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Texas Medicare Advantage Plans with Prescription Drug Coverage

An alternative to Original Medicare (Parts A and B) in Texas is a Medicare Advantage (Medicare Part C or MA) plan. These plans offer the same amount of hospital coverage and medical benefits as Medicare Part A and Part B, with the exception of hospice care. Some Medicare Advantage plans also offer additional coverage such as hearing, vision, and dental.

Medicare Advantage plans are also available with or without prescription drug coverage. If you want to combine your health and prescription drug coverage into one plan, you can join any type of MA health plan (like a Health Maintenance Organization Plan or a Special Needs Plan) that includes this coverage. These plans are also known as Medicare Advantage Prescription Drug plans or MAPDs. Like other Medicare Advantage plans, MAPDs are required to offer the same coverage as Original Medicare; however, these plans also include the added benefit of prescription drug coverage.

In some cases, though, you may have the option of enrolling in a drug plan separate from your Advantage plan. If you are enrolled in a Medicare Medical Savings Account plan (MSA), you can enroll in a separate Prescription Drug Plan (PDP) for your drug coverage. Similarly, only some Private Fee-for-Service plans (PFFS) and Medicare Costs plans offer prescription drug coverage, so you may again want to enroll in a separate PDP for your drug coverage.

Everyone may join, drop, or switch Medicare Advantage plans during the Annual Enrollment Period from October 15th to December 7th each year, and coverage begins on January 1st of the following year. If you have limited resources and income, you may qualify for the Extra Help program, which covers your Medicare prescription drug costs.

In 2010, around 18% of the Medicare eligible population of Texas, or 517,797 individuals, were enrolled in a Medicare Advantage plan with prescription drug coverage. Costs and coverage within each plan differ between carriers, and some plans are only offered in specific counties, so it is recommended that you compare different plans and choose the right one for your needs. Below are plans specific to counties in the state of Texas.

Counties in Texas with Medicare Advantage Plans with Prescription Drug Coverage