Medicare Plans in
Wise County, TX

68 Medicare Advantage Plans Found in Wise County. See Plans

Wise County, TX
Medicare Information

For Wise County’s Medicare beneficiaries, Medicare Advantage plans offer an alternative to Original Medicare. Currently, 68 MA plans are available in Wise 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 Wise County’s Medicare beneficiaries, Medicare Advantage plans offer an alternative to Original Medicare. Currently, 68 MA plans are available in Wise 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 Wise 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 Wise County

Average Cost of Medicare Advantage Plans in Wise County, Texas
Average Monthly Premium $55.04
Average in-network out-of-pocket spending limit $5,734.52
Average drug deductible in 2023 (weighted) $373.44
Percentage of plans rated 4 stars or higher 36.8%
Average Cost of Medicare Advantage Plans in Wise County, Texas
Average Monthly Premium
$55.04
Average in-network out-of-pocket spending limit
$5,734.52
Average drug deductible in 2021 (weighted)
$373.44
Percentage of plans rated 4 stars or higher
36.8%

Learn More About Medicare Advantage
Prescription Drug Plans

Wise 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 Wise 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: 013 $0 $250 $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 Advantage Plans in Wise 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 ESRD Care Plus (HMO C-SNP) H2593: 043 $0 $0 $2,900 Yes
3.5 out of 5
Amerivantage Diabetes Care Plus (HMO C-SNP) H8849: 001 $0 $0 $3,400 Yes
3 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 Heart Care Plus (HMO C-SNP) H8849: 012 $0 $0 $3,400 Yes
3 out of 5
Amerivantage Lung Care Plus (HMO C-SNP) H8849: 013 $0 $0 $3,400 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 Advantage Plans in Wise 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 TotalCare (HMO D-SNP) H4513: 060 $0 $0 $0 Yes
5 out of 5
Cigna Preferred Medicare (HMO) H4513: 061 $0 $0 $2,900 Yes
5 out of 5
Cigna Preferred Savings Medicare (HMO) H4513: 066 $0 $0 $6,400 Yes
5 out of 5
Cigna True Choice Medicare (PPO) H7849: 040 $0 $0 $6,400 Yes
3 out of 5
Cigna Extra Rx (PDP) S5617: 267 $66 $100 N/A Yes
3 out of 5

Health Care Service Corporation

Health Care Service Corporation Medicare Advantage Plans in Wise 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: 005 $0 $505 $6,700 Yes
3.5 out of 5
Blue Cross Medicare Advantage Classic (PPO) H4801: 001 $0 $200 $6,500 Yes
Plan too new to be measured
Blue Cross Medicare Advantage Dental Premier (PPO) H4801: 016 $0 $505 $6,500 Yes
Plan too new to be measured
Blue Cross Medicare Advantage Health Choice (PPO) H4801: 018 $0 $505 $6,900 Yes
Plan too new to be measured
Blue Cross Medicare Advantage Protect (PPO) H4801: 019 $0 N/A $5,000 No
Plan too new to be measured
Blue Cross Medicare Advantage Choice Premier (PPO) H1666: 002 $60 $295 $6,050 Yes
3.5 out of 5
Blue Cross Medicare Advantage Flex (PPO) H4801: 014 $213 $505 N/A Yes
Plan too new to be measured
Humana Inc.

Humana Inc. Medicare Advantage Plans in Wise 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 H5216-352 (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
Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP) H0028: 031 $0 $0 $0 Yes
4 out of 5
Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP) H0028: 032 $0 $0 $0 Yes
4 out of 5
Humana Gold Plus H0028-043 (HMO) H0028: 043 $0 $0 $4,700 Yes
4 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 Plus H0028-059 (HMO) H0028: 059 $25 $0 $3,450 Yes
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 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

Molina Healthcare, Inc.,

Molina Healthcare, Inc., Medicare Advantage Plans in Wise County, TX

The following table includes cost information and other plan details for Molina Healthcare, 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
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 Advantage Plans in Wise 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 Wise 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 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 Dual Complete (HMO-POS D-SNP) H5322: 025 $0 $0 $0 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 Advantage Plans in Wise 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 Dual Liberty Nurture (HMO D-SNP) H5294: 010 $0 $0 $0 Yes
3.5 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 No Premium Open (PPO) H7323: 002 $0 $200 $5,900 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 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 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