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The 2023 Medicare Advantage Plans in Wilson County TX.



2022 Wilson County Texas
Medicare Advantage Plans

There are 38 Medicare Advantage Plans available in Wilson County TX from 11 different health insurance providers. 18 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $3200 and the highest out of pocket is $7550. Wilson County Texas residents can also pick from 17 Medicare Special Needs Plans. The best Medicare Advantage plan in Wilson 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 (HMO)
(H4590-045)

$0$0$3,900YesBrowse
Formulary
AARP Medicare Advantage Choice (PPO)
(H1278-005)

$0$270.00$6,400YesBrowse
Formulary
AARP Medicare Advantage SecureHorizons (HMO)
(H4590-010)

$0$0$3,900YesBrowse
Formulary
Aetna Medicare Choice II Plan (PPO)
(H3288-048)

$19.00$300.00$6,700YesBrowse
Formulary
Aetna Medicare Choice Plan (PPO)
(H3288-046)

$0$300.00$7,550YesBrowse
Formulary
Aetna Medicare Premier Plan (HMO)
(H4523-001)

$0$250.00$5,900YesBrowse
Formulary
Amerivantage Classic (HMO)
(H2593-029)

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

$0$0$5,600YesToo NewBrowse
Formulary
Blue Cross Medicare Advantage Choice Plus (PPO)
(H1666-008)

$0$350.00$7,550YesBrowse
Formulary
Blue Cross Medicare Advantage Value (HMO)
(H8554-001)

$0$0$3,200YesNABrowse
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
Cigna True Choice Medicare (PPO)
(H7849-038)

$0$190.00$6,700YesBrowse
Formulary
Cigna True Choice Plus Medicare (PPO)
(H7849-062)

$19.00$190.00$6,700YesBrowse
Formulary
Clover Health Choice (PPO)
(H5141-025)

$0$0$7,550NoBrowse
Formulary
Humana Gold Choice H8145-084 (PFFS)
(H8145-084)

$97.00$250.00$-NoBrowse
Formulary
Humana Gold Plus H0028-030 (HMO)
(H0028-030)

$0$0$3,900YesBrowse
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 Complement Assist (HMO)
(H5294-016)

$14.90$480.00$3,450NoBrowse
Formulary
Wellcare No Premium (HMO)
(H5294-017)

$0$0$4,300YesBrowse
Formulary
Wellcare No Premium Medicare (HMO)
(H0062-002)

$0$0$7,550NoBrowse
Formulary


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Winkler County Medicare Advantage





Medicare Advantage Health Plans Without Drug Coverage





2022 Medicare Special Needs Plans in Wilson county Texas

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Aetna Medicare Dual Complete Plan (HMO D-SNP) $18.00$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
Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) $18.80$480.0No Gap CoverageDual-EligibleNA
Cigna TotalCare (HMO D-SNP) $5.10$480.0No Gap CoverageDual-Eligible
Community First Medicare Advantage D-SNP (HMO D-SNP) $25.10$480.0No Gap CoverageDual-EligibleToo New
Humana Gold Plus - Diabetes and Heart (HMO C-SNP) $0$0SomeChronic or Disabling Condition
Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP) $18.80$450.0No Gap CoverageDual-Eligible
Molina Medicare Complete Care (HMO D-SNP) $25.10$480.0Some GenericsDual-Eligible
UnitedHealthcare Chronic Complete (HMO C-SNP) $0$0SomeChronic or Disabling Condition
UnitedHealthcare Dual Complete (HMO D-SNP) $18.80$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.