Health Insurance Online
(888) 309-1425

Texas MedicareAdvantage Plans

Are you 64 or older?

Medicare Advantage Plans in Austin, Texas

Below are Medicare Advantage plans available to residents of Austin, Texas. 8 carriers offer 39 plans throughout the city of Austin. Residents may chose plans from carriers such as HUMANA HEALTH PLAN OF TEXAS INC., UnitedHealthcare and Humana Insurance Company. This data has been made available by the Centers for Medicare & Medicaid Services (CMS) and is for informational purposes only. Some data may be inaccurate or incomplete. Please note that plans can vary by city, county, and state and all plans listed may not be available in all areas. To speak to an advisor and find the Medicare Advantage plan in Austin that is right for you complete the form at the top of the page.

Medicare Advantage Health Plans in the city of Austin

Carrier Plan Title Plan Type
HUMANA HEALTH PLAN OF TEXAS INC. Humana Reader's Digest Healthy Living Plan (HMO) (H4510-020) HMO

    Premium and Other Important Information

    • $3 400 out-of-pocket limit for Medicare-covered services.
    • $112 monthly plan premium in addition to your monthly Medicare Part B premium.
    • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

    Doctor Office Visits

    • Authorization rules may apply.
    • $10 copay for each primary care doctor visit for Medicare-covered benefits.
    • $30 copay for each in-area network urgent care Medicare-covered visit
    • $30 copay for each specialist visit for Medicare-covered benefits.
    HUMANA HEALTH PLAN OF TEXAS INC. Humana Gold Plus H4510-027 (HMO) (H4510-027) HMO

      Premium and Other Important Information

      • $4 000 out-of-pocket limit for Medicare-covered services.
      • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
      • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

      Doctor Office Visits

      • Authorization rules may apply.
      • $0 copay for each primary care doctor visit for Medicare-covered benefits.
      • $30 copay for each in-area network urgent care Medicare-covered visit
      • $30 copay for each specialist visit for Medicare-covered benefits.
      UnitedHealthcare UnitedHealthcare Dual Complete (HMO SNP) (H4514-001) HMO

        Premium and Other Important Information

        • * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services
        • ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
        • $2 500 out-of-pocket limit for Medicare-covered services.*
        • $24.9 monthly plan premium in addition to your monthly Medicare Part B premium.*

        Doctor Office Visits

        • $0 copay for each primary care doctor visit for Medicare-covered benefits.*
        • $0 copay for each in-area network urgent care Medicare-covered visit*
        • $0 copay for each specialist visit for Medicare-covered benefits.*
        Humana Insurance Company HumanaChoice H4520-006 (PPO) (H4520-006) Local Preferred Provider Organization

          Premium and Other Important Information

          • Package: 1 - MyOption Dental High PPO:
          • Package: 2 - MyOption Dental Low PPO:
          • Package: 4 - MyOption Vision:
          • Package: 5 - MyOption Plus:
          • $22 monthly premium in addition to your $49 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
          • $14 monthly premium in addition to your $49 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
          • $15 monthly premium in addition to your $49 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Eye Exams Eye Wear
          • $25 monthly premium in addition to your $49 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental Eye Exams Eye Wear
          • $1 500 plan coverage limit every year for these benefits.
          • $1 000 plan coverage limit every year for these benefits.
          • $290 plan coverage limit every year for these benefits.
          • $3 400 out-of-pocket limit for Medicare-covered services.
          • $500 annual deductible. Contact the plan for services that apply.
          • $5 000 out-of-pocket limit for Medicare-covered services.
          • $49 monthly plan premium in addition to your monthly Medicare Part B premium.
          • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
          • Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept

          Doctor Office Visits

          • $15 copay for each primary care doctor visit for Medicare-covered benefits.
          • $40 copay for each in-area network urgent care Medicare-covered visit
          • $40 copay for each specialist visit for Medicare-covered benefits.
          • 30% of the cost for each primary care doctor visit
          • 30% of the cost for each specialist visit
          PHYSICIANS HEALTH CHOICE Physicians Health Choice Total (HMO) (H4527-002) HMO

            Premium and Other Important Information

            • $4 200 out-of-pocket limit for Medicare-covered services.
            • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
            • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

            Doctor Office Visits

            • $0 copay for each primary care doctor visit for Medicare-covered benefits.
            • $30 copay for each in-area network urgent care Medicare-covered visit
            • $30 copay for each specialist visit for Medicare-covered benefits.
            PHYSICIANS HEALTH CHOICE Physicians Health Choice Select (HMO SNP) (H4527-003) HMO

              Premium and Other Important Information

              • * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services
              • $0 annual deductible.*
              • ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
              • $3 350 out-of-pocket limit for Medicare-covered services. However in this plan you will have no cost sharing responsibility for Medicare-covered services based on your level of Medicaid eligibility.
              • $0 monthly plan premium*

              Doctor Office Visits

              • $0 copay for each primary care doctor visit for Medicare-covered benefits.*
              • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.*
              • $0 copay for each specialist doctor visit for Medicare-covered benefits.*
              PHYSICIANS HEALTH CHOICE Physicians Health Choice Basic (HMO) (H4527-024) HMO

                Premium and Other Important Information

                • $3 350 out-of-pocket limit for Medicare-covered services.
                • $0.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i

                Doctor Office Visits

                • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                • $10 copay for each in-area network urgent care Medicare-covered visit
                • $10 copay for each specialist visit for Medicare-covered benefits.
                Texas Community Care Texas Community Care- Plus (HMO) (H4529-004) HMO

                  Premium and Other Important Information

                  • $4 950 out-of-pocket limit for Medicare-covered services.
                  • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                  • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                  Doctor Office Visits

                  • Authorization rules may apply.
                  • $7 copay for each primary care doctor visit for Medicare-covered benefits.
                  • $35 copay for each specialist visit for Medicare-covered benefits.
                  Texas Community Care Texas Community Care - Dual Plus (HMO SNP) (H4529-031) HMO

                    Premium and Other Important Information

                    • * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services
                    • $0 annual deductible.*
                    • ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
                    • $3 400 out-of-pocket limit for Medicare-covered services. However in this plan you will have no cost sharing responsibility for Medicare-covered services based on your level of Medicaid eligibility.
                    • $0 monthly plan premium*

                    Doctor Office Visits

                    • Authorization rules may apply.
                    • $0 copay for each primary care doctor visit for Medicare-covered benefits.*
                    • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.*
                    • $0 copay for each specialist doctor visit for Medicare-covered benefits.*
                    Scott and White Health Plan SeniorCare SeniorCare Sr Premium - Basic Rx (Cost) (H4564-001) Cost Plan

                      Premium and Other Important Information

                      • $3 400 out-of-pocket limit. All plan services included.
                      • $204 monthly plan premium in addition to your monthly Medicare Part B premium.
                      • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                      Doctor Office Visits

                      • Authorization rules may apply.
                      • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                      • $40 copay for each in-area network urgent care Medicare-covered visit
                      • $0 copay for each specialist doctor visit for Medicare-covered benefits.
                      Scott and White Health Plan SeniorCare SeniorCare Sr Preferred - Basic Rx (Cost) (H4564-002) Cost Plan

                        Premium and Other Important Information

                        • $3 400 out-of-pocket limit. All plan services included.
                        • $124 monthly plan premium in addition to your monthly Medicare Part B premium.
                        • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                        Doctor Office Visits

                        • Authorization rules may apply.
                        • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                        • $40 copay for each in-area network urgent care Medicare-covered visit
                        • $15 copay for each specialist visit for Medicare-covered benefits.
                        Scott and White Health Plan SeniorCare SeniorCare Sr Select - Basic Rx (Cost) (H4564-003) Cost Plan

                          Premium and Other Important Information

                          • $3 400 out-of-pocket limit. All plan services included.
                          • $77 monthly plan premium in addition to your monthly Medicare Part B premium.
                          • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                          Doctor Office Visits

                          • Authorization rules may apply.
                          • $30 copay for each primary care doctor visit for Medicare-covered benefits.
                          • $40 copay for each in-area network urgent care Medicare-covered visit
                          • $30 copay for each specialist visit for Medicare-covered benefits.
                          Scott and White Health Plan SeniorCare SeniorCare Sr Premium - Enhanced Rx (Cost) (H4564-004) Cost Plan

                            Premium and Other Important Information

                            • $3 400 out-of-pocket limit. All plan services included.
                            • $260.1 monthly plan premium in addition to your monthly Medicare Part B premium.
                            • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                            Doctor Office Visits

                            • Authorization rules may apply.
                            • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                            • $40 copay for each in-area network urgent care Medicare-covered visit
                            • $0 copay for each specialist doctor visit for Medicare-covered benefits.
                            Scott and White Health Plan SeniorCare SeniorCare Sr Preferred - Enhanced Rx (Cost) (H4564-005) Cost Plan

                              Premium and Other Important Information

                              • $3 400 out-of-pocket limit. All plan services included.
                              • $180.1 monthly plan premium in addition to your monthly Medicare Part B premium.
                              • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                              Doctor Office Visits

                              • Authorization rules may apply.
                              • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                              • $40 copay for each in-area network urgent care Medicare-covered visit
                              • $15 copay for each specialist visit for Medicare-covered benefits.
                              Scott and White Health Plan SeniorCare SeniorCare Sr Select - Enhanced Rx (Cost) (H4564-006) Cost Plan

                                Premium and Other Important Information

                                • $3 400 out-of-pocket limit. All plan services included.
                                • $133.1 monthly plan premium in addition to your monthly Medicare Part B premium.
                                • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                Doctor Office Visits

                                • Authorization rules may apply.
                                • $30 copay for each primary care doctor visit for Medicare-covered benefits.
                                • $40 copay for each in-area network urgent care Medicare-covered visit
                                • $30 copay for each specialist visit for Medicare-covered benefits.
                                Scott and White Health Plan SeniorCare SeniorCare Sr Premium-Medical Only (Cost) (H4564-010) Cost Plan

                                  Premium and Other Important Information

                                  • $3 400 out-of-pocket limit. All plan services included.
                                  • $167.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                                  • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i

                                  Doctor Office Visits

                                  • Authorization rules may apply.
                                  • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                  • $40 copay for each in-area network urgent care Medicare-covered visit
                                  • $0 copay for each specialist doctor visit for Medicare-covered benefits.
                                  Scott and White Health Plan SeniorCare SeniorCare Sr Preferred-Medical Only (Cost) (H4564-011) Cost Plan

                                    Premium and Other Important Information

                                    • $3 400 out-of-pocket limit. All plan services included.
                                    • $87.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                                    • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i

                                    Doctor Office Visits

                                    • Authorization rules may apply.
                                    • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                                    • $40 copay for each in-area network urgent care Medicare-covered visit
                                    • $15 copay for each specialist visit for Medicare-covered benefits.
                                    Scott and White Health Plan SeniorCare SeniorCare Sr Select-Medical Only (Cost) (H4564-012) Cost Plan

                                      Premium and Other Important Information

                                      • $3 400 out-of-pocket limit. All plan services included.
                                      • $40.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                                      • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i

                                      Doctor Office Visits

                                      • Authorization rules may apply.
                                      • $30 copay for each primary care doctor visit for Medicare-covered benefits.
                                      • $40 copay for each in-area network urgent care Medicare-covered visit
                                      • $30 copay for each specialist visit for Medicare-covered benefits.
                                      Scott and White Health Plan SeniorCare SeniorCare Sr Premium - Value Rx (Cost) (H4564-013) Cost Plan

                                        Premium and Other Important Information

                                        • $3 400 out-of-pocket limit. All plan services included.
                                        • $197.6 monthly plan premium in addition to your monthly Medicare Part B premium.
                                        • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                        Doctor Office Visits

                                        • Authorization rules may apply.
                                        • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                        • $40 copay for each in-area network urgent care Medicare-covered visit
                                        • $0 copay for each specialist doctor visit for Medicare-covered benefits.
                                        Scott and White Health Plan SeniorCare SeniorCare Sr Preferred - Value Rx (Cost) (H4564-014) Cost Plan

                                          Premium and Other Important Information

                                          • $3 400 out-of-pocket limit. All plan services included.
                                          • $117.6 monthly plan premium in addition to your monthly Medicare Part B premium.
                                          • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                          Doctor Office Visits

                                          • Authorization rules may apply.
                                          • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                                          • $40 copay for each in-area network urgent care Medicare-covered visit
                                          • $15 copay for each specialist visit for Medicare-covered benefits.
                                          Scott and White Health Plan SeniorCare SeniorCare Sr Select - Value Rx (Cost) (H4564-015) Cost Plan

                                            Premium and Other Important Information

                                            • $3 400 out-of-pocket limit. All plan services included.
                                            • $70.6 monthly plan premium in addition to your monthly Medicare Part B premium.
                                            • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                            Doctor Office Visits

                                            • Authorization rules may apply.
                                            • $30 copay for each primary care doctor visit for Medicare-covered benefits.
                                            • $40 copay for each in-area network urgent care Medicare-covered visit
                                            • $30 copay for each specialist visit for Medicare-covered benefits.
                                            Scott and White Health Plan SeniorCare SeniorCare Sr VIP - Medical Only (Cost) (H4564-016) Cost Plan

                                              Premium and Other Important Information

                                              • $3 400 out-of-pocket limit. All plan services included.
                                              • $125.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                                              • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i

                                              Doctor Office Visits

                                              • Authorization rules may apply.
                                              • $5 copay for each primary care doctor visit for Medicare-covered benefits.
                                              • $40 copay for each in-area network urgent care Medicare-covered visit
                                              • $5 copay for each specialist visit for Medicare-covered benefits.
                                              Scott and White Health Plan SeniorCare SeniorCare Sr VIP - Basic Rx (Cost) (H4564-017) Cost Plan

                                                Premium and Other Important Information

                                                • $3 400 out-of-pocket limit. All plan services included.
                                                • $162 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                Doctor Office Visits

                                                • Authorization rules may apply.
                                                • $5 copay for each primary care doctor visit for Medicare-covered benefits.
                                                • $40 copay for each in-area network urgent care Medicare-covered visit
                                                • $5 copay for each specialist visit for Medicare-covered benefits.
                                                Scott and White Health Plan SeniorCare SeniorCare Sr VIP - Enhanced Rx (Cost) (H4564-018) Cost Plan

                                                  Premium and Other Important Information

                                                  • $3 400 out-of-pocket limit. All plan services included.
                                                  • $218.1 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                  • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                  Doctor Office Visits

                                                  • Authorization rules may apply.
                                                  • $5 copay for each primary care doctor visit for Medicare-covered benefits.
                                                  • $40 copay for each in-area network urgent care Medicare-covered visit
                                                  • $5 copay for each specialist visit for Medicare-covered benefits.
                                                  Scott and White Health Plan SeniorCare SeniorCare Sr VIP - Value Rx (Cost) (H4564-019) Cost Plan

                                                    Premium and Other Important Information

                                                    • $3 400 out-of-pocket limit. All plan services included.
                                                    • $155.6 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                    • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                    Doctor Office Visits

                                                    • Authorization rules may apply.
                                                    • $5 copay for each primary care doctor visit for Medicare-covered benefits.
                                                    • $40 copay for each in-area network urgent care Medicare-covered visit
                                                    • $5 copay for each specialist visit for Medicare-covered benefits.
                                                    Scott and White Health Plan SeniorCare SeniorCare Sr MedOption - Medical Only (Cost) (H4564-020) Cost Plan

                                                      Premium and Other Important Information

                                                      • $3 400 out-of-pocket limit. All plan services included.
                                                      • $148.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                      • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i

                                                      Doctor Office Visits

                                                      • Authorization rules may apply.
                                                      • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                      • $40 copay for each in-area network urgent care Medicare-covered visit
                                                      • $0 copay for each specialist doctor visit for Medicare-covered benefits.
                                                      Scott and White Health Plan SeniorCare SeniorCare Sr MedOption - Basic Rx (Cost) (H4564-021) Cost Plan

                                                        Premium and Other Important Information

                                                        • $3 400 out-of-pocket limit. All plan services included.
                                                        • $185 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                        • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                        Doctor Office Visits

                                                        • Authorization rules may apply.
                                                        • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                        • $40 copay for each in-area network urgent care Medicare-covered visit
                                                        • $0 copay for each specialist doctor visit for Medicare-covered benefits.
                                                        Scott and White Health Plan SeniorCare SeniorCare Sr MedOption - Enhanced Rx (Cost) (H4564-022) Cost Plan

                                                          Premium and Other Important Information

                                                          • $3 400 out-of-pocket limit. All plan services included.
                                                          • $241.1 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                          • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                          Doctor Office Visits

                                                          • Authorization rules may apply.
                                                          • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                          • $40 copay for each in-area network urgent care Medicare-covered visit
                                                          • $0 copay for each specialist doctor visit for Medicare-covered benefits.
                                                          Scott and White Health Plan SeniorCare SeniorCare Sr MedOption - Value Rx (Cost) (H4564-023) Cost Plan

                                                            Premium and Other Important Information

                                                            • $3 400 out-of-pocket limit. All plan services included.
                                                            • $178.6 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                            • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                            Doctor Office Visits

                                                            • Authorization rules may apply.
                                                            • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                            • $40 copay for each in-area network urgent care Medicare-covered visit
                                                            • $0 copay for each specialist doctor visit for Medicare-covered benefits.
                                                            Universal Health Care Insurance Company Inc. Universal Hassle-Free (PPO) (H5096-001) Local Preferred Provider Organization

                                                              Premium and Other Important Information

                                                              • $6 700 out-of-pocket limit for Medicare-covered services.
                                                              • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                              • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                                                              • Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept

                                                              Doctor Office Visits

                                                              • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                                                              • $40 copay for each specialist visit for Medicare-covered benefits.
                                                              • $15 copay for each primary care doctor visit
                                                              • $40 copay for each specialist visit
                                                              Universal Health Care Insurance Company Inc. Universal Hassle-Free MA Only (PPO) (H5096-002) Local Preferred Provider Organization

                                                                Premium and Other Important Information

                                                                • Universal Health Care Insurance Company Inc. will reduce your monthly Medicare Part B premium by up to $ 10.00.
                                                                • $6 700 out-of-pocket limit for Medicare-covered services.
                                                                • $0.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i
                                                                • Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept

                                                                Doctor Office Visits

                                                                • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                • $40 copay for each specialist visit for Medicare-covered benefits.
                                                                • $15 copay for each primary care doctor visit
                                                                • $40 copay for each specialist visit
                                                                Fidelis SecureCare of Texas Inc. Fidelis Secure Comfort (HMO SNP) (H5980-005) HMO

                                                                  Premium and Other Important Information

                                                                  • In 2012 the annual Part B deductible amount is $140. Contact the plan for services that apply.
                                                                  • $6 700 out-of-pocket limit for Medicare-covered services.
                                                                  • $625 plan coverage limit every year for Non-Medicare Supplemental benefits. Contact the plan for services that apply.
                                                                  • $29.9 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                  • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                                  Doctor Office Visits

                                                                  • Authorization rules may apply.
                                                                  • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                  • 20% of the cost for each specialist visit for Medicare-covered benefits.
                                                                  Fidelis SecureCare of Texas Inc. Fidelis Secure Comfort Plus (HMO SNP) (H5980-006) HMO

                                                                    Premium and Other Important Information

                                                                    • $750 out-of-pocket limit for Medicare-covered services.
                                                                    • $625 plan coverage limit every year for Non-Medicare Supplemental benefits. Contact the plan for services that apply.
                                                                    • $98 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                    • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                                    Doctor Office Visits

                                                                    • Authorization rules may apply.
                                                                    • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                    • $0 copay for each specialist doctor visit for Medicare-covered benefits.
                                                                    Fidelis SecureCare of Texas Inc. Fidelis Secure Independence (HMO SNP) (H5980-007) HMO

                                                                      Premium and Other Important Information

                                                                      • $500 out-of-pocket limit for Medicare-covered services.
                                                                      • $159 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                      • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                                      Doctor Office Visits

                                                                      • Authorization rules may apply.
                                                                      • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                      • $0 copay for each specialist doctor visit for Medicare-covered benefits.
                                                                      Fidelis SecureCare of Texas Inc. Fidelis Secure Freedom (HMO SNP) (H5980-011) HMO

                                                                        Premium and Other Important Information

                                                                        • In 2012 the annual Part B deductible amount is $140. Contact the plan for services that apply.
                                                                        • $6 700 out-of-pocket limit for Medicare-covered services.
                                                                        • $375 plan coverage limit every year for Non-Medicare Supplemental benefits. Contact the plan for services that apply.
                                                                        • $29.9 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                        • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                                        Doctor Office Visits

                                                                        • Authorization rules may apply.
                                                                        • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                        • 20% of the cost for each specialist visit for Medicare-covered benefits.
                                                                        Universal Health Care Insurance Company Inc. Any Any Any Gold (PFFS) (H8098-001) Private Fee for Service

                                                                          Premium and Other Important Information

                                                                          • $6 700 out-of-pocket limit for Medicare-covered services.
                                                                          • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                          • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                                                                          • This plan does not allow providers to balance bill (charging more than your cost share amount).

                                                                          Doctor Office Visits

                                                                          • You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
                                                                          • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                          • $40 copay for each specialist visit for Medicare-covered benefits.
                                                                          • $15 copay for each primary care doctor visit
                                                                          • $40 copay for each specialist visit
                                                                          Universal Health Care Insurance Company Inc. Any Any Any Gold MA Only (PFFS) (H8098-003) Private Fee for Service

                                                                            Premium and Other Important Information

                                                                            • Universal Health Care Insurance Company Inc. will reduce your monthly Medicare Part B premium by up to $ 15.00.
                                                                            • $6 700 out-of-pocket limit for Medicare-covered services.
                                                                            • $0.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                            • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i
                                                                            • This plan does not allow providers to balance bill (charging more than your cost share amount).

                                                                            Doctor Office Visits

                                                                            • You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
                                                                            • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                            • $40 copay for each specialist visit for Medicare-covered benefits.
                                                                            • $15 copay for each primary care doctor visit
                                                                            • $40 copay for each specialist visit
                                                                            Humana Insurance Company Humana Gold Choice H8145-084 (PFFS) (H8145-084) Private Fee for Service

                                                                              Premium and Other Important Information

                                                                              • Package: 1 - MyOption Dental High PPO:
                                                                              • Package: 2 - MyOption Dental Low PPO:
                                                                              • $22 monthly premium in addition to your $79 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
                                                                              • $14 monthly premium in addition to your $79 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
                                                                              • $1 500 plan coverage limit every year for these benefits.
                                                                              • $1 000 plan coverage limit every year for these benefits.
                                                                              • $5 000 out-of-pocket limit for Medicare-covered services.
                                                                              • $79 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                              • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                                                                              • This plan does not allow providers to balance bill (charging more than your cost share amount).

                                                                              Doctor Office Visits

                                                                              • You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
                                                                              • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                              • $35 copay for each in-area network urgent care Medicare-covered visit
                                                                              • $35 copay for each specialist visit for Medicare-covered benefits.
                                                                              • $10 copay for each primary care doctor visit
                                                                              • $35 copay for each specialist visit
                                                                              Humana Insurance Company Humana Gold Choice H8145-126 (PFFS) (H8145-126) Private Fee for Service

                                                                                Premium and Other Important Information

                                                                                • Package: 1 - MyOption Dental High PPO:
                                                                                • Package: 2 - MyOption Dental Low PPO:
                                                                                • $22 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
                                                                                • $14 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
                                                                                • $1 500 plan coverage limit every year for these benefits.
                                                                                • $1 000 plan coverage limit every year for these benefits.
                                                                                • $5 000 out-of-pocket limit for Medicare-covered services.
                                                                                • $0.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                                • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i
                                                                                • This plan does not allow providers to balance bill (charging more than your cost share amount).

                                                                                Doctor Office Visits

                                                                                • You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
                                                                                • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                                • $30 copay for each in-area network urgent care Medicare-covered visit
                                                                                • $35 copay for each specialist visit for Medicare-covered benefits.
                                                                                • $10 copay for each primary care doctor visit
                                                                                • $35 copay for each specialist visit

                                                                                Texas Plan Data by County

                                                                                Texas Plan Data by City

                                                                                ©2012 Health Insurance Online. All rights reserved.