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Texas MedicareAdvantage Plans

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Medicare Advantage Plans in Hidalgo County, Texas

Below are Medicare Advantage plans available to residents of Hidalgo county, Texas. 4 carriers offer 12 plans throughout the county of Hidalgo. Residents may choose plans from carriers such as HealthSpring, PHYSICIANS HEALTH CHOICE and Universal Health Care Insurance Company Inc.. 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 Hidalgo county that is right for you complete the form at the top of the page.

Medicare Advantage Health Plans in the county of Hidalgo

Carrier Plan Title Plan Type
HealthSpring HealthyAdvantage Preferred (HMO) (H4513-001) HMO

    Premium and Other Important Information

    • $3 400 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.
    • $25 copay for each in-area network urgent care Medicare-covered visit
    • $30 copay for each specialist visit for Medicare-covered benefits.
    HealthSpring HealthyAdvantage (HMO) (H4513-009) HMO

      Premium and Other Important Information

      • HealthSpring will reduce your monthly Medicare Part B premium by up to $ 65.00.
      • $3 400 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

      • Authorization rules may apply.
      • $15 copay for each primary care doctor visit for Medicare-covered benefits.
      • $25 copay for each in-area network urgent care Medicare-covered visit
      • $35 copay for each specialist visit for Medicare-covered benefits.
      HealthSpring TotalCare (HMO SNP) (H4513-010) 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.
        • In this plan you will have no cost sharing responsibility for Medicare-covered services.
        • $29.9 monthly plan premium in addition to your monthly Medicare Part B 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.*
        PHYSICIANS HEALTH CHOICE Physicians Health Choice Total (HMO) (H4527-013) HMO

          Premium and Other Important Information

          • $3 600 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.
          • $20 copay for each in-area network urgent care Medicare-covered visit
          • $20 copay for each specialist visit for Medicare-covered benefits.
          PHYSICIANS HEALTH CHOICE Physicians Health Choice Select (HMO SNP) (H4527-015) 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.
              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
                  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

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