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5-star medicare advantage plans in texas

5-Star Medicare Advantage Plans in Texas 2023

What is a 5-Star Medicare Advantage Plan?

The 5-Star Medicare Advantage Plan is a type of Medicare Advantage Plan that has been given a 5-Star rating by the Centers for Medicare & Medicaid Services (CMS). Star ratings are released annually to empower Medicare beneficiaries to make healthcare choices that are best for themselves. The ratings reflect the experiences of people enrolled in Medicare Advantage and Part D prescription drug plans from the previous year.

These plans are rated based on the quality of care, member satisfaction, availability of services, and more, and include customer surveys. Plans that receive five stars are considered among the best in the country, offering comprehensive coverage and high-quality care.

Find the right Medicare plan for you

How are 5-Star Medicare Advantage Plans Rated?

The Centers for Medicare and Medicaid Services (CMS) rates all Medicare Advantage plans on a scale of 1 to 5 Stars. Plans with 1 star are considered “poor,” while those with five stars are considered “excellent.” Any plan that is four stars and higher is a “top-rated” plan.

The rating system is based on several factors, including:

  • The quality of care and services that plan members receive.
  • How well the plan works to prevent and treat illness and injury.
  • Member satisfaction with the plan.
  • The availability of care and services.
  • How easy it is for members to get the care and services they need.

Star ratings provide guidance on plans that can offer you the best care. It’s recommended that you enroll in a plan with a minimum of 3 stars, which is an “average” rated plan:

  • 5 stars = Excellent
  • 4 stars = Above average
  • 3 stars = Average
  • 2 stars = Below average
  • 1 star = Poor
Agent tip:

“Don’t get stuck on choosing a 5-Star plan. Instead, high-rated plans should be an option or guidance. You should prioritize the plan that fits your health needs and budget.“

A 5-Star Rated Plan Isn’t Always the “Best” Plan

While the Centers for Medicare and Medicaid have rated top plans, it doesn’t mean it’s the right plan for you. When shopping for a 5-Star Medicare Advantage plan, there are a few things you’ll want to keep in mind.

First, make sure that the plan covers all of the services you need. Every 5-Star plan is different, so finding one that offers the specific coverage you’re looking for is crucial. Review the plan to ensure that it covers your prescription drugs, doctors and specialists, and more.

Second, compare the costs of different plans. Even though all 5-Star plans offer high-quality coverage, some may be more expensive. Be sure to compare the monthly premiums, annual deductibles, copayments, and coinsurance before enrolling in a plan. The plan you choose should work within your budget.

Connie Health recommends that you don’t get stuck on “choosing a 5-Star plan.” Instead, high-rated plans should be an option or guidance.

We recommend you speak with a local licensed agent to find the right plan for your health and budget. To find the best Medicare Advantage plan in Texas for you, call (623) 223-8884 (TTY: 711) to speak with a local licensed agent.

Is A 5-Star Medicare Advantage Plan Available in My Area?

Curious if a 5 Star Medicare Advantage plan is available in your area? When we reviewed 5-Star plans throughout Texas, we found four health insurance companies frequently providing top-rated Medicare Advantage plans healthcare according to CMS 5-Star ratings: Baylor Scott & White Health Plan, Cigna, KelseyCare Advantage, and UnitedHealthcare.

Live in the Dallas-Forth Worth, Greater Houston, San Antonio, or Austin area? Below, you can preview the 2023 Medicare Advantage plans in Texas that received a 5-Star rating in the county you live. Some of these plans also include prescription drug coverage.

All of the 5-Star rated plans are HMO plans. If you are curious about the best PPO plans, we recommend reading Medicare Advantage PPO Plans in Texas.

Plans are available based on the county and zip code that you live in. Because of this, we recommend you use Connie Health’s plan tool to compare plans in your county. You can also click on any of the links below to review detailed plan information.

5-Star Medicare Advantage Plans in Dallas-Fort Worth Counties

5-Star Medicare Advantage Plans in Collin County

5-Star Medicare Advantage Plans in Dallas County

5-Star Medicare Advantage Plans in Denton County

5-Star Medicare Advantage Plans in Ellis County

5-Star Medicare Advantage Plans in Hood County

5-Star Medicare Advantage Plans in Hunt County

5-Star Medicare Advantage Plans in Jack County

There are no 5-Star Medicare Advantage plans in Jack County, Texas.

5-Star Medicare Advantage Plans in Johnson County

5-Star Medicare Advantage Plans in Kaufman County

5-Star Medicare Advantage Plans in Navarro County

5-Star Medicare Advantage Plans in Palo Pinto County

There are no 5-Star Medicare Advantage plans in Palo Pinto County, Texas.

5-Star Medicare Advantage Plans in Parker County

5-Star Medicare Advantage Plans in Rockwall County

5-Star Medicare Advantage Plans in Tarrant County

5-Star Medicare Advantage Plans in Van Zandt County

5-Star Medicare Advantage Plans in Wise County

5-Star Medicare Advantage Plans in Greater Houston Counties

5-Star Medicare Advantage Plans in Austin County

5-Star Medicare Advantage Plans in Brazoria County

5-Star Medicare Advantage Plans in Chambers County

5-Star Medicare Advantage Plans in Fort Bend County

5-Star Medicare Advantage Plans in Galveston County

5-Star Medicare Advantage Plans in Grimes County

  • Baylor Scott & White Health Plan, H8142-001-0 BSW SeniorCare Advantage Select Rx (HMO)
  • Baylor Scott & White Health Plan, H8142-004-0 BSW SeniorCare Advantage Select (HMO)
  • Baylor Scott & White Health Plan, H8142-005-0 BSW SeniorCare Advantage Preferred (HMO)
  • Baylor Scott & White Health Plan, H8142-002-0 BSW SeniorCare Advantage Preferred Rx (HMO)
  • Baylor Scott & White Health Plan, H8142-006-0 BSW SeniorCare Advantage Premium (HMO)
  • Baylor Scott & White Health Plan, H8142-003-0 BSW SeniorCare Advantage Premium Rx (HMO)
  • KelseyCare Advantage, H0332-007-0 KelseyCare Advantage Silver Community (HMO-POS)
  • KelseyCare Advantage, H0332-008-0 KelseyCare Advantage Gold Community (HMO-POS)

5-Star Medicare Advantage Plans in Harris County

5-Star Medicare Advantage Plans in Liberty County

5-Star Medicare Advantage Plans in Montgomery County

5-Star Medicare Advantage Plans in Waller County

5-Star Medicare Advantage Plans in Walker County

5-Star Medicare Advantage Plans in Wharton County

5-Star Medicare Advantage PPO Plans in San Antonio & Austin Counties

5-Star Medicare Advantage Plans in Atascosa County

5-Star Medicare Advantage Plans in Bandera County

5-Star Medicare Advantage Plans in Blanco County

  • Baylor Scott & White Health Plan, H8142-001-0 BSW SeniorCare Advantage Select Rx (HMO)
  • Baylor Scott & White Health Plan, H8142-004-0 BSW SeniorCare Advantage Select (HMO)
  • Baylor Scott & White Health Plan, H8142-005-0 BSW SeniorCare Advantage Preferred (HMO)
  • Baylor Scott & White Health Plan, H8142-002-0 BSW SeniorCare Advantage Preferred Rx (HMO)
  • Baylor Scott & White Health Plan, H8142-006-0 BSW SeniorCare Advantage Premium (HMO)
  • Baylor Scott & White Health Plan, H8142-003-0 BSW SeniorCare Advantage Premium Rx (HMO)

5-Star Medicare Advantage Plans in Bexar County

5-Star Medicare Advantage Plans in Comal County

5-Star Medicare Advantage Plans in Frio County

There are no 5-Star Medicare Advantage plans in Frio County, Texas.

5-Star Medicare Advantage Plans in Guadalupe County

5-Star Medicare Advantage Plans in Hays County

There are no 5-Star Medicare Advantage plans in Hays County, Texas.

5-Star Medicare Advantage Plans in Travis County

There are no 5-Star Medicare Advantage plans in Travis County, Texas.

5-Star Medicare Advantage Plans in Wilson County

Source: Explore your Medicare Coverage Options, Medicare.gov, December 5, 2022.

When to Enroll in a 5-Star Medicare Advantage Plan

There are several opportunities for you to enroll in a 5-Star Medicare Advantage plan. You can enroll when you first become eligible for Medicare – during your Initial Enrollment Period or three other times annually:

Medicare 5-Star Special Enrollment Period in Florida

Did you enroll in a Medicare Advantage plan that you’re not happy with? If you find a 5-Star plan that meets your health and budget needs, you can change your plan once between December 8 and November 30. This Special Enrollment is called a 5-Star Special Enrollment Period.

Medicare 5 Star Special Enrollment Period

Curious if you’re eligible for a Special Enrollment Period? A local licensed Connie Health agent can determine if you’re eligible for a 5-Star Special Enrollment Period.

Call (623) 223-8884 (TTY: 711) to see if you can enroll in a 5-Star Medicare Advantage plan. And if you have other questions about Medicare in Texas, don’t hesitate to call and speak with a local licensed agent.

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Read more by Sid Martinez

I am a Spanish-speaking Texas Life and Health Insurance Licensed Agent and have been helping people with Medicare since 2011. When not working, you can find me exploring new places in the Lone Star State, or watching movies and TV shows.

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