Medicare Plans in
Cooke County, TX

57 Medicare Advantage Plans Found in Cooke County. See Plans

Cooke County, TX
Medicare Information

For Cooke County’s Medicare beneficiaries, private plans like Medicare Advantage plans offer an alternative to Original Medicare and Part D plans (PDP) can work alongside your Original Medicare benefits.

Currently, 57 private Medicare plans are available in Cooke County, and coverage is provided through Medicare-approved private companies, following rules set by Medicare.

For Cooke County’s Medicare beneficiaries, private plans like Medicare Advantage plans offer an alternative to Original Medicare, and Part D plans (PDP) can work alongside your Original Medicare benefits.

Currently, 57 private Medicare plans are available in Cooke County, and coverage is provided through Medicare-approved private companies, following rules set by Medicare.

MA plans, which are also referred to as Medicare Part C, may offer additional benefits that aren't available through Original Medicare.

Part D plans, also referred to as PDPs, cover retail prescription drugs.

Some Medicare Part C plans include coverage for prescription medications. Known as Medicare Advantage Prescription Drug plans, or MAPDs, these plans offer comprehensive coverage for seniors who want to minimize their out-of-pocket costs.

Learn more about some of the Medicare plans in Cooke County, Texas, including average costs, out-of-pocket expenses and what’s involved in obtaining prescription drug coverage.

Average Cost of Medicare
Plans in Cooke County

Average Cost of Medicare Advantage Plans in Cooke County, Texas
Average Monthly Premium $57.03
Average in-network out-of-pocket spending limit $6,077.27
Average drug deductible in 2023 (weighted) $360.63
Percentage of plans rated 4 stars or higher 36.8%
Average Cost of Medicare Advantage Plans in Cooke County, Texas
Average Monthly Premium
$57.03
Average in-network out-of-pocket spending limit
$6,077.27
Average drug deductible in 2021 (weighted)
$360.63
Percentage of plans rated 4 stars or higher
36.8%

Learn More About Medicare
Prescription Drug Plans

Cooke County Medicare beneficiaries who are interested in a private Medicare policy may choose among the following types of plans, depending on their needs and circumstances:
Plan Type Description
HMO HMO enrollees typically receive services through in-network providers and must obtain referrals for visits to specialists. However, most plans permit out-of-network care in emergencies or out-of-area dialysis. HMO plans often include prescription drug coverage.
PPO Members of PPO plans can typically go in or out of network for care, including hospitalization, although visits to non-network providers may cost considerably more. Referrals are usually not needed for visits to specialists, and many PPO plans include prescription drug coverage.
PFFS Private fee-for-service plans determine how much a doctor or facility will be paid for services, and members may seek care from any in or out-of-network provider that agrees to the plan's terms. Some PFFS plans include prescription drug coverage. Otherwise, members may seek coverage for medications through standalone Medicare drug plans, which are also known as Part D plans.
SNP Special Needs Plans are designed for individuals with specific conditions or medical characteristics. Benefits such as providers and drug formularies are tailored to members' unique needs, and most care is provided by in-network physicians and facilities. SNPs are required to provide prescription drug coverage.
Plan Type and Description
HMO enrollees typically receive services through in-network providers and must obtain referrals for visits to specialists. However, most plans permit out-of-network care in emergencies or out-of-area dialysis. HMO plans often include prescription drug coverage.
Members of PPO plans can typically go in or out of network for care, including hospitalization, although visits to non-network providers may cost considerably more. Referrals are usually not needed for visits to specialists, and many PPO plans include prescription drug coverage.
Private fee-for-service plans determine how much a doctor or facility will be paid for services, and members may seek care from any in or out-of-network provider that agrees to the plan's terms. Some PFFS plans include prescription drug coverage. Otherwise, members may seek coverage for medications through standalone Medicare drug plans, which are also known as Part D plans.
Special Needs Plans are designed for individuals with specific conditions or medical characteristics. Benefits such as providers and drug formularies are tailored to members' unique needs, and most care is provided by in-network physicians and facilities. SNPs are required to provide prescription drug coverage.

Some beneficiaries may be eligible for standalone prescription drug plans. Otherwise known as a PDP or Part D plan, a standalone prescription drug plan adds coverage for prescription medications to Original Medicare and some PFFS plans. It’s important to note that some MA plans, such as HMOs, may disenroll members who sign up for a separate drug plan.

Medicare Advantage Plans

Aetna Inc.

Aetna Inc. Medicare Plans in Cooke County, TX

The following table includes cost information and other plan details for Aetna Inc. private Medicare plans available in Texas in 2023.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Aetna Medicare Freedom Preferred Plan (PPO) H2293: 014 $0 $150 $6,700 Yes
Plan too new to be measured
Aetna Medicare Choice Plan (PPO) H3288: 008 $0 $250 $6,700 Yes
3.5 out of 5
SilverScript Choice (PDP) S5601: 044 $24 $505 N/A Yes
3.5 out of 5
SilverScript Plus (PDP) S5601: 045 $77 $0 N/A Yes
3.5 out of 5

Amerigroup

Amerigroup Medicare Plans in Cooke County, TX

The following table includes cost information and other plan details for Amerigroup private Medicare plans available in Texas in 2023.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Amerivantage ESRD Care Plus (HMO C-SNP) H2593: 043 $0 $0 $2,900 Yes
3.5 out of 5
Amerivantage Classic Plus (HMO) H8849: 008 $0 $0 $2,500 Yes
3 out of 5
Amerivantage Dual Coordination Plus (HMO D-SNP) H8849: 010 $0 $0 $7,550 Yes
3 out of 5
Amerivantage Dual Secure Plus (HMO D-SNP) H8849: 011 $25 $0 $7,550 Yes
3 out of 5
Amerivantage Rx Plus (PDP) S8182: 005 $67 $0 N/A Yes
2 out of 5
Amerivantage Rx Basic (PDP) S8182: 001 $79 $505 N/A Yes
2 out of 5
Cigna

Cigna Medicare Plans in Cooke County, TX

The following table includes cost information and other plan details for Cigna private Medicare plans available in Texas in 2023.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Cigna Extra Rx (PDP) S5617: 267 $66 $100 N/A Yes
3 out of 5

Health Care Service Corporation

Health Care Service Corporation Medicare Plans in Cooke County, TX

The following table includes cost information and other plan details for Health Care Service Corporation private Medicare plans available in Texas in 2023.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Blue Cross Medicare Advantage Choice Plus (PPO) H1666: 005 $0 $505 $6,700 Yes
3.5 out of 5
Blue Cross Medicare Advantage Choice Premier (PPO) H1666: 002 $60 $295 $6,050 Yes
3.5 out of 5
Blue Cross Medicare Advantage Flex Access (PPO) H1666: 018 $213 $505 N/A Yes
3.5 out of 5
Humana Inc.

Humana Inc. Medicare Plans in Cooke County, TX

The following table includes cost information and other plan details for Humana Inc. private Medicare plans available in Texas in 2023.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Humana Honor (PPO) H5216: 128 $0 N/A $5,400 No
4.5 out of 5
Humana Honor (PPO) H5216: 348 $0 N/A $6,900 No
4.5 out of 5
HumanaChoice H5216-352 (PPO) H5216: 352 $0 $0 $5,900 Yes
4.5 out of 5
HumanaChoice H5216-358 (PPO) H5216: 358 $0 $300 $7,500 Yes
4.5 out of 5
HumanaChoice R4182-001 (Regional PPO) R4182: 001 $0 N/A $5,700 No
4 out of 5
HumanaChoice H5216-043 (PPO) H5216: 043 $24 $0 $6,700 Yes
4.5 out of 5
Humana Gold Choice H8145-126 (PFFS) H8145: 126 $30 N/A N/A No
4 out of 5
Humana Walmart Value Rx Plan (PDP) S5884: 201 $34 $505 N/A Yes
3 out of 5
HumanaChoice R4182-004 (Regional PPO) R4182: 004 $41 $175 $6,900 Yes
4 out of 5
Humana Gold Choice H8145-084 (PFFS) H8145: 084 $70 $250 N/A Yes
4 out of 5
Humana Premier Rx Plan (PDP) S5884: 168 $78 $300 N/A Yes
3 out of 5
HumanaChoice R4182-003 (Regional PPO) R4182: 003 $84 $175 $6,900 Yes
4 out of 5
HumanaChoice H5216-042 (PPO) H5216: 042 $93 $200 $6,700 Yes
4.5 out of 5

Molina Healthcare, Inc.,

Molina Healthcare, Inc., Medicare Plans in Cooke County, TX

The following table includes cost information and other plan details for Molina Healthcare, Inc., private Medicare plans available in Texas in 2023.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Molina Medicare Choice Care (HMO) H7678: 004 $0 $125 $8,300 Yes
3.5 out of 5
Molina Medicare Choice Care Select (HMO) H7678: 005 $0 $200 $8,300 Yes
3.5 out of 5
Molina Medicare Complete Care (HMO D-SNP) H7678: 001 $25 $505 $8,300 Yes
3.5 out of 5

Mutual of Omaha

Mutual of Omaha Medicare Plans in Cooke County, TX

The following table includes cost information and other plan details for Mutual of Omaha private Medicare plans available in Texas in 2023.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Mutual of Omaha Rx Essential (PDP) S7126: 124 $20 $505 N/A Yes
2 out of 5
Mutual of Omaha Rx Premier (PDP) S7126: 091 $82 $505 N/A Yes
2 out of 5
Mutual of Omaha Rx Plus (PDP) S7126: 021 $99 $505 N/A Yes
2 out of 5
UnitedHealthcare

UnitedHealthcare Medicare Plans in Cooke County, TX

The following table includes cost information and other plan details for UnitedHealthcare private Medicare plans available in Texas in 2023.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
AARP Medicare Advantage Choice (PPO) H1278: 013 $0 $260 $6,700 Yes
4 out of 5
AARP Medicare Advantage SecureHorizons Plan 1 (HMO-POS) H4590: 012 $0 $0 $3,900 Yes
5 out of 5
AARP Medicare Advantage Patriot (HMO-POS) H4590: 027 $0 N/A $5,400 No
5 out of 5
AARP Medicare Advantage (HMO-POS) H4590: 043 $0 $0 $3,900 Yes
5 out of 5
UnitedHealthcare Medicare Advantage Ally (HMO-POS C-SNP) H4590: 044 $0 $0 $3,700 Yes
5 out of 5
UnitedHealthcare Dual Complete Choice (Regional PPO D-SNP) R6801: 011 $0 $0 $0 Yes
4 out of 5
UnitedHealthcare Medicare Silver (Regional PPO C-SNP) R6801: 008 $9 $505 $8,300 Yes
4 out of 5
UnitedHealthcare Medicare Gold (Regional PPO C-SNP) R6801: 009 $27 $295 $6,700 Yes
4 out of 5
AARP MedicareRx Walgreens (PDP) S5921: 403 $28 $350 N/A Yes
3 out of 5
UnitedHealthcare Medicare Advantage Choice (Regional PPO) R6801: 012 $49 $395 $7,550 Yes
4 out of 5
AARP MedicareRx Saver Plus (PDP) S5921: 367 $54 $505 N/A Yes
3 out of 5
AARP Medicare Advantage SecureHorizons Plan 2 (HMO-POS) H4590: 041 $71 $0 $3,200 Yes
5 out of 5
AARP MedicareRx Preferred (PDP) S5820: 021 $108 $0 N/A Yes
3.5 out of 5
WellCare Health Plans, Inc.

WellCare Health Plans, Inc. Medicare Plans in Cooke County, TX

The following table includes cost information and other plan details for WellCare Health Plans, Inc. private Medicare plans available in Texas in 2023.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Wellcare Dual Access (HMO D-SNP) H0174: 004 $0 $0 $0 Yes
2.5 out of 5
Wellcare Dual Liberty (HMO D-SNP) H0174: 006 $0 $0 $0 Yes
2.5 out of 5
Wellcare TexanPlus No Premium (HMO) H0174: 014 $0 $0 $4,900 Yes
2.5 out of 5
Wellcare Giveback (HMO) H0174: 018 $0 $350 $6,700 Yes
2.5 out of 5
Wellcare Dual Access Open (PPO D-SNP) H7323: 005 $0 $0 $0 Yes
2.5 out of 5
Wellcare No Premium Rx Plus Open (PPO) H7323: 006 $0 $300 $6,000 Yes
2.5 out of 5
Wellcare Value Script (PDP) S4802: 155 $11 $505 N/A Yes
3 out of 5
Wellcare Assist (HMO) H0174: 009 $12 $505 $3,450 Yes
2.5 out of 5
Wellcare Classic (PDP) S4802: 013 $24 $505 N/A Yes
3 out of 5
Wellcare Medicare Rx Value Plus (PDP) S4802: 225 $71 $0 N/A Yes
3 out of 5
Wellcare Medicare Rx Value Plus (PDP) S4802: 237 $71 $0 N/A Yes
3 out of 5