Texas › Jefferson County
Medicare plans in Jefferson County, Texas
2026 plans. Other years: 2026 · 2027
Where to start
This page lists every Medicare plan sold in Jefferson County for 2026, sorted from the lowest cost each month. They're in four tables below, by the kind of coverage. Jump to the one that fits you. Under each table, Compare these plans opens the same plans in our plan list, where you can add your prescriptions, narrow the list and compare plans side by side.
- Medicare Advantage with drug coverage (41 plans)
- Part D drug plans (12 plans)
- Special needs plans (32 plans)
- Medicare Advantage without drug coverage (11 plans)
- Medigap (Medicare Supplement) prices
Not sure which you need? Most people choose either a Medicare Advantage plan, which usually includes drug coverage, or Original Medicare with a Part D drug plan and often a Medigap policy to pay what Medicare leaves.
What would these plans cost you? Try the calculator → It's set to Jefferson County. Add your age, health and drugs to see what each kind of plan would cost you next year and over the years ahead.
The best plan here for…
- A low monthly premium
- Money back on your Part B premium
- The lowest cost in a bad year
- Dental coverage
- A high star rating
- Seeing doctors outside a network
- The lowest-priced Medigap Plan G
No plan is best for everyone, so we pick one for each of these and explain why. All our picks in Jefferson County
At a glance
- 52 Medicare Advantage plans are open to anyone with Medicare here; 39 charge no monthly premium.
- 24 give back part of your Part B premium, up to $185 a month.
- The lowest yearly limit on what you pay for in-network care is $2,900.
- 12 Part D drug plans, from $0 to $167.40 a month.
Medicare Advantage plans with drug coverage 41
Medical and drug coverage in one plan, open to anyone with Medicare who lives here. This is what most people mean by a Medicare Advantage plan.
| Plan | Network | Premium | Out-of-pocket limit | Stars |
|---|---|---|---|---|
| HealthSpring Preferred Full Savings (HMO) Cigna Healthcare · H4513-091-000 | HMO | $0/moGives back $185/mo of your Part B premium | $7,500 | 4.5★ |
| DEVOTED GIVEBACK 006 TX (HMO) Devoted Health · H7993-006-000 | HMO | $0/moGives back $184.70/mo of your Part B premium | $7,200 | 5.0★ |
| HealthSpring Preferred Savings (HMO) Cigna Healthcare · H4513-083-001 | HMO | $0/moGives back $130/mo of your Part B premium | $6,900 | 4.5★ |
| Wellcare Giveback (HMO) Wellcare · H0174-019-000 | HMO | $0/moGives back $109/mo of your Part B premium | $6,900 | 4.0★ |
| Humana Essentials Plus Giveback H7617-035 (PPO) Humana · H7617-035-000 | PPO | $0/moGives back $90/mo of your Part B premium | $8,300 | 4.5★ |
| Humana Essentials Plus Giveback H5216-358 (PPO) Humana · H5216-358-000 | PPO | $0/moGives back $89/mo of your Part B premium | $8,300 | 3.5★ |
| AARP Medicare Advantage Giveback from UHC TX-31 (PPO) UnitedHealthcare · H1278-021-000 | PPO | $0/moGives back $60/mo of your Part B premium | $8,500 | 3.5★ |
| Humana Value Choice H7617-057 (PPO) Humana · H7617-057-000 | PPO | $0/moGives back $2/mo of your Part B premium | $6,800 | 4.5★ |
| Humana Gold Plus H0028-042 (HMO) Humana · H0028-042-000 | HMO | $0/moGives back $1/mo of your Part B premium | $3,450 | 3.5★ |
| Humana Gold Plus H0028-072 (HMO) Humana · H0028-072-000 | HMO | $0/moGives back $1/mo of your Part B premium | $3,400 | 3.5★ |
| Humana Total Complete H4461-049 (HMO) Humana · H4461-049-000 | HMO | $0/moGives back $1/mo of your Part B premium | $3,400 | 4.0★ |
| Humana Gold Plus H4461-057 (HMO) Humana · H4461-057-000 | HMO | $0/moGives back $1/mo of your Part B premium | $3,450 | 4.0★ |
| Wellcare Simple (HMO) Wellcare · H0174-010-000 | HMO | $0/mo | $3,500 | 4.0★ |
| CHRISTUS Health Medicare Plus (HMO) CHRISTUS Health Advantage · H1189-010-000 | HMO | $0/mo | $4,000 | 3.5★ |
| AARP Medicare Advantage from UHC TX-0006 (PPO) UnitedHealthcare · H1278-014-000 | PPO | $0/mo | $6,700 | 3.5★ |
| Wellpoint Medicare Advantage 2 (HMO-POS) Wellpoint · H2593-029-000 | HMO-POS | $0/mo | $9,250 | 3.5★ |
| Aetna Medicare Signature (PPO) Aetna Medicare · H3288-006-000 | PPO | $0/mo | $6,750 | 3.5★ |
| Wellcare TexanPlus Classic Simple (HMO-POS) Wellcare · H4506-003-000 | HMO-POS | $0/mo | $3,400 | 4.0★ |
| HealthSpring Preferred (HMO) Cigna Healthcare · H4513-061-001 | HMO | $0/mo | $3,500 | 4.5★ |
| HealthSpring Alliance (HMO) Cigna Healthcare · H4513-064-000 | HMO | $0/mo | $2,900 | 4.5★ |
| AARP Medicare Advantage from UHC TX-0009 (HMO-POS) UnitedHealthcare · H4514-007-000 | HMO-POS | $0/mo | $6,700 | 4.0★ |
| Aetna Medicare Signature Extra (HMO) Aetna Medicare · H4523-015-000 | HMO | $0/mo | $6,750 | 4.0★ |
| AARP Medicare Advantage from UHC TX-0015 (HMO-POS) UnitedHealthcare · H4527-037-000 | HMO-POS | $0/mo | $4,800 | 4.5★ |
| Wellcare Simple Open (PPO) Wellcare · H7323-012-000 | PPO | $0/mo | $5,900 | 3.5★ |
| HealthSpring True Choice (PPO) Cigna Healthcare · H7849-154-000 | PPO | $0/mo | $6,800 | 3.0★ |
| DEVOTED CORE 001 TX (HMO) Devoted Health · H7993-001-000 | HMO | $0/mo | $3,650 | 5.0★ |
| DEVOTED CORE 019 TX (HMO) Devoted Health · H7993-019-000 | HMO | $0/mo | $3,650 | 5.0★ |
| Blue Cross Medicare Advantage Basic (HMO) Blue Cross and Blue Shield of Texas · H8133-001-000 | HMO | $0/mo | $6,750 | 3.0★ |
| Wellcare Assist (HMO) Wellcare · H0174-009-000 | HMO | $4.80/mo | $3,450 | 4.0★ |
| Aetna Medicare Value Plus (PPO) Aetna Medicare · H3288-018-000 | PPO | $4.80/mo | $6,750 | 3.5★ |
| DEVOTED PREMIUM 002 TX (HMO) Devoted Health · H7993-002-000 | HMO | $4.80/mo | $4,150 | 5.0★ |
| HumanaChoice H5216-043 (PPO) Humana · H5216-043-001 | PPO | $20/moGives back $2/mo of your Part B premium | $7,700 | 3.5★ |
| HumanaChoice H7617-059 (PPO) Humana · H7617-059-000 | PPO | $20/moGives back $2/mo of your Part B premium | $7,700 | 4.5★ |
| Humana Gold Choice H8145-084 (PFFS) Humana · H8145-084-000 | PFFS | $29/mo | $6,750 | 3.5★ |
| HumanaChoice R4182-004 (Regional PPO) Humana · R4182-004-000 | Regional PPO | $44/mo | $7,650 | 3.5★ |
| HumanaChoice H5216-042 (PPO) Humana · H5216-042-000 | PPO | $60/mo | $6,750 | 3.5★ |
| Blue Cross Medicare Advantage Choice Premier (PPO) Blue Cross and Blue Shield of NM, TX · H1666-003-000 | PPO | $96/mo | $6,750 | 3.0★ |
| HumanaChoice R4182-003 (Regional PPO) Humana · R4182-003-000 | Regional PPO | $97/mo | $7,650 | 3.5★ |
| UHC Medicare Advantage TX-0030 (Regional PPO) UnitedHealthcare · R6801-012-000 | Regional PPO | $102/mo | $8,200 | 3.5★ |
| Blue Cross Medicare Advantage Preferred (PPO) Blue Cross and Blue Shield of IL, NM, OK, TX · H8634-033-000 | PPO | $110/mo | $8,000 | 3.0★ |
| Blue Cross Medicare Advantage Optimum (PPO) Blue Cross and Blue Shield of NM, TX · H1666-022-000 | PPO | $142/mo | $5,750 | 3.0★ |
Part D drug plans 12
Standalone drug coverage, for people who keep Original Medicare (often with a Medigap policy). Drug plans are sold for a whole region, so the same plans are sold throughout Texas.
| Plan | Premium | Drug deductible | Stars |
|---|---|---|---|
| Wellcare Classic (PDP) Wellcare · S4802-013-000 | $0/mo | $615 | 3.5★ |
| Wellcare Value Script (PDP) Wellcare · S4802-155-000 | $0/mo | $615 | 3.5★ |
| Humana Value Rx Plan (PDP) Humana · S5884-201-000 | $22.90/mo | $601 | 3★ |
| Humana Basic Rx Plan (PDP) Humana · S5884-143-000 | $41.70/mo | $615 | 3★ |
| HealthSpring Extra Rx (PDP) Cigna Healthcare · S5617-372-000 | $70/mo | $615 | 2.5★ |
| AARP Medicare Rx Saver from UHC (PDP) UnitedHealthcare · S5921-367-000 | $89.20/mo | $615 | 2★ |
| SilverScript Choice (PDP) Aetna Medicare · S5601-044-000 | $94.80/mo | $615 | 3★ |
| Blue Cross MedicareRx Basic (PDP) Blue Cross and Blue Shield of IL, NM, OK, TX · S5715-014-000 | $104.70/mo | $615 | 2★ |
| HealthSpring Assurance Rx (PDP) Cigna Healthcare · S5617-108-000 | $111.40/mo | $615 | 2.5★ |
| AARP Medicare Rx Preferred from UHC (PDP) UnitedHealthcare · S5921-403-000 | $114.80/mo | $130 | 2★ |
| Humana Premier Rx Plan (PDP) Humana · S5884-168-000 | $118.20/mo | None | 3★ |
| Blue Cross MedicareRx Value (PDP) Blue Cross and Blue Shield of IL, NM, OK, TX · S5715-005-000 | $167.40/mo | $615 | 2★ |
Special needs plans 32
Medicare Advantage plans built for people with particular needs, and open only to people who have them. If one of the three below describes you, these are often worth a look before a general plan. Each row says who can join.
Who special needs plans are for
- D-SNP: you have Medicaid as well as Medicare (sometimes called "dual eligible" or "Medi-Medi").
- C-SNP: you have a chronic condition the plan is built around, such as diabetes, heart failure, chronic lung disease or dementia. The plan checks with your doctor.
- I-SNP: you live in a nursing home or similar facility, or need that level of care at home.
Why people choose them
- Care built around you. Most assign a care coordinator, and many run clinical programs for the condition they serve: diabetes education and supplies, heart or lung monitoring, medication reviews, or doctors who visit you in a facility.
- Often more generous extras. Many offer larger allowances than general plans for groceries, over-the-counter items, transportation, meals or utilities. Compare the figures; they vary widely from plan to plan.
- Lower costs for many members. With full Medicaid, a D-SNP member usually pays nothing for care Medicare covers.
The catch: you have to qualify, and the plan will check, for example your Medicaid status or a doctor's confirmation of your condition. If you're not sure, your State Health Insurance Assistance Program (SHIP) gives free, unbiased advice.
| Plan | Network | Who can join | Premium | Out-of-pocket limit | Stars |
|---|---|---|---|---|---|
| Humana Gold Plus - Diabetes and Heart (HMO C-SNP) Humana · H4461-067-000 | HMO | Only for people with certain chronic conditionsDiabetes, Heart | $0/moGives back $1/mo of your Part B premium | $3,500 | 4.0★ |
| Molina Medicare Complete Care (HMO D-SNP) Molina Healthcare of Texas, Inc. · H7678-006-002 | HMO | Only for people who have Medicaid as well as Medicare | $0/moGives back $1/mo of your Part B premium | $9,250 | 3.5★ |
| UHC Dual Complete TX-D002 (HMO-POS D-SNP) UnitedHealthcare · H4514-023-000 | HMO-POS | Only for people who have Medicaid as well as Medicare | $0/moGives back $0.40/mo of your Part B premium | $9,250 | 4.0★ |
| Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP) Humana · H0028-032-000 | HMO | Only for people who have Medicaid as well as Medicare | $0/mo | $9,250 | 3.5★ |
| Wellpoint Dual Advantage 2 (HMO D-SNP) Wellpoint · H2593-032-000 | HMO | Only for people who have Medicaid as well as Medicare | $0/mo | $9,250 | 3.5★ |
| Wellpoint Kidney Care (HMO-POS C-SNP) Wellpoint · H2593-043-000 | HMO-POS | Only for people with certain chronic conditionsKidney | $0/mo | $2,900 | 3.5★ |
| Wellpoint Full Dual Advantage Aligned (HMO D-SNP) Wellpoint · H2593-044-000 | HMO | Only for people who have Medicaid as well as Medicare | $0/mo | $9,250 | 3.5★ |
| Humana Gold Plus SNP-DE H4461-071 (HMO D-SNP) Humana · H4461-071-000 | HMO | Only for people who have Medicaid as well as Medicare | $0/mo | $9,250 | 4.0★ |
| Humana Gold Plus SNP-DE H4461-072 (HMO D-SNP) Humana · H4461-072-000 | HMO | Only for people who have Medicaid as well as Medicare | $0/mo | $9,250 | 4.0★ |
| HealthSpring TotalCare (HMO D-SNP) Cigna Healthcare · H4513-060-001 | HMO | Only for people who have Medicaid as well as Medicare | $0/mo | $3,400 | 4.5★ |
| Aetna Medicare Full Dual Care (HMO D-SNP) Aetna Medicare · H4523-029-000 | HMO | Only for people who have Medicaid as well as Medicare | $0/mo | $9,250 | 4.0★ |
| Humana Together in Health (PPO I-SNP) Humana · H5216-369-000 | PPO | Only for people who live in a nursing home, or need that level of care at home | $0/mo | $9,250 | 3.5★ |
| Aetna Medicare Dual Care (HMO D-SNP) Aetna Medicare · H8597-003-000 | HMO | Only for people who have Medicaid as well as Medicare | $0/mo | $9,250 | 3.5★ |
| UHC Complete Care Support TX-1A (Regional PPO C-SNP) UnitedHealthcare · R6801-008-000 | Regional PPO | Only for people with certain chronic conditionsDiabetes, Heart | $0/mo | $9,250 | 3.5★ |
| Wellpoint Full Dual Advantage (HMO D-SNP) Wellpoint · H8849-010-001 | HMO | Only for people who have Medicaid as well as Medicare | $2.40/mo | $9,250 | 3.5★ |
| Wellcare Dual Access (HMO D-SNP) Wellcare · H0174-004-000 | HMO | Only for people who have Medicaid as well as Medicare | $4.80/mo | $9,250 | 4.0★ |
| Wellcare Dual Liberty (HMO D-SNP) Wellcare · H0174-006-000 | HMO | Only for people who have Medicaid as well as Medicare | $4.80/mo | $9,250 | 4.0★ |
| Wellcare Dual Reserve (HMO D-SNP) Wellcare · H0174-022-000 | HMO | Only for people who have Medicaid as well as Medicare | $4.80/mo | $3,450 | 4.0★ |
| ProCare Advantage (HMO-POS I-SNP) ProCare Advantage · H3467-001-000 | HMO-POS | Only for people who live in a nursing home, or need that level of care at home | $4.80/mo | $9,250 | 3.0★ |
| Provider Partners Texas Advantage Plan (HMO I-SNP) Provider Partners Health Plans · H4054-001-000 | HMO | Only for people who live in a nursing home, or need that level of care at home | $4.80/mo | $9,250 | 5.0★ |
| Aetna Medicare Partial Dual Care (HMO D-SNP) Aetna Medicare · H4523-043-000 | HMO | Only for people who have Medicaid as well as Medicare | $4.80/mo | $9,250 | 4.0★ |
| Texas Independence Health Plan, Inc. (HMO I-SNP) Texas Independence Health Plan · H5015-001-000 | HMO | Only for people who live in a nursing home, or need that level of care at home | $4.80/mo | $9,250 | 5.0★ |
| Texas Independence Community Plan (HMO I-SNP) Texas Independence Health Plan · H5015-002-000 | HMO | Only for people who live in a nursing home, or need that level of care at home | $4.80/mo | $9,250 | 5.0★ |
| DEVOTED DUAL 010 TX (HMO D-SNP) Devoted Health · H7993-010-000 | HMO | Only for people who have Medicaid as well as Medicare | $4.80/mo | $9,250 | 5.0★ |
| DEVOTED C-SNP PREMIUM 030 TX (HMO C-SNP) Devoted Health · H7993-030-000 | HMO | Only for people with certain chronic conditionsDiabetes, Heart | $4.80/mo | $4,450 | 5.0★ |
| DEVOTED C-SNP PLUS 031 TX (HMO C-SNP) Devoted Health · H7993-031-000 | HMO | Only for people with certain chronic conditionsDiabetes, Heart | $4.80/mo | $9,250 | 5.0★ |
| DEVOTED DUAL FULL 040 TX (HMO D-SNP) Devoted Health · H7993-040-000 | HMO | Only for people who have Medicaid as well as Medicare | $4.80/mo | $9,250 | 5.0★ |
| Wellpoint Dual Advantage (HMO D-SNP) Wellpoint · H8849-011-001 | HMO | Only for people who have Medicaid as well as Medicare | $4.80/mo | $9,250 | 3.5★ |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) Blue Cross and Blue Shield of Texas · H9706-002-000 | HMO | Only for people who have Medicaid as well as Medicare | $4.80/mo | $9,250 | 2.5★ |
| Community DualCare Access (HMO D-SNP) Community Health Choice · H9826-004-000 | HMO | Only for people who have Medicaid as well as Medicare | $4.80/mo | $9,250 | 3.0★ |
| UHC Dual Complete TX-S001 (Regional PPO D-SNP) UnitedHealthcare · R6801-011-000 | Regional PPO | Only for people who have Medicaid as well as Medicare | $4.80/mo | $9,250 | 3.5★ |
| UHC Complete Care TX-29 (Regional PPO C-SNP) UnitedHealthcare · R6801-009-000 | Regional PPO | Only for people with certain chronic conditionsDiabetes, Heart | $57/mo | $7,900 | 3.5★ |
Medicare Advantage plans without drug coverage 11
Medical coverage only. These suit people who get their drugs elsewhere, such as from the VA or an employer, since you generally can't add a separate Part D plan to them.
| Plan | Network | Premium | Out-of-pocket limit | Stars |
|---|---|---|---|---|
| Humana USAA Honor Giveback (PPO) Humana · H5216-348-000 | PPO | $0/moGives back $130/mo of your Part B premium | $7,900 | 3.5★ |
| Humana USAA Honor Giveback (PPO) Humana · H7617-062-000 | PPO | $0/moGives back $130/mo of your Part B premium | $7,900 | 4.5★ |
| CHRISTUS Health Medicare Guardian (HMO) CHRISTUS Health Advantage · H1189-008-000 | HMO | $0/moGives back $125/mo of your Part B premium | $4,900 | 3.5★ |
| HealthSpring Courage (HMO) Cigna Healthcare · H4513-009-000 | HMO | $0/moGives back $120/mo of your Part B premium | $4,300 | 4.5★ |
| Wellcare TexanPlus Patriot Giveback (HMO-POS) Wellcare · H4506-010-000 | HMO-POS | $0/moGives back $115/mo of your Part B premium | $3,000 | 4.0★ |
| Aetna Medicare Eagle (PPO) Aetna Medicare · H3288-051-000 | PPO | $0/moGives back $110/mo of your Part B premium | $4,900 | 3.5★ |
| AARP Medicare Advantage Patriot No Rx TX-MA05 (PPO) UnitedHealthcare · H1278-027-000 | PPO | $0/moGives back $100/mo of your Part B premium | $6,700 | 3.5★ |
| AARP Medicare Advantage Patriot No Rx TX-MA01 (HMO-POS) UnitedHealthcare · H4527-024-000 | HMO-POS | $0/moGives back $50/mo of your Part B premium | $6,700 | 4.5★ |
| Humana USAA Honor Giveback (PPO) Humana · H5216-128-000 | PPO | $0/moGives back $50/mo of your Part B premium | $6,750 | 3.5★ |
| HumanaChoice R4182-001 (Regional PPO) Humana · R4182-001-000 | Regional PPO | $0/moGives back $3/mo of your Part B premium | $5,950 | 3.5★ |
| Humana Gold Choice H8145-126 (PFFS) Humana · H8145-126-000 | PFFS | $0/mo | $6,700 | 3.5★ |
Medigap (Medicare Supplement)
A Medigap policy pays some or all of what Original Medicare leaves you owing, and works with any doctor who takes Medicare. The coverage of each plan letter is the same whichever company sells it; only the price differs.
- Plan G: $141–$845/mo from 34 companies, at age 65.
- Plan N: $106–$684/mo from 31 companies, at age 65.
Discussion
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