2024 Medicare Advantage Plan Facts for Houston

  • 60.64% of Medicare beneficiaries are enrolled in a Medicare Advantage plan in Houston.
  • All Medicare beneficiaries in Houston have access to a $0 premium plan.
  • There are 59 $0 premium Medicare Advantage plans available in Houston.
  • For those that pay a premium, the average is $68.99 per month.
  • The average out-of-pocket maximum is $5,199 per year.
  • The average prescription drug plan deductible (for plans that include Part D) is $146.58 per month.
  • There are 37 plans available in Houston 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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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 $68.99 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 Houston Medicare Advantage plans below.
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Medicare Advantage Companies in Houston

17 insurance companies offer Medicare Advantage plans in Houston.

Organization Name
Aetna Medicare
Amerigroup
Amerigroup Insurance Company
Blue Cross and Blue Shield of NM, TX
Blue Cross and Blue Shield of OK, TX
Blue Cross and Blue Shield of Texas
Cigna
Devoted Health
Humana
Imperial Insurance Companies, Inc
KelseyCare Advantage
Lasso Healthcare
Memorial Hermann Health Plan
Molina Healthcare of Texas, Inc.
SCAN Health Plan
UnitedHealthcare
Wellcare

Top 5 Medicare Advantage Insurance Companies in Houston

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

2024 Houston Medicare Advantage Plans

There are 76 Medicare Advantage plans to choose from in Houston. 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 AllyLocal HMO$0.00$3,900$04.5
AARP Medicare Advantage ChoiceLocal PPO$0.00$6,700$2454
AARP Medicare Advantage PatriotLocal HMO$0.00$5,500-4.5
AARP Medicare Advantage Plan 1Local HMO$0.00$3,900$04.5
AARP Medicare Advantage Plan 2Local HMO$0.00$5,900$04.5
Aetna Medicare Choice PlanLocal PPO$23.00$7,550$3003.5
Aetna Medicare Eagle IILocal PPO$0.00$5,000--
Aetna Medicare Eagle PlanLocal PPO$0.00$5,000-3.5
Aetna Medicare Freedom PlanLocal PPO$0.00$5,900$200-
Aetna Medicare Premier PlanLocal HMO$0.00$6,700$2003.5
Aetna Medicare Prime PlanLocal HMO$0.00$4,900$1503.5
Aetna Medicare Select PlanLocal HMO$0.00$3,900$1503.5
Aetna Medicare Value PlanLocal PPO$0.00$7,550$3003.5
Amerivantage ChoiceLocal PPO$0.00$6,700$0-
Amerivantage ClassicLocal HMO$0.00$8,300$03.5
Amerivantage Classic PlusLocal HMO$0.00$5,500$03
Amerivantage Select PlusLocal HMO$0.00$3,400$03
Blue Cross Medicare Advantage BasicLocal HMO$0.00$3,400$03.5
Blue Cross Medicare Advantage Choice PlusLocal PPO$0.00$6,700$5053.5
Blue Cross Medicare Advantage Choice PremierLocal PPO$88.00$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 ValueLocal HMO$0.00$3,400$03
Cigna Alliance MedicareLocal HMO$0.00$2,600$05
Cigna Courage MedicareLocal HMO$0.00$4,300-5
Cigna Preferred MedicareLocal HMO$0.00$2,900$05
Cigna Preferred Savings MedicareLocal HMO$0.00$6,400$05
Cigna True Choice MedicareLocal PPO$0.00$6,100$03
Cigna True Choice Plus MedicareLocal PPO$17.00$6,100$03
Devoted CORE Greater HoustonLocal HMO$0.00$3,400$04.5
Devoted GIVEBACK Greater HoustonLocal HMO$0.00$6,900$3004.5
Devoted PRIME Greater HoustonLocal HMO$25.00$3,400$04.5
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$0.00$6,700$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 H0028-042Local HMO$0.00$3,450$04
Humana HonorLocal PPO$0.00$5,400-4.5
Humana HonorLocal PPO$0.00$6,900-4.5
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
KelseyCare Advantage Gold FreedomLocal HMO$0.00$3,450$1005
KelseyCare Advantage GoldLocal HMO$0.00$3,450$1005
KelseyCare Advantage PlatinumLocal HMO$0.00$3,450$1005
KelseyCare Advantage Silver FreedomLocal HMO$0.00$3,450-5
KelseyCare Advantage SilverLocal HMO$0.00$3,450-5
Lasso Healthcare GrowthMSA----
Lasso Healthcare Growth PlusMSA----
Memorial Hermann AdvantageLocal HMO$0.00$3,400$04
Memorial Hermann Advantage PlusLocal HMO$25.00$3,400$04
Memorial Hermann Prime Value MA OnlyLocal HMO$0.00$3,400-4
Molina Medicare Choice CareLocal HMO$0.00$8,300$1253.5
Molina Medicare Choice Care SelectLocal HMO$0.00$8,300$2003.5
SCAN ClassicLocal HMO$0.00$2,900$0-
SCAN VentureLocal HMO$0.00$5,000$0-
UnitedHealthcare Medicare Advantage ChoiceRegional PPO$49.00$7,550$3954
Wellcare AssistLocal HMO$11.90$3,450$5052.5
Wellcare GivebackLocal HMO$0.00$7,550$3502.5
Wellcare No PremiumLocal HMO$0.00$3,300$02.5
Wellcare No Premium OpenLocal PPO$0.00$6,400$2002.5
Wellcare No Premium Rx Plus OpenLocal PPO$0.00$6,000$3002.5
Wellcare TexanPlus Classic No PremiumLocal HMO$0.00$3,400$04
Wellcare TexanPlus No PremiumLocal HMO$0.00$3,400$2504
Wellcare TexanPlus Patriot GivebackLocal HMO$0.00$3,000-4

Top 38 Medicare Advantage Plans with the Highest Star Ratings in Houston

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 Houston.

#Plan NamePlan TypeMonthly Plan PremiumMaximum Out-of-PocketRx DeductibleMedicare Star Rating
1Cigna Alliance Medicare (HMO)Local HMO$0.00$2,600$05
2Cigna Courage Medicare (HMO)Local HMO$0.00$4,300-5
3Cigna Preferred Medicare (HMO)Local HMO$0.00$2,900$05
4Cigna Preferred Savings Medicare (HMO)Local HMO$0.00$6,400$05
5Erickson Advantage Freedom (HMO-POS)Local HMO$68.00$4,300$05
6Erickson Advantage Liberty with Drugs (HMO-POS)Local HMO$0.00$7,550$05
7Erickson Advantage Liberty without Drugs (HMO-POS)Local HMO$0.00$7,550-5
8Erickson Advantage Signature with Drugs (HMO-POS)Local HMO$197.00$2,600$05
9KelseyCare Advantage Gold Freedom (HMO-POS)Local HMO$0.00$3,450$1005
10KelseyCare Advantage Gold (HMO)Local HMO$0.00$3,450$1005
11KelseyCare Advantage Platinum (HMO)Local HMO$0.00$3,450$1005
12KelseyCare Advantage Silver Freedom (HMO-POS)Local HMO$0.00$3,450-5
13KelseyCare Advantage Silver (HMO)Local HMO$0.00$3,450-5
14AARP Medicare Advantage Ally (HMO-POS)Local HMO$0.00$3,900$04.5
15AARP Medicare Advantage Patriot (HMO-POS)Local HMO$0.00$5,500-4.5
16AARP Medicare Advantage Plan 1 (HMO-POS)Local HMO$0.00$3,900$04.5
17AARP Medicare Advantage Plan 2 (HMO-POS)Local HMO$0.00$5,900$04.5
18Devoted CORE Greater Houston (HMO)Local HMO$0.00$3,400$04.5
19Devoted GIVEBACK Greater Houston (HMO)Local HMO$0.00$6,900$3004.5
20Devoted PRIME Greater Houston (HMO)Local HMO$25.00$3,400$04.5
21HumanaChoice H5216-042 (PPO)Local PPO$93.00$6,700$2004.5
22HumanaChoice H5216-043 (PPO)Local PPO$0.00$6,700$04.5
23Humana Honor (PPO)Local PPO$0.00$5,400-4.5
24Humana Honor (PPO)Local PPO$0.00$6,900-4.5
25AARP Medicare Advantage Choice (PPO)Local PPO$0.00$6,700$2454
26HumanaChoice R4182-001 (Regional PPO)Regional PPO$0.00$5,700-4
27HumanaChoice R4182-003 (Regional PPO)Regional PPO$84.00$6,900$1754
28HumanaChoice R4182-004 (Regional PPO)Regional PPO$41.00$6,900$1754
29Humana Gold Choice H8145-084 (PFFS)PFFS$70.00-$2504
30Humana Gold Choice H8145-126 (PFFS)PFFS$30.00--4
31Humana Gold Plus H0028-042 (HMO)Local HMO$0.00$3,450$04
32Memorial Hermann Advantage (HMO)Local HMO$0.00$3,400$04
33Memorial Hermann Advantage Plus (HMO)Local HMO$25.00$3,400$04
34Memorial Hermann Prime Value MA Only (HMO)Local HMO$0.00$3,400-4
35UnitedHealthcare Medicare Advantage Choice (Regional PPO)Regional PPO$49.00$7,550$3954
36Wellcare TexanPlus Classic No Premium (HMO)Local HMO$0.00$3,400$04
37Wellcare TexanPlus No Premium (HMO-POS)Local HMO$0.00$3,400$2504
38Wellcare TexanPlus Patriot Giveback (HMO)Local HMO$0.00$3,000-4

Find the right Medicare plan for you

Types of Medicare Advantage Plans Available in Houston

There are 4 Medicare Advantage plan types you can choose from in Houston. 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 47 Medicare Advantage HMO plans to choose from in Houston. 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 25 Medicare Advantage PPO plans in Houston. 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 Houston

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 Houston, 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 Houston. 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 Houston 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 Houston has access to a $0 monthly premium Medicare Advantage plan. That is the lowest cost premium, and there are 59 plans with a $0 premium in Houston. For those that pay a premium, the average monthly cost is $68.99.

375,076 of 618,529 eligible Medicare beneficiaries are enrolled in a Medicare Advantage plan in Houston. That's 60.64% 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 Houston will cost an average of $68.99 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 $5,199 per year, and the average prescription drug plan deductible is $146.58.

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.