2024 Medicare Advantage Plan Facts for Plano

  • 42.94% of Medicare beneficiaries are enrolled in a Medicare Advantage plan in Plano.
  • All Medicare beneficiaries in Plano have access to a $0 premium plan.
  • There are 52 $0 premium Medicare Advantage plans available in Plano.
  • For those that pay a premium, the average is $71.89 per month.
  • The average out-of-pocket maximum is $5,406 per year.
  • The average prescription drug plan deductible (for plans that include Part D) is $167.54 per month.
  • There are 27 plans available in Plano that Medicare rated four stars or higher.
  • There are 4 Medicare Advantage plan types you can choose from, including: Local HMO, Local PPO, PFFS, Regional PPO.
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Speak with a local licensed insurance agent

M-F 9am - 5pm

No obligation to enroll

1-888-369-1211
(TTY: 711)

Why Choose a Medicare Advantage Plan?

There are three primary reasons you may choose to enroll in a Medicare Advantage plan:

  1. Low or no-cost monthly premiums,
  2. Lower out-of-pocket costs, and
  3. Additional benefits such as comprehensive dental, vision, hearing, and more.
Image showing a Medicare Advantage Plan's value

1. Low or no-cost monthly premiums

You have access to a Medicare Advantage plan as low as $0 monthly. If you don't qualify for a $0 premium plan, the average is $71.89 per month. This premium is low, especially compared to a Medicare Supplement plan or your Part B premiums.

2. Lower out-of-pocket costs

Original Medicare doesn't cap their out-of-pocket costs, so you could end up with unexpectedly high medical bills. With Original Medicare Part B, you must pay the premium, deductible, and 20% coinsurance for Medicare-approved services and procedures. The 20% can add up.

3. Additional benefits not available with Original Medicare

Want routine dental coverage? Medicare Part A (hospital insurance) and Medicare Part B (medical insurance) don't offer comprehensive dental, vision, or hearing coverage. These services would be entirely out-of-pocket for you.

The good news? Medicare Advantage plans have low or no-cost premiums, an out-of-pocket maximum, offer additional benefits, and are regulated by the Centers for Medicare & Medicaid Services (CMS). With a Medicare Advantage plan, you could receive prescription drug coverage, routine dental, vision, hearing, transportation, reduced cost-sharing, a gym membership, and more.

Connie Health can help you compare your plan options. Call 1-888-369-1211 (TTY: 711) to speak with a local licensed agent or explore the 2024 Plano Medicare Advantage plans below.
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Medicare Advantage Companies in Plano

16 insurance companies offer Medicare Advantage plans in Plano.

Organization Name
Aetna Medicare
Amerigroup
Baylor Scott & White Health Plan
Blue Cross and Blue Shield of NM, TX
Blue Cross and Blue Shield of OK, TX
Blue Cross and Blue Shield of Texas
Care N' Care Insurance Company
Cigna
GlobalHealth
Humana
Imperial Insurance Companies, Inc
Lasso Healthcare
Molina Healthcare of Texas, Inc.
UnitedHealthcare
Wellcare
Wellcare by Allwell

Top 5 Medicare Advantage Insurance Companies in Plano

These 5 Medicare Advantage insurance companies enroll the largest amount of Medicare beneficiaries in Plano. They offer the most popular plans.

2024 Plano Medicare Advantage Plans

There are 72 Medicare Advantage plans to choose from in Plano. Below are the many available options. Click on any of the links to review additional plan details.

Medicare Advantage Plan NamePlan TypeMonthly Plan PremiumMaximum Out-of-PocketRx DeductibleMedicare Star Rating
AARP Medicare Advantage ChoiceLocal PPO$0.00$6,700$2604
AARP Medicare AdvantageLocal HMO$0.00$3,900$05
AARP Medicare Advantage PatriotLocal HMO$0.00$5,400-5
AARP Medicare Advantage SecureHorizons Plan 1Local HMO$0.00$3,900$05
AARP Medicare Advantage SecureHorizons Plan 2Local HMO$71.00$3,200$05
Aetna Medicare Choice II PlanLocal PPO$18.00$7,550$3003.5
Aetna Medicare Choice PlanLocal PPO$0.00$7,550$3003.5
Aetna Medicare Eagle IILocal PPO$0.00$5,000--
Aetna Medicare Freedom PlanLocal PPO$0.00$6,700$250-
Aetna Medicare Prime PlanLocal HMO$0.00$5,900$2503.5
Aetna Medicare Value PlanLocal HMO$0.00$3,900$03.5
Amerivantage ClassicLocal HMO$0.00$8,300$03.5
Amerivantage Classic PlusLocal HMO$0.00$2,500$03
Blue Cross Medicare Advantage Choice PlusLocal PPO$0.00$6,700$5053.5
Blue Cross Medicare Advantage Choice PremierLocal PPO$60.00$6,050$2953.5
Blue Cross Medicare Advantage ClassicLocal PPO$0.00$6,500$200-
Blue Cross Medicare Advantage Dental PremierLocal PPO$0.00$6,500$505-
Blue Cross Medicare Advantage Dental ValueLocal HMO$0.00$3,655$5053
Blue Cross Medicare Advantage FlexLocal PPO$213.00-$505-
Blue Cross Medicare Advantage Health ChoiceLocal PPO$0.00$6,900$505-
Blue Cross Medicare Advantage ProtectLocal PPO$0.00$5,000--
Blue Cross Medicare Advantage SaverLocal HMO$0.00$6,900$03
Blue Cross Medicare Advantage Saver PlusLocal PPO$0.00$6,900$505-
Blue Cross Medicare Advantage ValueLocal HMO$0.00$3,400$03
BSW SeniorCare AdvantageLocal PPO$0.00$6,400$3004.5
BSW SeniorCare Advantage SelectLocal HMO$0.00$5,550-5
BSW SeniorCare Advantage Select RxLocal HMO$0.00$5,000$05
Care N' Care Choice MA-OnlyLocal PPO$0.00$2,500-3.5
Care N' Care Choice PlusLocal PPO$53.00$3,800$03.5
Care N' Care ChoiceLocal PPO$0.00$4,200$03.5
Care N' Care Choice PremiumLocal PPO$194.00$3,500$03.5
Care N' Care ClassicLocal HMO$0.00$3,900$03.5
Cigna Preferred MedicareLocal HMO$0.00$3,100$05
Cigna Preferred Savings MedicareLocal HMO$0.00$6,400$05
Cigna Preferred Savings MedicareLocal PPO$0.00$6,100$03.5
Cigna True Choice Courage MedicareLocal PPO$0.00$5,700-3.5
Cigna True Choice MedicareLocal PPO$0.00$6,400$03
Erickson Advantage FreedomLocal HMO$68.00$4,300$05
Erickson Advantage Liberty with DrugsLocal HMO$0.00$7,550$05
Erickson Advantage Liberty without DrugsLocal HMO$0.00$7,550-5
Erickson Advantage Signature with DrugsLocal HMO$197.00$2,600$05
HumanaChoice H5216-042Local PPO$93.00$6,700$2004.5
HumanaChoice H5216-043Local PPO$10.00$6,700$04.5
HumanaChoice H5216-352Local PPO$0.00$5,900$04.5
HumanaChoice R4182-001Regional PPO$0.00$5,700-4
HumanaChoice R4182-003Regional PPO$84.00$6,900$1754
HumanaChoice R4182-004Regional PPO$41.00$6,900$1754
Humana Gold Choice H8145-084PFFS$70.00-$2504
Humana Gold Choice H8145-126PFFS$30.00--4
Humana Gold Plus H0028-043Local HMO$0.00$3,400$04
Humana Gold Plus H0028-059Local HMO$25.00$3,450$04
Humana HonorLocal PPO$0.00$6,900-4.5
Humana HonorLocal PPO$0.00$5,400-4.5
Humana USAA Honor with RxLocal PPO$0.00$6,900$4804.5
Imperial Courage PlanLocal HMO$0.00$2,999-2.5
Imperial Insurance Company TraditionalLocal HMO$0.00$2,999$02.5
Imperial Insurance Traditional PlusLocal HMO$0.00$8,300$5052.5
Lasso Healthcare GrowthMSA----
Lasso Healthcare Growth PlusMSA----
Molina Medicare Choice CareLocal HMO$0.00$8,300$1253.5
Molina Medicare Choice Care SelectLocal HMO$0.00$8,300$2003.5
Southwestern Health SelectLocal HMO$0.00$3,200$03.5
Texas LoneStar GoldLocal HMO$0.00$3,900$0-
Texas LoneStar Gold RewardsLocal HMO$0.00$5,900$0-
Texas LoneStar ValorLocal HMO$0.00$3,900--
UnitedHealthcare Medicare Advantage ChoiceRegional PPO$49.00$7,550$3954
Wellcare AssistLocal HMO$11.90$3,450$5052.5
Wellcare Complement AssistLocal HMO$6.10$3,450$5053.5
Wellcare GivebackLocal HMO$0.00$6,700$3502.5
Wellcare No Premium OpenLocal PPO$0.00$5,900$2002.5
Wellcare No Premium Rx Plus OpenLocal PPO$0.00$6,000$3002.5
Wellcare Patriot No PremiumLocal HMO$0.00$3,450-3.5
Wellcare TexanPlus No PremiumLocal HMO$0.00$4,900$02.5

Top 28 Medicare Advantage Plans with the Highest Star Ratings in Plano

The Centers for Medicare and Medicaid Services (CMS) rates all Medicare Advantage plans on a scale of 1 to 5 stars. Plans with one 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. These are the plans with the highest star ratings in Plano.

#Plan NamePlan TypeMonthly Plan PremiumMaximum Out-of-PocketRx DeductibleMedicare Star Rating
1AARP Medicare Advantage (HMO-POS)Local HMO$0.00$3,900$05
2AARP Medicare Advantage Patriot (HMO-POS)Local HMO$0.00$5,400-5
3AARP Medicare Advantage SecureHorizons Plan 1 (HMO-POS)Local HMO$0.00$3,900$05
4AARP Medicare Advantage SecureHorizons Plan 2 (HMO-POS)Local HMO$71.00$3,200$05
5BSW SeniorCare Advantage Select (HMO)Local HMO$0.00$5,550-5
6BSW SeniorCare Advantage Select Rx (HMO)Local HMO$0.00$5,000$05
7Cigna Preferred Medicare (HMO)Local HMO$0.00$3,100$05
8Cigna Preferred Savings Medicare (HMO)Local HMO$0.00$6,400$05
9Erickson Advantage Freedom (HMO-POS)Local HMO$68.00$4,300$05
10Erickson Advantage Liberty with Drugs (HMO-POS)Local HMO$0.00$7,550$05
11Erickson Advantage Liberty without Drugs (HMO-POS)Local HMO$0.00$7,550-5
12Erickson Advantage Signature with Drugs (HMO-POS)Local HMO$197.00$2,600$05
13BSW SeniorCare Advantage (PPO)Local PPO$0.00$6,400$3004.5
14HumanaChoice H5216-042 (PPO)Local PPO$93.00$6,700$2004.5
15HumanaChoice H5216-043 (PPO)Local PPO$10.00$6,700$04.5
16HumanaChoice H5216-352 (PPO)Local PPO$0.00$5,900$04.5
17Humana Honor (PPO)Local PPO$0.00$5,400-4.5
18Humana Honor (PPO)Local PPO$0.00$6,900-4.5
19Humana USAA Honor with Rx (PPO)Local PPO$0.00$6,900$4804.5
20AARP Medicare Advantage Choice (PPO)Local PPO$0.00$6,700$2604
21HumanaChoice R4182-001 (Regional PPO)Regional PPO$0.00$5,700-4
22HumanaChoice R4182-003 (Regional PPO)Regional PPO$84.00$6,900$1754
23HumanaChoice R4182-004 (Regional PPO)Regional PPO$41.00$6,900$1754
24Humana Gold Choice H8145-084 (PFFS)PFFS$70.00-$2504
25Humana Gold Choice H8145-126 (PFFS)PFFS$30.00--4
26Humana Gold Plus H0028-043 (HMO)Local HMO$0.00$3,400$04
27Humana Gold Plus H0028-059 (HMO)Local HMO$25.00$3,450$04
28UnitedHealthcare Medicare Advantage Choice (Regional PPO)Regional PPO$49.00$7,550$3954

Find the right Medicare plan for you

Types of Medicare Advantage Plans Available in Plano

There are 4 Medicare Advantage plan types you can choose from in Plano. These include: Local HMO, Local PPO, PFFS, Regional PPO. Not sure which is the best plan for your health needs and budget? We'll walk you through the most popular plan types: HMO, PPO, and SNPs. At the end of this section, you'll understand the difference between these three most popular plan types.

Medicare Advantage HMO Plans

You have 36 Medicare Advantage HMO plans to choose from in Plano. An HMO, or Health Maintenance Organization, is a type of health plan that limits coverage to in-network care from doctors who work for or contract with the HMO. Typically, HMO plans won't cover out-of-network care except in an emergency.

Medicare Advantage PPO Plans

There are 32 Medicare Advantage PPO plans in Plano. A PPO, or Preferred Provider Organization, is a type of health plan where you pay less to use doctors in the plan's network. Unlike an HMO, you can see doctors and specialists and use a hospital outside the network without a referral for an additional cost.

Venn diagram comparing Medicare Advantage HMO and PPO plans
Still not sure if an HMO or PPO plan is best for you? A local licensed agent can help you choose the right plan for your health needs and budget - Call 1-888-369-1211 to speak with an agent today.

Medicare Advantage Special Needs Plans (SNPs)

Special Needs Plans, or SNPs, are a type of Medicare Advantage plan. There are two types of Special Needs Plans that may be available to you: Chronic Special Needs Plans (C-SNP) and Dual Special Needs Plans (D-SNP).

Chronic Special Needs Plans (C-SNP) are limited to people with specific illnesses or characteristics. For example, you may qualify for a C-SNP if you have diabetes, End-Stage Renal Disease (ESRD), HIV/AIDS, dementia, chronic heart failure, or other qualifying illness. Medicare C-SNPs tailor benefits, provider choices, and drug formularies to meet the needs of the special needs groups they serve.

You may qualify for a Dual Special Needs Plan (D-SNP) if you are eligible for Medicare and Medicaid. With a D-SNP, the State of Texas may cover your Medicare costs, depending on your eligibility.

Plans are available to fit your health and finances. You may qualify for a C-SNP or a D-SNP. Call Connie Health at 1-888-369-1211 to determine your eligibility for these tailored plans.

Veteran Benefits & Medicare

If you or your spouse are veterans, you likely have VA benefits. However, the U.S. Department of Veteran Affairs encourages you to sign up for Medicare as soon as you are eligible. Here are three reasons you should speak to a local licensed agent about how VA benefits and Medicare work together:

  1. Having Medicare means you're covered when you need care from a non-VA hospital or doctor, which also offers you greater health options.
  2. VA benefits and health care could change in the future, so you should enroll in every health care benefit that you are eligible for.
  3. If you lose VA benefits and aren't enrolled in Medicare, you could face Medicare Part B and Part D lifetime late enrollment penalties.
Connie Health can help you find a plan that works with your Veteran benefits. Call 1-888-369-1211 to speak with a local licensed agent today.
Image of David Luna, co-founder and Chief Revenue Officer of Connie Health

Speak with a local licensed insurance agent

M-F 9am - 5pm

No obligation to enroll

1-888-369-1211
(TTY: 711)

When to Enroll in a Medicare Advantage Plan in Plano

Knowing when to enroll or make plan changes can help you save money.

Enrolling in a Medicare Advantage plan for the first time, or are you interested in making a plan change? Skip to the section that applies to you - and mark the dates in your calendar.

Enroll for the First Time

If you're new to Medicare, the best time to enroll in a Medicare Advantage plan is during your Initial Enrollment Period. If you miss that, you can still enroll during the General Enrollment Period (January 1 - March 31) or Special Enrollment Period, but likely with penalties.

Image showing the Initial Enrollment Period for a Medicare Advantage Plan, which is 3 months before or after your 65th birth month

Make a Plan Change

The best time to make a plan change is during the Medicare Annual Enrollment Period (October 15 - December 7). During this time, anyone enrolled in Medicare can review their plan options for the coming year and ensure that their plan choice meets their health and budget needs.

Image showing the Medicare Annual Enrollment Period (AEP), between October 15th and December 7th

If you need to make a plan change because you moved to a new service area or lost coverage, among other reasons, you could qualify for a Special Enrollment Period.

Whether you're enrolling for the first time or making a plan change, a Medicare Advantage plan could fit your health and budget needs. Medicare in Texas can be confusing, and you don't have to sift through your options alone.

A local licensed agent can help. Call 1-888-369-1211 to speak with an agent today and review your frequently asked questions below.

Medicare Doctors Near Me in Plano, Texas

Struggling to find a trustworthy doctor who accepts your Medicare plan? It can be a daunting task but don't worry. With Connie Health, you can easily locate Medicare doctors near you.

No more endless phone calls or web searches. Our platform lets you enter your address and plan information (if you have it), and we'll do the rest. Let us help you eliminate the stress of finding a physician who accepts Medicare.

Why Connie Health

Image listing the benefits of choosing Connie Health for your Medicare Advantage needs: local licensed insurance agents, compare all major insurance, free service, and ongoing support.
A licensed agent is ready to answer your questions. Please call Connie Health at 1-888-369-1211 for help finding a plan tailored to your health and budget.
Image of David Luna, co-founder and Chief Revenue Officer of Connie Health

Speak with a local licensed insurance agent

M-F 9am - 5pm

No obligation to enroll

1-888-369-1211
(TTY: 711)

Frequently Asked Questions

It’s easy to find a trustworthy doctor that accepts Medicare in Plano. Don’t spend your time on endless phone calls and searches. Instead, the Connie Health tool allows you to enter your address and plan information if you have it. Then, our tool will provide Medicare doctors near you.

Let us help you eliminate the stress of finding a physician who accepts Medicare. Find your Medicare doctor today.

The best Medicare Advantage plan in Plano is the plan that best serves your health and budget needs. There is no “best plan” because what serves your neighbor likely won't serve you best. Medicare isn't one-size-fits-all.

Every Medicare beneficiary in Plano has access to a $0 monthly premium Medicare Advantage plan. That is the lowest cost premium, and there are 52 plans with a $0 premium in Plano. For those that pay a premium, the average monthly cost is $71.89.

62,104 of 144,638 eligible Medicare beneficiaries are enrolled in a Medicare Advantage plan in Plano. That's 42.94% of the city's Medicare population. These people have chosen to protect themselves from the potentially high out-of-pocket costs of Original Medicare while receiving extra benefits like comprehensive dental, vision, hearing, and more.

Medicare costs include premiums and deductibles, but also copays and coinsurance. These amounts will depend on the plan or plans that you choose. A Medicare Advantage plan in Plano will cost an average of $71.89 per month for the premium, in addition to the Medicare Part B premium and Medicare Part A, if that applies. Out-of-pocket costs will vary depending on the Medicare-approved services or procedures you need and medications. However, the average Medicare Advantage out-of-pocket maximum is $5,406 per year, and the average prescription drug plan deductible is $167.54.

A Medicare Advantage plan includes Medicare Part A and B, oftentimes prescription drug coverage, and extra benefits like dental, vision, and hearing. These plans are also called Medicare Part C plans. Medicare Supplement plans, also called Medigap, supplements your Original Medicare benefits and pays for out-of-pocket medical expenses not covered by Part A and Medicare Part B. A Medicare Supplement plan only works with Original Medicare and doesn't include extra benefits.