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Medicare Plans in
El Paso County, TX
60Medicare Advantage Plans Found in El Paso County. See Plans
El Paso County, TX
Medicare Information
For El Paso 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, 60 private Medicare plans are available in El Paso 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 El Paso County, Texas, including average costs, out-of-pocket expenses and what’s involved in obtaining prescription drug coverage.
HelpAdvisor Editorial Team analysis of data from the 2025 MA Landscape Source Files and carrier-provided plan data supplied by SunFire, Inc., a private company that creates software solutions for agents and brokers to compare Medicare plans. For more information, visit www.sunfireinc.com.
For El Paso 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, 60 private Medicare plans are available in El Paso County, and coverage is provided through Medicare-approved private companies, following rules set by Medicare.
HelpAdvisor Editorial Team analysis of data from the 2025 MA Landscape Source Files and carrier-provided plan data supplied by SunFire, Inc., a private company that creates software solutions for agents and brokers to compare Medicare plans. For more information, visit www.sunfireinc.com.
Average Cost of Medicare
Plans in El Paso County
| Average Cost of Medicare Advantage Plans in El Paso County, Texas | |
|---|---|
| Average Monthly Premium | $26.85 |
| Average in-network out-of-pocket spending limit | $6,417.16 |
| Average drug deductible in 2025 (weighted) | $482 |
| Percentage of plans rated 4 stars or higher | 66.1 % |
Learn More About Medicare
Prescription Drug Plans
El Paso 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:
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. 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.
Plan Type
Description
Plan Type and Description
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. Medicare Plans in El Paso County, TX
The following table includes cost information and other plan details for Aetna Inc. private Medicare plans available in Texas in 2025.
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| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max | Prescription Drug Coverage | Medicare Star Rating |
|---|---|---|---|---|---|---|
| Aetna Medicare Prime (HMO) | H8332-004 | $0 | $615 | $4,200 | Yes | |
| Aetna Medicare Enhanced (PPO) | H3288-007 | $40 | $615 | $5,900 | Yes | |
| Aetna Medicare Dual Care (HMO D-SNP) | H8597-001 | $0 | $615 | $ | Yes | |
| Aetna Medicare Partial Dual Care (HMO D-SNP) | H4523-041 | $0 | $615 | $ | Yes | |
| Aetna Medicare Signature (HMO) | H4523-042 | $0 | $615 | $9,250 | Yes | |
| Aetna Medicare Full Dual Care (HMO D-SNP) | H4523-034 | $0 | $615 | $ | Yes | |
| Aetna Medicare Eagle (PPO) | H3288-051 | $0 | N/A | $4,900 | No |
The Centers for Medicare & Medicaid Services (CMS) publishes annual Star Ratings that reflect how each Medicare Advantage plan performs across a range of metrics, using a system of one to five stars.
Anthem Inc. Medicare Plans in El Paso County, TX
The following table includes cost information and other plan details for Anthem Inc. private Medicare plans available in Texas in 2025.
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| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max | Prescription Drug Coverage | Medicare Star Rating |
|---|---|---|---|---|---|---|
| Wellpoint Dual Advantage 2 (HMO D-SNP) | H2593-032 | $0 | $230 | $9,250 | Yes | |
| Wellpoint Medicare Advantage 2 (HMO-POS) | H2593-029 | $0 | $300 | $9,250 | Yes | |
| Wellpoint Kidney Care (HMO-POS C-SNP) | H2593-031 | $0 | $350 | $9,250 | Yes | |
| Wellpoint Dual Advantage (HMO D-SNP) | H8849-011 | $5 | $615 | $9,250 | Yes | |
| Wellpoint Full Dual Advantage (HMO D-SNP) | H8849-010 | $0 | $615 | $9,250 | Yes |
The Centers for Medicare & Medicaid Services (CMS) publishes annual Star Ratings that reflect how each Medicare Advantage plan performs across a range of metrics, using a system of one to five stars.
Cigna Medicare Plans in El Paso County, TX
The following table includes cost information and other plan details for Cigna private Medicare plans available in Texas in 2025.
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| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max | Prescription Drug Coverage | Medicare Star Rating |
|---|---|---|---|---|---|---|
| HealthSpring Preferred Full Savings (HMO) | H4513-093 | $0 | $500 | $6,900 | Yes | |
| HealthSpring True Choice (PPO) | H7849-154 | $0 | $250 | $6,800 | Yes | |
| HealthSpring Preferred Savings (HMO) | H4513-083 | $0 | $300 | $6,775 | Yes | |
| HealthSpring TotalCare (HMO D-SNP) | H4513-060 | $0 | $0 | $3,400 | Yes | |
| HealthSpring Preferred (HMO) | H4513-061 | $0 | $200 | $3,500 | Yes | |
| HealthSpring Courage (HMO) | H4513-009 | $0 | N/A | $4,300 | No |
The Centers for Medicare & Medicaid Services (CMS) publishes annual Star Ratings that reflect how each Medicare Advantage plan performs across a range of metrics, using a system of one to five stars.
Devoted Health
Devoted Health Medicare Plans in El Paso County, TX
The following table includes cost information and other plan details for Devoted Health private Medicare plans available in Texas in 2025.
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| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max | Prescription Drug Coverage | Medicare Star Rating |
|---|---|---|---|---|---|---|
| DEVOTED DUAL FULL 038 TX (HMO D-SNP) | H7993-038 | $0 | $615 | $9,250 | Yes | |
| DEVOTED C-SNP PLUS 029 TX (HMO C-SNP) | H7993-029 | $5 | $615 | $9,250 | Yes | |
| DEVOTED C-SNP PREMIUM 028 TX (HMO C-SNP) | H7993-028 | $5 | $615 | $4,250 | Yes | |
| DEVOTED C-SNP 027 TX (HMO C-SNP) | H7993-027 | $0 | $325 | $3,750 | Yes | |
| DEVOTED GIVEBACK 008 TX (HMO) | H7993-008 | $0 | $605 | $7,550 | Yes | |
| DEVOTED DUAL 017 TX (HMO D-SNP) | H7993-017 | $5 | $615 | $9,250 | Yes | |
| DEVOTED CORE 007 TX (HMO) | H7993-007 | $0 | $0 | $3,450 | Yes |
The Centers for Medicare & Medicaid Services (CMS) publishes annual Star Ratings that reflect how each Medicare Advantage plan performs across a range of metrics, using a system of one to five stars.
Humana Inc. Medicare Plans in El Paso County, TX
The following table includes cost information and other plan details for Humana Inc. private Medicare plans available in Texas in 2025.
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The Centers for Medicare & Medicaid Services (CMS) publishes annual Star Ratings that reflect how each Medicare Advantage plan performs across a range of metrics, using a system of one to five stars.
Molina Healthcare, Inc.
Molina Healthcare, Inc., Medicare Plans in El Paso County, TX
The following table includes cost information and other plan details for Molina Healthcare, Inc., private Medicare plans available in Texas in 2025.
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| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max | Prescription Drug Coverage | Medicare Star Rating |
|---|---|---|---|---|---|---|
| Molina Medicare Complete Care Plus (HMO D-SNP) | H6515-003 | $0 | $0 | $9,250 | Yes |
The Centers for Medicare & Medicaid Services (CMS) publishes annual Star Ratings that reflect how each Medicare Advantage plan performs across a range of metrics, using a system of one to five stars.
UnitedHealthcare Medicare Plans in El Paso County, TX
The following table includes cost information and other plan details for UnitedHealthcare private Medicare plans available in Texas in 2025.
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| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max | Prescription Drug Coverage | Medicare Star Rating |
|---|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC TX-0013 (HMO-POS) | H4527-005 | $0 | $355 | $4,200 | Yes | |
| UHC Dual Complete TX-Q2 (HMO-POS D-SNP) | H4527-057 | $0 | $615 | $ | Yes | |
| AARP Medicare Advantage from UHC EP-4 (PPO) | H2406-135 | $39 | $440 | $4,200 | Yes | |
| AARP Medicare Advantage Giveback from UHC EP-2 (PPO) | H2406-119 | $0 | $600 | $7,900 | Yes | |
| AARP Medicare Advantage Extras from UHC EP-3 (PPO) | H2406-121 | $0 | $465 | $5,900 | Yes | |
| AARP Medicare Advantage Essentials from UHC EP-1 (PPO) | H2406-039 | $0 | $440 | $4,200 | Yes | |
| UHC Complete Care TX-17 (HMO-POS C-SNP) | H4527-040 | $0 | $355 | $4,200 | Yes | |
| UHC Dual Complete TX-S4 (HMO-POS D-SNP) | H4527-054 | $0 | $257 | $ | Yes | |
| AARP Medicare Advantage Patriot No Rx TX-MA01 (HMO-POS) | H4527-024 | $0 | N/A | $6,700 | No | |
| UHC Dual Complete TX-D001 (PPO D-SNP) | H2406-050 | $0 | $121 | $9,250 | Yes | |
| UHC Dual Complete TX-V002 (HMO-POS D-SNP) | H4527-003 | $0 | $417 | $4,900 | Yes |
The Centers for Medicare & Medicaid Services (CMS) publishes annual Star Ratings that reflect how each Medicare Advantage plan performs across a range of metrics, using a system of one to five stars.