2022 Wharton County Texas
Medicare Advantage Plans

There are 30 Medicare Advantage Plans available in Wharton County TX from 10 different health insurance providers. 13 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $3300 and the highest out of pocket is $7550. Wharton County Texas residents can also pick from 14 Medicare Special Needs Plans. The best Medicare Advantage plan in Wharton 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)
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Name ⇅ Premium Deductible MOOP Gap Plan
AARP Medicare Advantage Choice (PPO)
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$10.00 $245.00 $6,700 YesEnroll
AARP Medicare Advantage Plan 1 (HMO-POS)
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$0 $195.00 $3,900 YesEnroll
Aetna Medicare Choice II Plan (PPO)
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$15.00 $195.00 $7,550 YesEnroll
Aetna Medicare Choice Plan (PPO)
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$0 $300.00 $7,550 YesEnroll
Amerivantage Classic (HMO)
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$0 $0 $7,550 YesEnroll
Amerivantage Classic Plus (HMO)
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$0 $0 $5,500 YesToo NewEnroll
Blue Cross Medicare Advantage Choice Plus (PPO)
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$0 $480.00 $7,550 YesEnroll
Blue Cross Medicare Advantage Choice Premier (PPO)
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$90.00 $295.00 $5,900 YesEnroll
Humana Gold Choice H8145-084 (PFFS)
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$97.00 $250.00 $- NoEnroll
HumanaChoice H5216-042 (PPO)
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$94.00 $200.00 $6,700 NoEnroll
HumanaChoice H5216-043 (PPO)
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$10.00 $250.00 $6,700 YesEnroll
HumanaChoice R4182-003 (Regional PPO)
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$92.00 $175.00 $7,200 NoEnroll
HumanaChoice R4182-004 (Regional PPO)
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$54.00 $175.00 $7,200 NoEnroll
KelseyCare Advantage Gold Community (HMO-POS)
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$15.00 $100.00 $3,450 YesEnroll
Molina Medicare Choice Care (HMO)
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$0 $125.00 $7,550 NoEnroll
Molina Medicare Choice Care Select (HMO)
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$0 $480.00 $7,550 NoEnroll
UnitedHealthcare Medicare Advantage Choice (Regional PPO)
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$49.00 $395.00 $7,550 YesEnroll
Wellcare Assist (HMO)
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$20.60 $480.00 $3,450 NoEnroll
Wellcare Giveback (HMO)
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$0 $300.00 $6,700 NoEnroll
Wellcare No Premium (HMO)
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$0 $0 $3,300 YesEnroll
Wellcare No Premium (HMO-POS)
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$0 $0 $4,500 YesEnroll

Return to 2022 Medicare Advantage Plans in Texas

Medicare Advantage Health Plans Without Drug Coverage

2022 Medicare Special Needs Plans in Wharton county Texas

Plan Name ⇅ Monthly
Part D
 Gap  Special Needs
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
Texas Independence Health Plan, Inc (HMO I-SNP)     $25.10 $480.0  No Gap Coverage InstitutionalNA
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 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 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

  • 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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