Medicare Plans in
Nueces County, TX

23 Medicare Advantage Plans Found in Nueces County. See Plans

Nueces County, TX
Medicare Information

For Nueces County’s Medicare beneficiaries, Medicare Advantage plans offer an alternative to Original Medicare. Currently, 23 MA plans are available in Nueces 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 Nueces County’s Medicare beneficiaries, Medicare Advantage plans offer an alternative to Original Medicare. Currently, 23 MA plans are available in Nueces 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 Nueces 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 Nueces County

Average Cost of Medicare Advantage Plans in Nueces County, Texas
Average Monthly Premium $75.43
Average in-network out-of-pocket spending limit $5,702.50
Average drug deductible in 2022 (weighted) $293.21
Percentage of plans rated 4 stars or higher 39.1%
Average Cost of Medicare Advantage Plans in Nueces County, Texas
Average Monthly Premium
$75.43
Average in-network out-of-pocket spending limit
$5,702.50
Average drug deductible in 2021 (weighted)
$293.21
Percentage of plans rated 4 stars or higher
39.1%

Learn More About Medicare Advantage
Prescription Drug Plans

Nueces 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 Nueces County, TX

The following table includes cost information and other plan details for Aetna Inc. Medicare Advantage plans available in Texas in 2022.

Scroll to the right to continue reading the chart
Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Aetna Medicare Choice Plan (PPO) H3288: 009 $0 $200 $6,000 Yes
Plan too new to be measured
Aetna Medicare Plus Plan (PPO) H3288: 012 $0 $300 $7,550 Yes
Plan too new to be measured

Health Care Service Corporation

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

The following table includes cost information and other plan details for Health Care Service Corporation Medicare Advantage plans available in Texas in 2022.

Scroll to the right to continue reading the chart
Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Blue Cross Medicare Advantage Classic (PPO) H4801: 006 $0 $350 $5,900 Yes
na
Blue Cross Medicare Advantage Flex (PPO) H4801: 014 $215 $480 $0 Yes
na
Humana Inc.

Humana Inc. Medicare Advantage Plans in Nueces County, TX

The following table includes cost information and other plan details for Humana Inc. Medicare Advantage plans available in Texas in 2022.

Scroll to the right to continue reading the chart
Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Humana Gold Plus H0028-029 (HMO) H0028: 029 $0 $0 $3,400 Yes
4 out of 5
Humana Honor (PPO) H5216: 128 $0 N/A $5,400 No
4 out of 5
HumanaChoice R4182-001 (Regional PPO) R4182: 001 $0 N/A $5,700 No
3.5 out of 5
Humana Gold Choice H8145-126 (PFFS) H8145: 126 $30 N/A N/A No
3.5 out of 5
HumanaChoice H5216-043 (PPO) H5216: 043 $33 $250 $6,700 Yes
4 out of 5
HumanaChoice R4182-004 (Regional PPO) R4182: 004 $54 $175 $7,200 Yes
3.5 out of 5
HumanaChoice R4182-003 (Regional PPO) R4182: 003 $92 $175 $7,200 Yes
3.5 out of 5
HumanaChoice H5216-042 (PPO) H5216: 042 $94 $200 $6,700 Yes
4 out of 5
Humana Gold Choice H8145-084 (PFFS) H8145: 084 $97 $250 N/A Yes
3.5 out of 5
UnitedHealthcare

UnitedHealthcare Medicare Advantage Plans in Nueces County, TX

The following table includes cost information and other plan details for UnitedHealthcare Medicare Advantage plans available in Texas in 2022.

Scroll to the right to continue reading the chart
Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
AARP Medicare Advantage (HMO) H4527: 001 $0 $0 $3,400 Yes
3.5 out of 5
AARP Medicare Advantage Choice (PPO) H1278: 016 $0 $245 $6,700 Yes
Plan too new to be measured
AARP Medicare Advantage Patriot (HMO-POS) H4527: 024 $0 N/A $5,500 No
3.5 out of 5
AARP Medicare Advantage SecureHorizons (HMO) H4590: 025 $0 $355 $3,700 Yes
4.5 out of 5
UnitedHealthcare Medicare Advantage Choice (Regional PPO) R6801: 012 $49 $395 $7,550 Yes
3.5 out of 5
WellCare Health Plans, Inc.

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

The following table includes cost information and other plan details for WellCare Health Plans, Inc. Medicare Advantage plans available in Texas in 2022.

Scroll to the right to continue reading the chart
Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Wellcare Giveback (HMO) H5294: 012 $0 $250 $7,550 Yes
4 out of 5
Wellcare No Premium (HMO) H5294: 011 $0 $0 $3,450 Yes
4 out of 5
Wellcare No Premium Medicare (HMO) H0062: 002 $0 $0 $7,550 Yes
3 out of 5
Wellcare Patriot No Premium (HMO) H5294: 014 $0 N/A $3,450 No
4 out of 5
Wellcare Complement Assist (HMO) H5294: 013 $15 $480 $3,450 Yes
4 out of 5