x

You are Currently Viewing the 2022 Medicare Plans.
Click here If you Would Like to See
The 2023 Medicare Advantage Plans in Orange County TX.



2022 Orange County Texas
Medicare Advantage Plans

There are 41 Medicare Advantage Plans available in Orange County TX from 12 different health insurance providers. 22 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. Orange County Texas residents can also pick from 19 Medicare Special Needs Plans. The best Medicare Advantage plan in Orange County Texas 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
Rating
Click
for
Formulary
AARP Medicare Advantage Choice (PPO)
(H1278-014)

$10.00$245.00$6,700YesBrowse
Formulary
AARP Medicare Advantage Plan 1 (HMO-POS)
(H4527-037)

$0$195.00$3,900YesBrowse
Formulary
Aetna Medicare Choice II Plan (PPO)
(H3288-018)

$15.00$195.00$7,550YesBrowse
Formulary
Aetna Medicare Choice Plan (PPO)
(H3288-006)

$0$300.00$7,550YesBrowse
Formulary
Aetna Medicare Premier Plan (HMO)
(H4523-015)

$0$200.00$6,700YesBrowse
Formulary
Amerivantage Classic (HMO)
(H2593-029)

$0$0$7,550YesBrowse
Formulary
Amerivantage Classic Plus (HMO)
(H8849-008)

$0$0$5,500YesToo NewBrowse
Formulary
Blue Cross Medicare Advantage Basic (HMO)
(H8133-001)

$0$0$3,400YesBrowse
Formulary
Blue Cross Medicare Advantage Classic (PPO)
(H4801-010)

$0$480.00$6,500YesToo NewBrowse
Formulary
Blue Cross Medicare Advantage Flex (PPO)
(H4801-014)

$215.40$480.00$-NoToo NewBrowse
Formulary
Cigna Alliance Medicare (HMO)
(H4513-064)

$0$190.00$3,400YesBrowse
Formulary
Cigna Preferred Medicare (HMO)
(H4513-061)

$0$190.00$3,400YesBrowse
Formulary
Cigna Preferred Savings Medicare (HMO)
(H4513-066)

$0$190.00$6,700YesBrowse
Formulary
Devoted Health Core Greater Houston (HMO)
(H7993-001)

$0$0$3,400YesBrowse
Formulary
Devoted Health Prime Greater Houston (HMO)
(H7993-002)

$25.10$0$3,400YesBrowse
Formulary
Humana Gold Plus H0028-042 (HMO)
(H0028-042)

$0$0$3,450YesBrowse
Formulary
HumanaChoice H5216-042 (PPO)
(H5216-042)

$94.00$200.00$6,700NoBrowse
Formulary
HumanaChoice H5216-043 (PPO)
(H5216-043)

$10.00$250.00$6,700YesBrowse
Formulary
HumanaChoice R4182-003 (Regional PPO)
(R4182-003)

$92.00$175.00$7,200NoBrowse
Formulary
HumanaChoice R4182-004 (Regional PPO)
(R4182-004)

$54.00$175.00$7,200NoBrowse
Formulary
Molina Medicare Choice Care (HMO)
(H7678-004)

$0$125.00$7,550NoBrowse
Formulary
Molina Medicare Choice Care Select (HMO)
(H7678-005)

$0$480.00$7,550NoBrowse
Formulary
UnitedHealthcare Medicare Advantage Choice (Regional PPO)
(R6801-012)

$49.00$395.00$7,550YesBrowse
Formulary
Wellcare Assist (HMO)
(H0174-009)

$20.60$480.00$3,450NoBrowse
Formulary
Wellcare Giveback (HMO)
(H0174-013)

$0$300.00$6,700NoBrowse
Formulary
Wellcare No Premium (HMO)
(H0174-010)

$0$0$3,300YesBrowse
Formulary
Wellcare No Premium (HMO-POS)
(H0174-012)

$0$0$4,500YesBrowse
Formulary
Wellcare No Premium Open (PPO)
(H7323-003)

$0$200.00$6,700YesNABrowse
Formulary
Wellcare No Premium Rx Plus Open (PPO)
(H7323-006)

$0$300.00$6,000NoNABrowse
Formulary
Wellcare TexanPlus Classic No Premium (HMO)
(H4506-003)

$0$0$3,400YesBrowse
Formulary
Wellcare TexanPlus No Premium (HMO-POS)
(H4506-029)

$0$250.00$3,400YesBrowse
Formulary


Return to 2022 Medicare Advantage Plans in Texas

Palo Pinto County Medicare Advantage





Medicare Advantage Health Plans Without Drug Coverage





2022 Medicare Special Needs Plans in Orange county Texas

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Aetna Medicare Dual Complete Plan (HMO D-SNP) $24.70$480.0No Gap CoverageDual-Eligible
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
Amerivantage ESRD Care Plus (HMO C-SNP) $0$0Few GenericsChronic or Disabling Condition
Cigna TotalCare (HMO D-SNP) $5.10$480.0No Gap CoverageDual-Eligible
Community Health Choice (HMO D-SNP) $25.10$480.0No Gap CoverageDual-EligibleNA
Humana Gold Plus SNP-DE H0028-033 (HMO D-SNP) $25.10$480.0No Gap CoverageDual-Eligible
Molina Medicare Complete Care (HMO D-SNP) $25.10$480.0Some GenericsDual-Eligible
ProCare Advantage (HMO I-SNP) $25.10$480.0No Gap CoverageInstitutionalNA
Provider Partners Texas Advantage Plan (HMO I-SNP) $25.10$480.0No Gap CoverageInstitutionalToo New
Provider Partners Texas Community Plan (HMO I-SNP) $25.10$480.0No Gap CoverageInstitutionalToo New
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 (HMO D-SNP) $25.10$480.0No Gap CoverageDual-Eligible
Wellcare Dual Access Open (PPO D-SNP) $25.10$480.0No Gap CoverageDual-EligibleNA
Wellcare Dual Liberty (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.


      Site Search:

MedicareHelp.org is a privately-owned Non-governmental agency. The government website can be found at HealthCare.gov.

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.