Medicare Supplement plans in Texas can vary in cost depending on the company, plan, and zip code. Generally, Texas Medigap rules are the same as all other states. In this context, we’ll discuss the different options Texans have with Medicare and the state-specific guidelines you should know.
How Does Medicare Work in Texas
Part A covers your inpatient costs, but not all of them. Part B covers outpatient costs, but only 80%. Leaving you with many gaps in coverage that could cost you more than anticipated. That’s where Medicare Supplement plans come into play. Also known as Medigap, these plans fill in those gaps in coverage so you can have more predictable healthcare costs in the future. The prescription part of Medicare is Part D.
Many beneficiaries in Texas choose to enroll in Part A, Part B, Part D, and a Medigap plan to give them the most comprehensive coverage. The alternative is a Medicare Advantage plan. However, it’s important to compare the advantages and disadvantages of Advantage plans prior to enrolling.
Best Medicare Supplement Plans in Texas
The best plan for your neighbor likely isn’t the best plan for you. There are many Medigap plans to choose from, but the most popular plan is Plan F. Plan F leaves you with zero out of pocket costs aside from your monthly premium. You’re next best option is Plan G.
The difference between the two is Plan F covers the Part B deductible, and Plan G doesn’t. Some beneficiaries will find Plan N or High Deductible Plan G make the most sense for their situation. The easiest way to identify suitable coverage is by allowing an agent to guide you through the process.
When is the Best Time to Apply for a Medicare Supplement Plan in Texas?
The best time to apply is during your 6-month Medicare Supplement Open Enrollment window. You can enroll at any time of the year. If you choose to do so outside your open enrollment window, you may have to go through medical underwriting.
How Much Do Medicare Supplements Cost in Texas?
This depends on the level of benefits you want. If you want the most benefits with the lowest premium, then a high-deductible plan might be your best option. They cost between $30-$45 a month.
If you don’t want a high-deducible, then a standard plan will cost around $100 a month. The average Plan G in Texas costs between $95-$160 per month. While costs vary among insurers, the benefits don’t change.
That’s why it’s crucial to compare the same letter plan across multiple carriers. There are many different factors that can impact your rates.
Household Discounts
In Texas, some carriers offer a 7% spousal discount, while others provide a 12% household discount.
Medicare Advantage Plans in Texas
Before enrolling in an Advantage Plan, you must understand the difference between Medicare Advantage & Medigap Plans.
Yes, there’s a hype that these policies include extra benefits like dental, vision, and hearing. But, they come with restrictions.
Some plans cover Part D, but, there may be high deductibles on medications.
Depending on if you choose an HMO or PPO, your monthly premium could be zero. But, the rule of thumb is “the less you pay in premiums, the higher your other costs.”
According to KFF, about 37% of Medicare-eligible state residents in Texas enrolled in a Medicare Advantage plan. Although, in Harris County, most Advantage enrollees have a narrow doctor network.
So, if you’re seeing doctors you value, it could be in your best interest to consider a Medigap policy.
Best Medicare Advantage Plans in Texas with a 4.5 Rating
- SeniorCare Advantage Select Rx (HMO)
- SeniorCare Advantage Preferred Rx (HMO)
- SeniorCare Advantage Premium Rx (HMO)
Medicare Part D in Texas
Medigap and Medicare don’t cover Part D; you’ll need a stand-alone policy or an Advantage plan that includes benefits for prescriptions.
Unless you have creditable coverage, like employer group coverage, then you could be penalized for not enrolling in Part D when you first became eligible.
Another form of creditable coverage is veterans’ benefits.
But veterans’ benefits are only considered creditable coverage under Part D, NOT Part B.
The best way to save on Part D medications is through the mail-order pharmacy.
If you delay enrollment you will be subject to a Part D late enrollment penalty. The best time to sign up is when you’re first eligible.
The best plan for you will depend on the medications you take and the pharmacy you use.
How Much is Part D in Texas?
Part D policies in Texas can cost as low as $10 and as much as $140 monthly. Not all beneficiaries take medications; but, some coverage is better than no coverage.
The best way to find affordable coverage is through an agent.
The $10 plan might have a cheap premium, but for someone taking lots of medications, this policy could end up costing more than it’s worth.
FAQ’s
How to Apply for Medicare in Texas
We understand searching for a policy can be overwhelming. Our agents are experts. They stay up to date with changes to make sure you can make the best choice.
Our services are 100% free. We’ll compare rates with over 30+ carriers. We verify carrier rates, history of rate increases, as well as the financial ratings of each company.
Also, when you enroll in a plan through us, you’ll have support from our Client Care Team. To get help today, call us at the number above. You can also use our online rate comparison tool to see rates in your area now.
