Medicare Advantage in Texas
Medicare Advantage plans in Texas are offered by private insurance companies approved by Medicare. Networks, extra benefits and costs are set county by county, so options can differ between neighboring areas.
Medicare in Texas
Understand Your Medicare Options in Texas
General Medicare education for Texas residents, plus a licensed partner when plan-specific questions come up.
What to understand
Medicare education for Texas
Medicare Supplement in Texas
Medicare Supplement (Medigap) coverage works alongside Original Medicare to help with certain out-of-pocket costs. Eligibility rules, pricing methods and timing protections are governed in part by Texas state rules.
Prescription drug plans
Part D plans available in Texas publish their own formularies and preferred pharmacy arrangements. The same medication may cost noticeably different amounts from one plan to another.
Doctors and facilities
Before choosing coverage, confirm that your physicians, hospitals and pharmacies participate under the coverage you are considering. Participation in Texas can change from year to year.
Enrollment information
Initial Enrollment, the Annual Enrollment Period each fall, and Special Enrollment Periods triggered by life events all have specific timing rules. Knowing which window applies to you prevents rushed decisions.
Local educational resources
Texas residents can also access general Medicare education through state health insurance assistance resources. We are happy to point you to them alongside our own guidance.
Geography matters
Where you live in Texas changes your options
Medicare Advantage and Part D service areas are drawn county by county. Two neighbors in different counties of Texas can see different plans, different provider networks and different pharmacy pricing.
Major Texas areas we're asked about
- Houston
- Dallas–Fort Worth
- San Antonio
- Austin
- El Paso
- Rio Grande Valley
Urban counties usually have more Medicare Advantage plans and more network hospitals; rural counties often have fewer plans and rely more on Original Medicare with a supplement. Neither is automatically better — it depends on your doctors and medications.
What to verify before you decide
- Your county — not just your state — for plan availability.
- Whether your hospital system and specialists are in network.
- Whether your pharmacy is a preferred pharmacy under the plan.
- How the plan covers care when you travel outside Texas.
Official Texas resources
Authoritative help for Texas residents
These government and federally funded resources are independent of Compass Partners. We list them because you should always be able to verify what you are told.
Health Information, Counseling and Advocacy Program (HICAP)
Free, unbiased Medicare counseling for Texas residents, funded by the federal government.
Find your local SHIP officeTexas Department of Insurance
Licenses insurance agents, regulates Medicare Supplement pricing rules in Texas, and takes consumer complaints.
Contact your state insurance departmentMedicare Plan Finder
The official CMS tool listing every plan available in your Texas ZIP code.
Compare all plans on Medicare.govMedicare Care Compare
Look up Texas doctors, hospitals, dialysis facilities and nursing homes.
Search providersTexas Medicaid & Medicare Savings Programs
State-administered programs that can help pay Medicare premiums and cost-sharing if you qualify.
Find your state Medicaid officeSenior Medicare Patrol (SMP)
Report suspected Medicare fraud or a pressure sales call in Texas.
Find your state SMPSocial Security Administration
Enroll in Parts A and B, report a move within Texas, or apply for Extra Help.
Find a local officePlan and carrier availability in Texas changes every year and is approved county by county. We publish specific plan or carrier counts only where we can confirm them for your county.