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Best Medicare Advantage plan for the lowest cost in a bad year in Harris County, Texas
2027 plans with drug coverage, open to anyone with Medicare here. Other years: 2026 · 2027
Our pick for the lowest cost in a bad year
MedCare Classic (HMO)
MedCare Partners Health Plan of Texas · H5767-001-000 · HMO
The most a year can cost $1,500 a year at most
- Premium
- $0/mo
- Out-of-pocket limit
- $1,500
- Part B giveback
- None
- Star rating
- Not yet rated
Why this plan
MedCare Classic (HMO) charges no premium and caps what you pay for in-network medical care at $1,500, so $1,500 is the most a year of covered care can cost you: the lowest worst case of the 40 plans we compare here. The next is SCAN Classic Texas (HMO), at $2,900 a year at most (no premium, a $2,900 limit).
The middle plan's worst year here is $6,150: in a year with a hospital stay or a run of treatment, this plan could cost you up to $4,650 less.
What it gives up
- It has no star rating yet, often because the plan or its contract is new: there's no track record to go on.
Who it suits
This suits you if you have an ongoing condition, a surgery or treatment coming, or simply want to know the worst a year can cost. Once your copays and coinsurance for in-network medical care reach the plan's out-of-pocket limit, it pays in full for covered care for the rest of the year -- but you keep paying the premium, so we count both.
The next best for the lowest cost in a bad year
| Plan | The most a year can cost | Premium | Out-of-pocket limit | Stars |
|---|---|---|---|---|
| SCAN Classic Texas (HMO) SCAN Health Plan · HMO | $2,900 a year at most | $0/mo | $2,900 | Not yet rated |
| Wellcare TexanPlus Classic Simple (HMO-POS) Wellcare · HMO-POS | $3,400 a year at most | $0/mo | $3,400 | 4★ |
| Wellcare Simple (HMO) Wellcare · HMO | $3,500 a year at most | $0/mo | $3,500 | 3.5★ |
| SCAN Walmart Health Advantage (HMO) SCAN Health Plan · HMO | $3,500 a year at most | $0/mo | $3,500 | Not yet rated |
Before you choose
- Check your doctors and hospitals. Most Medicare Advantage plans pay only, or mostly, for care in their own network. Ask the plan, or your doctor's office, before you join.
- Price your prescriptions. What your drugs cost can differ by hundreds of dollars a year between plans and outweigh any premium difference. Add them in our plan list to see your own costs.
- Read the plan's own documents. We take every figure from what the plan filed with Medicare, but its Evidence of Coverage is the final word on what it pays.
- Get free advice if you want it. Your State Health Insurance Assistance Program (SHIP) gives free, unbiased help choosing a plan.
How we picked
The plan whose worst year costs least: twelve months of premiums plus its yearly limit on what you pay for covered medical care in its network. Drugs aren't included; Part D has its own yearly cap. Where several tie, we look next at the largest Part B giveback, then the lowest premium, then the lowest copay to see a primary care doctor. Plans that still tie are listed by name.
We compare the 41 Medicare Advantage plans with drug coverage that anyone with Medicare in Harris County can join. Special needs plans and PACE, which are only for people who qualify, aren't included; you'll find them on the Harris County page. No plan pays to be picked.
We don't pick plans Medicare rates below 3 stars, and leave 1 out here: Verda Noble Care (HMO) (2 stars). Plans too new to have a rating are included, and say so.
Discussion
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