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The 2023 Medicare Advantage Plans in Gonzales County TX.



2022 Gonzales County Texas
Medicare Advantage Plans

There are 26 Medicare Advantage Plans available in Gonzales County TX from 9 different health insurance providers. 9 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $3450 and the highest out of pocket is $7550. Gonzales County Texas residents can also pick from 10 Medicare Special Needs Plans. The best Medicare Advantage plan in Gonzales County Texas received a 4.5 overall star rating from CMS and the lowest rated plan is 3 stars.



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Medicare Advantage Health Plans Without Drug Coverage





2022 Medicare Special Needs Plans in Gonzales county Texas

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Amerivantage Dual Coordination (HMO D-SNP) $25.10$480.0No Gap CoverageDual-Eligible
Amerivantage Dual Coordination Plus (HMO D-SNP) $25.10$480.0No Gap CoverageDual-EligibleToo New
Amerivantage Dual Secure Plus (HMO D-SNP) $25.10$480.0No Gap CoverageDual-EligibleToo New
Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) $18.80$480.0No Gap CoverageDual-EligibleNA
UnitedHealthcare Dual Complete (HMO D-SNP) $25.10$480.0No Gap CoverageDual-Eligible
UnitedHealthcare Dual Complete Choice (Regional PPO D-SNP $25.10$480.0No Gap CoverageDual-Eligible
UnitedHealthcare Medicare Gold (Regional PPO C-SNP) $29.00$295.0Some GenericsChronic or Disabling Condition
UnitedHealthcare Medicare Silver (Regional PPO C-SNP) $3.70$480.0No Gap CoverageChronic or Disabling Condition
Wellcare Dual Access Harmony (HMO D-SNP) $25.10$480.0No Gap CoverageDual-Eligible
Wellcare Dual Liberty Nurture (HMO D-SNP) $25.10$480.0No Gap CoverageDual-Eligible



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.


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Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options. Enrollment depends on the plan’s contract renewal.

Every year, Medicare evaluates plans based on a 5-star rating system.