Medicare Plans in
Hays County, TX

71 Medicare Advantage Plans Found in Hays County. See Plans

Hays County, TX
Medicare Information

For Hays County’s Medicare beneficiaries, Medicare Advantage plans offer an alternative to Original Medicare. Currently, 71 MA plans are available in Hays 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.

For Hays County’s Medicare beneficiaries, Medicare Advantage plans offer an alternative to Original Medicare. Currently, 71 MA plans are available in Hays 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.

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 Medicare Advantage plans in Hays County, Texas, including average costs, out-of-pocket expenses and what’s involved in obtaining prescription drug coverage.

Average Cost of Medicare Advantage
Plans in Hays County

Average Cost of Medicare Advantage Plans in Hays County, Texas
Average Monthly Premium $54.32
Average in-network out-of-pocket spending limit $5,800.11
Average drug deductible in 2023 (weighted) $353.16
Percentage of plans rated 4 stars or higher 29.6%
Average Cost of Medicare Advantage Plans in Hays County, Texas
Average Monthly Premium
$54.32
Average in-network out-of-pocket spending limit
$5,800.11
Average drug deductible in 2021 (weighted)
$353.16
Percentage of plans rated 4 stars or higher
29.6%

Learn More About Medicare Advantage
Prescription Drug Plans

Hays County Medicare beneficiaries who are interested in a Part C 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.

In addition to these primary types of plans, some members 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 Advantage Plans in Hays County, TX

The following table includes cost information and other plan details for Aetna Inc. Medicare Advantage 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 Plan (PPO) H2293: 018 $0 $250 $6,500 Yes
Plan too new to be measured
Aetna Medicare Eagle II Plan (PPO) H2293: 020 $0 N/A $5,000 No
Plan too new to be measured
Aetna Medicare Choice Plan (PPO) H3288: 046 $0 $300 $7,550 Yes
3.5 out of 5
Aetna Medicare Premier Plan (HMO) H4523: 001 $0 $250 $5,900 Yes
3.5 out of 5
Aetna Medicare Value Plan (HMO) H8332: 005 $0 $150 $4,900 Yes
3.5 out of 5
Aetna Medicare Dual Complete Plan (HMO D-SNP) H8597: 001 $0 $0 $8,300 Yes
4 out of 5
Aetna Medicare Choice II Plan (PPO) H3288: 048 $23 $175 $7,000 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 Advantage Plans in Hays County, TX

The following table includes cost information and other plan details for Amerigroup Medicare Advantage 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 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 ESRD Care (HMO-POS C-SNP) H2593: 031 $23 $100 $8,300 Yes
3.5 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

Centene Corporation

Centene Corporation Medicare Advantage Plans in Hays County, TX

The following table includes cost information and other plan details for Centene Corporation Medicare Advantage 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
Ascension Complete Seton Reward (HMO) H6678: 001 $0 $480 $3,450 Yes
Plan too new to be measured
Ascension Complete Seton Secure (HMO) H6678: 002 $0 $0 $2,900 Yes
Plan too new to be measured
Ascension Complete Seton Access Plus (PPO) H9357: 001 $0 $0 $3,450 Yes
Plan too new to be measured
Ascension Complete Seton Access (PPO) H9357: 002 $0 $0 $2,900 Yes
Plan too new to be measured
Cigna

Cigna Medicare Advantage Plans in Hays County, TX

The following table includes cost information and other plan details for Cigna Medicare Advantage 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

Devoted Health

Devoted Health Medicare Advantage Plans in Hays County, TX

The following table includes cost information and other plan details for Devoted Health Medicare Advantage 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
Devoted CHOICE GIVEBACK Austin (PPO) H6813: 001 $0 $300 $7,550 Yes
Plan too new to be measured
Devoted CHOICE Austin (PPO) H6813: 002 $0 $200 $5,200 Yes
Plan too new to be measured

Health Care Service Corporation

Health Care Service Corporation Medicare Advantage Plans in Hays County, TX

The following table includes cost information and other plan details for Health Care Service Corporation Medicare Advantage 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: 004 $0 $505 $6,700 Yes
3.5 out of 5
Blue Cross Medicare Advantage Value (HMO) H9706: 003 $0 $0 $4,900 Yes
3 out of 5
Blue Cross Medicare Advantage Dental Value (HMO) H9706: 007 $0 $505 $3,655 Yes
3 out of 5
Blue Cross Medicare Advantage Saver (HMO) H9706: 008 $0 $0 $6,900 Yes
3 out of 5
Blue Cross Medicare Advantage Choice Premier (PPO) H1666: 001 $88 $300 $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 Advantage Plans in Hays County, TX

The following table includes cost information and other plan details for Humana Inc. Medicare Advantage 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 H5216-358 (PPO) H5216: 358 $0 $300 $7,500 Yes
4.5 out of 5
Humana Gold Plus H0028-037 (HMO) H0028: 037 $0 $0 $4,200 Yes
4 out of 5
Humana Gold Plus SNP-DE H0028-044 (HMO D-SNP) H0028: 044 $0 $0 $0 Yes
4 out of 5
HumanaChoice H0473-001 (PPO) H0473: 001 $0 $0 $6,700 Yes
4.5 out of 5
HumanaChoice R4182-001 (Regional PPO) R4182: 001 $0 N/A $5,700 No
4 out of 5
Humana Walmart Value Rx Plan (PDP) S5884: 201 $34 $505 N/A Yes
3 out of 5
HumanaChoice H0473-003 (PPO) H0473: 003 $37 $200 $6,700 Yes
4.5 out of 5
HumanaChoice R4182-004 (Regional PPO) R4182: 004 $41 $175 $6,900 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

Mutual of Omaha

Mutual of Omaha Medicare Advantage Plans in Hays County, TX

The following table includes cost information and other plan details for Mutual of Omaha Medicare Advantage 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 Advantage Plans in Hays County, TX

The following table includes cost information and other plan details for UnitedHealthcare Medicare Advantage 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 Walgreens (PPO) H1278: 004 $0 $0 $6,400 Yes
4 out of 5
UnitedHealthcare Dual Complete (HMO-POS D-SNP) H4514: 013 $0 $0 $0 Yes
4.5 out of 5
AARP Medicare Advantage (HMO-POS) H4527: 002 $0 $0 $5,500 Yes
4.5 out of 5
UnitedHealthcare Dual Complete Select (HMO-POS D-SNP) H4527: 003 $0 $0 $0 Yes
4.5 out of 5
AARP Medicare Advantage Patriot (HMO-POS) H4527: 024 $0 N/A $5,500 No
4.5 out of 5
UnitedHealthcare Chronic Complete (HMO-POS C-SNP) H4527: 039 $0 $0 $4,900 Yes
4.5 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 MedicareRx Preferred (PDP) S5820: 021 $108 $0 N/A Yes
3.5 out of 5
WellCare Health Plans, Inc.

WellCare Health Plans, Inc. Medicare Advantage Plans in Hays County, TX

The following table includes cost information and other plan details for WellCare Health Plans, Inc. Medicare Advantage 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 TexanPlus No Premium (HMO) H0174: 002 $0 $200 $5,000 Yes
2.5 out of 5
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 Giveback (HMO) H0174: 017 $0 $350 $6,700 Yes
2.5 out of 5
Wellcare Patriot No Premium (HMO) H5294: 014 $0 N/A $3,450 No
3.5 out of 5
Wellcare Dual Access Harmony (HMO D-SNP) H5294: 015 $0 $0 $0 Yes
3.5 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 No Premium Open (PPO) H7323: 009 $0 $200 $6,500 Yes
2.5 out of 5
Wellcare Complement Assist (HMO) H5294: 016 $6 $505 $3,450 Yes
3.5 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