D-SNP)     $25.10 $480.0  No Gap Coverage Dual-Eligible
Amerivantage Dual Coordination Plus (HMO D-SNP)     $25.10 $480.0  No Gap Coverage Dual-EligibleToo New
Amerivantage Dual Secure Plus (HMO D-SNP)     $25.10 $480.0  No Gap Coverage Dual-EligibleToo New
Amerivantage ESRD Care Plus (HMO C-SNP)     $0 $0  Few Generics Chronic or Disabling Condition
Community Health Choice (HMO D-SNP)     $25.10 $480.0  No Gap Coverage Dual-EligibleNA
Molina Medicare Complete Care (HMO D-SNP)     $25.10 $480.0  Some Generics Dual-Eligible
UnitedHealthcare Dual Complete (HMO D-SNP)     $25.10 $480.0  No Gap Coverage Dual-Eligible
UnitedHealthcare Dual Complete Choice (Regional PPO D-SNP     $25.10 $480.0  No Gap Coverage Dual-Eligible
UnitedHealthcare Medicare Gold (Regional PPO C-SNP)     $29.00 $295.0  Some Generics Chronic or Disabling Condition
UnitedHealthcare Medicare Silver (Regional PPO C-SNP)     $3.70 $480.0  No Gap Coverage Chronic or Disabling Condition
Wellcare Dual Access (HMO D-SNP)     $25.10 $480.0  No Gap Coverage Dual-Eligible
Wellcare Dual Access Open (PPO D-SNP)     $25.10 $480.0  No Gap Coverage Dual-EligibleNA
Wellcare Dual Liberty (HMO D-SNP)     $25.10 $480.0  No Gap Coverage Dual-Eligible
Wellcare Specialty No Premium (HMO C-SNP)     $0 $0  Many Chronic or Disabling Condition



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

  • 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
  • Many - Many Generics and Some Brands
  • Some - Some Generics and Few Brands

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 1, 2021.
Plans are subject to change as contracts are finalized.
Includes 2022 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2022, 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.


*Licensed Agent Disclaimer: We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE (TTY users should call 1-877-486-2048) 24 hours a day/7 days a week to get information on all of your options.

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