Tomball, Texas Medicare Companies and Plans (2024)
Tomball, Texas Medicare plans include Advantage plans from private health insurance companies, as well as standalone Part D prescription drug coverage. For those that prefer original Medicare coverage, Tomball, TX supplemental plans are also available.
UPDATED: Jan 8, 2024Fact Checked
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Jeff Root
Licensed Insurance Agent
Jeff is a well-known speaker and expert in life insurance and financial planning. He has spoken at top insurance conferences around the U.S., including the InsuranceNewsNet Super Conference, the 8% Nation Insurance Wealth Conference, and the Digital Life Insurance Agent Mastermind. He has been featured and quoted in Nerdwallet, Bloomberg, Forbes, U.S. News & Money, USA Today, and other leading...
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UPDATED: Jan 8, 2024
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UPDATED: Jan 8, 2024
It’s all about you. We want to help you make the right coverage choices.
Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance provider and cannot guarantee quotes from any single provider. Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different companies please enter your ZIP code on this page to use the free quote tool. The more quotes you compare, the more chances to save.
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UPDATED: Jan 8, 2024Fact Checked
The Highlights
- Tomball, TX Medicare options include Advantage, standalone Part D, and Medicare Supplement
- Medicare Advantage plans are available in Tomball with both PPO and HMO networks
- You can buy Medicare Supplement coverage in Tomball, Texas if you have original Medicare and want coverage for out-of-pocket costs
If you’re eligible for Medicare in Tomball, Texas, you have a lot of choices. Major health insurance companies provide Tomball, Texas Medicare Advantage plans with a variety of coverage options to choose from. You can choose a plan that includes Tomball, TX Part D coverage, or buy prescription coverage as a standalone policy.
Read More: Best Texas Medicare Companies and Plans
Tomball, Texas Medicare Supplement plans are available from a number of companies if you choose to stick with original Medicare. These plans can pay for the out-of-pocket costs that Tomball original Medicare plans don’t cover, like coinsurance and deductibles.
Ready to buy Tomball, Texas Medicare coverage? Enter your ZIP code to compare Tomball, TX Medicare options available to you right now.
Medicare Advantage Companies in Tomball, Texas
Medicare Advantage in Tomball, Texas is offered by some of the same local health insurance companies you may have been covered by before. Take a look at which companies in Tomball, TX offer Medicare Advantage as well as which plans they offer to find the coverage and provider network that’s best for you.
Medicare Advantage Companies in Tomball, Texas
| Plan Name | Monthly Prem. (Parts C & D) | Deductible | Additional Gap Coverage | Preferred Pharmacy Copay/ Coinsurance 30-Day Supply | MOOP for Part A & B Benefits |
|---|---|---|---|---|---|
| AARP Medicare Advantage Choice (PPO) – H1278-014-0 | $15.00 | $245 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% | $6,700 |
| AARP Medicare Advantage Patriot (HMO-POS) – H4527-024-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,500 |
| AARP Medicare Advantage Plan 1 (HMO-POS) – H4527-037-0 | $0.00 | $195 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $14.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% | $3,900 |
| AARP Medicare Advantage Plan 2 (HMO) – H4514-007-0 | $0.00 | $195 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $14.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% | $5,900 |
| Aetna Medicare Choice Plan (PPO) – H3288-003-0 | $19.00 | $300 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 27% | $7,550 |
| Aetna Medicare Dual Complete Plan (HMO D-SNP) – H8597-003-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: 25%, Non-Preferred Drug: 35%, Specialty Tier: 29% | N/A |
| Aetna Medicare Eagle Plan (PPO) – H3288-050-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 |
| Aetna Medicare Premier Plan (HMO) – H4523-015-0 | $0.00 | $250 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% | $7,550 |
| Aetna Medicare Prime Plan (HMO) – H4523-024-0 | $0.00 | $250 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% | $5,900 |
| Aetna Medicare Value Plan (PPO) – H3288-047-0 | $0.00 | $195 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% | $6,700 |
| Amerigroup Medicare-Medicaid Plan (Medicare-Medicaid Plan) – H8786-001-0 | $0.00 | $0 | All Generics, All Brands | Tier 1: 0%, Tier 2: 0%, Tier 3: 0%, Tier 4: 0% | N/A |
| Amerivantage Care To You (HMO I-SNP) – H2593-042-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | N/A |
| Amerivantage Care To You Plus (HMO I-SNP) – H8849-002-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | N/A |
| Amerivantage Choice (PPO) – H8343-001-0 | $15.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $5.00, Generic: $12.00, Preferred Brand: $37.00, Non-Preferred Drug: $90.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $6,500 |
| Amerivantage Classic (HMO) – H2593-028-1 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $5.00, Generic: $12.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $7,550 |
| Amerivantage Classic Plus (HMO) – H8849-008-1 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $5.00, Generic: $12.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $5,500 |
| Amerivantage Diabetes Care (HMO C-SNP) – H2593-037-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | N/A |
| Amerivantage Diabetes Care Plus (HMO C-SNP) – H8849-003-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | N/A |
| Amerivantage Dual Coordination (HMO D-SNP) – H2593-030-1 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $14.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25%, Select Care Drugs: $0.00 | N/A |
| Amerivantage Dual Coordination Plus (HMO D-SNP) – H8849-010-1 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $14.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25%, Select Care Drugs: $0.00 | N/A |
| Amerivantage Dual Secure (HMO D-SNP) – H2593-032-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $14.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25%, Select Care Drugs: $0.00 | N/A |
| Amerivantage Dual Secure Plus (HMO D-SNP) – H8849-011-1 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $14.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25%, Select Care Drugs: $0.00 | N/A |
| Amerivantage Heart Care (HMO C-SNP) – H2593-038-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | N/A |
| Amerivantage Heart Care Plus (HMO C-SNP) – H8849-004-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | N/A |
| Amerivantage Lung Care (HMO C-SNP) – H2593-039-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | N/A |
| Amerivantage Lung Care Plus (HMO C-SNP) – H8849-005-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | N/A |
| Amerivantage Select (HMO) – H2593-029-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $3.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $7,550 |
| Amerivantage Select Plus (HMO) – H8849-009-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $3.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $3,400 |
| Blue Cross Medicare Advantage Basic (HMO) – H8133-001-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $8.00, Preferred Brand: $39.00, Non-Preferred Drug: $93.00, Specialty Tier: 33% | $3,400 |
| Blue Cross Medicare Advantage Choice Plus (PPO) – H1666-006-0 | $0.00 | $445 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $13.00, Preferred Brand: $40.00, Non-Preferred Drug: $93.00, Specialty Tier: 25% | $7,550 |
| Blue Cross Medicare Advantage Choice Premier (PPO) – H1666-003-0 | $90.00 | $295 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $13.00, Preferred Brand: $40.00, Non-Preferred Drug: $93.00, Specialty Tier: 27% | $7,550 |
| Cigna Fundamental Medicare (HMO) – H4513-009-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,900 |
| Cigna Preferred Medicare (HMO) – H4513-061-1 | $0.00 | $190 . Tier 1, 2 and 3 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $4.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 29% | $4,300 |
| Cigna TotalCare (HMO D-SNP) – H4513-060-1 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: 15%, Tier 2: 15%, Tier 3: 15%, Tier 4: 15%, Tier 5: 15% | N/A |
| Cigna True Choice Medicare (PPO) – H7849-038-0 | $0.00 | $190 . Tier 1, 2 and 3 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $4.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 29% | $6,800 |
| Community Health Choice (HMO D-SNP) – H9826-001-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: $0.00 | N/A |
| Devoted Health Core Greater Houston (HMO) – H7993-001-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $40.00, Non-Preferred Drug: $80.00, Specialty Tier: 33% | $3,400 |
| Devoted Health Prime Greater Houston (HMO) – H7993-002-0 | $22.50 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $30.00, Non-Preferred Drug: $80.00, Specialty Tier: 33% | $3,400 |
| Erickson Advantage Champion (HMO-POS C-SNP) – H5652-004-0 | $199.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $45.00, Non-Preferred Drug: $85.00, Specialty Tier: 33% | N/A |
| Erickson Advantage Freedom (HMO-POS) – H5652-006-0 | $70.00 | $200 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $45.00, Non-Preferred Drug: $85.00, Specialty Tier: 29% | $4,300 |
| Erickson Advantage Guardian (HMO-POS I-SNP) – H5652-003-0 | $28.80 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $28.00, Non-Preferred Drug: $70.00, Specialty Tier: 33% | N/A |
| Erickson Advantage Liberty with Drugs (HMO-POS) – H5652-008-0 | $0.00 | $400 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $5.00, Generic: $20.00, Preferred Brand: $45.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% | $6,700 |
| Erickson Advantage Liberty without Drugs (HMO-POS) – H5652-002-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 |
| Erickson Advantage Signature with Drugs (HMO-POS) – H5652-001-0 | $199.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $5.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Drug: $85.00, Specialty Tier: 33% | $2,600 |
| Humana Gold Choice H8145-084 (PFFS) – H8145-084-0 | $96.00 | $250 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $6.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $99.00, Specialty Tier: 28% | N/A |
| Humana Gold Choice H8145-126 (PFFS) – H8145-126-0 | $30.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | N/A |
| Humana Gold Plus H0028-042 (HMO) – H0028-042-0 | $0.00 | $195 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $14.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% | $3,450 |
| Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP) – H0028-031-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00, Generic: $14.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% | N/A |
| Humana Gold Plus SNP-DE H0028-033 (HMO D-SNP) – H0028-033-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00, Generic: $18.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% | N/A |
| Humana Honor (PPO) – H5216-128-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,400 |
| HumanaChoice H5216-042 (PPO) – H5216-042-0 | $93.00 | $175 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $99.00, Specialty Tier: 30% | $6,700 |
| HumanaChoice H5216-043 (PPO) – H5216-043-1 | $10.00 | $295 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $99.00, Specialty Tier: 27% | $6,700 |
| HumanaChoice R4182-001 (Regional PPO) – R4182-001-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,700 |
| HumanaChoice R4182-003 (Regional PPO) – R4182-003-0 | $93.00 | $175 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $99.00, Specialty Tier: 30% | $7,200 |
| HumanaChoice R4182-004 (Regional PPO) – R4182-004-0 | $55.00 | $175 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $6.00, Generic: $13.00, Preferred Brand: $47.00, Non-Preferred Drug: $99.00, Specialty Tier: 30% | $7,200 |
| Imperial Insurance Company Dual (HMO D-SNP) – H2793-004-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | Yes, some additional gap coverage. | Preferred Generic: 0%, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25% | N/A |
| Imperial Insurance Company Traditional (HMO) – H2793-003-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $45.00, Non-Preferred Drug: $90.00, Specialty Tier: 33% | $2,999 |
| Imperial Insurance Value (HMO C-SNP) – H2793-005-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $45.00, Non-Preferred Drug: $90.00, Specialty Tier: 33%, Select Care Drugs: $3.00 | N/A |
| KelseyCare Advantage Essential (HMO) – H0332-001-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,450 |
| KelseyCare Advantage Essential+Choice (HMO-POS) – H0332-003-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,450 |
| KelseyCare Advantage Rx (HMO) – H0332-002-0 | $0.00 | $100 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $40.00, Non-Preferred Drug: $80.00, Specialty Tier: 31% | $3,450 |
| KelseyCare Advantage Rx+Choice (HMO-POS) – H0332-004-0 | $77.00 | $100 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $40.00, Non-Preferred Drug: $80.00, Specialty Tier: 31% | $3,450 |
| Lasso Healthcare Growth (MSA) – H1924-001-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | N/A |
| Lasso Healthcare Growth Plus (MSA) – H1924-004-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | N/A |
| Memorial Hermann Advantage (HMO) – H7115-001-0 | $0.00 | $300 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $5.00, Preferred Brand: $39.00, Non-Preferred Drug: $92.00, Specialty Tier: 27%, Select Care Drugs: $0.00 | $3,900 |
| Memorial Hermann Advantage Plus (HMO) – H7115-003-0 | $50.00 | $300 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $5.00, Preferred Brand: $39.00, Non-Preferred Drug: $92.00, Specialty Tier: 27%, Select Care Drugs: $0.00 | $3,900 |
| Molina Dual Options (Medicare-Medicaid Plan) – H8197-001-0 | $0.00 | $0 | All Generics, All Brands | Tier 1: 0%, Tier 2: 0%, Tier 3: 0% | N/A |
| Molina Medicare Complete Care (HMO D-SNP) – H7678-001-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $42.00, Non-Preferred Drug: 32%, Specialty Tier: 25% | N/A |
| Oscar Easy Care (HMO) – H5126-001-0 | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $3,400 |
| ProCare Advantage (HMO I-SNP) – H3467-001-0 | $22.50 | $445 | No additional gap coverage, only the Donut Hole Discount | Tier 1: 25% | N/A |
| UnitedHealthcare Connected (Medicare-Medicaid Plan) – H7833-001-0 | $0.00 | $0 | All Generics, All Brands | Tier 1: 0%, Tier 2: 0%, Tier 3: 0% | N/A |
| UnitedHealthcare Dual Complete (HMO D-SNP) – H4514-013-1 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00 | N/A |
| UnitedHealthcare Dual Complete Choice (Regional PPO D-SNP) – R6801-011-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00 | N/A |
| UnitedHealthcare Medicare Advantage Choice (Regional PPO) – R6801-012-0 | $49.00 | $395 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $4.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% | $7,550 |
| UnitedHealthcare Medicare Gold (Regional PPO C-SNP) – R6801-009-0 | $29.00 | $295 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $4.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 27% | N/A |
| UnitedHealthcare Medicare Silver (Regional PPO C-SNP) – R6801-008-0 | $4.90 | $445 | No additional gap coverage, only the Donut Hole Discount | Tier 1: 25%, Tier 2: 25%, Tier 3: 25%, Tier 4: 25%, Tier 5: 25% | N/A |
| UnitedHealthcare Nursing Home Plan (PPO I-SNP) – H0710-020-0 | $22.50 | $445 | No additional gap coverage, only the Donut Hole Discount | Tier 1: 25%, Tier 2: 25%, Tier 3: 25%, Tier 4: 25%, Tier 5: 25% | N/A |
| WellCare Access (HMO D-SNP) – H0174-004-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 50%, Specialty Tier: 25% | N/A |
| WellCare Compass (HMO) – H0174-009-0 | $16.20 | $445 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 50%, Specialty Tier: 25% | $3,450 |
| WellCare Dividend Prime (HMO) – H0174-007-0 | $0.00 | $300 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $30.00, Non-Preferred Drug: $100.00, Specialty Tier: 27% | $6,700 |
| WellCare Guardian (HMO C-SNP) – H0174-008-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $10.00, Non-Preferred Drug: $100.00, Specialty Tier: 33%, Select Care Drugs: $10.00 | N/A |
| WellCare Imperial (PPO D-SNP) – H7323-005-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: 46%, Specialty Tier: 25% | N/A |
| WellCare Liberty (HMO D-SNP) – H0174-006-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 50%, Specialty Tier: 25% | N/A |
| WellCare Premier (PPO) – H7323-003-0 | $0.00 | $200 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $8.00, Preferred Brand: $45.00, Non-Preferred Drug: 45%, Specialty Tier: 29% | $6,700 |
| WellCare Rx Plus (PPO) – H7323-006-0 | $0.00 | $300 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $45.00, Non-Preferred Drug: 45%, Specialty Tier: 27% | $6,000 |
| WellCare TexanPlus Choice (HMO-POS) – H4506-029-0 | $0.00 | $250 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $40.00, Non-Preferred Drug: 35%, Specialty Tier: 28% | $3,400 |
| WellCare TexanPlus Classic (HMO) – H4506-003-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $40.00, Non-Preferred Drug: $80.00, Specialty Tier: 33% | $3,400 |
| WellCare TexanPlus Value (HMO) – H4506-010-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
| WellCare Value (HMO) – H0174-010-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $30.00, Non-Preferred Drug: $90.00, Specialty Tier: 33% | $3,300 |
| WellCare Value (HMO-POS) – H0174-005-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $30.00, Non-Preferred Drug: $85.00, Specialty Tier: 33% | $4,500 |
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Medicare Supplement Companies in Tomball, Texas
Original Medicare leaves you with some out-of-pocket costs such as deductibles and coinsurance. With Tomball, Texas Medicare Supplement plan, you can get coverage for some or all of those costs. Medicare Supplement plans in Texas are standardized, but companies can choose which plans they will sell. Take a look at which companies sell Medicare Supplement (Medigap) insurance and which plans they offer.
Medicare Supplement Companies in Tomball, Texas
| Company | Plans |
|---|---|
| AARP – UnitedHealthcare Insurance Company (Level 1) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan L, Medigap Plan N |
| AARP – UnitedHealthcare Insurance Company (Level 1/Household) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan L, Medigap Plan N |
| AARP – UnitedHealthcare Insurance Company (Level 2) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan L, Medigap Plan N |
| AARP – UnitedHealthcare Insurance Company (Level 2/Household) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan L, Medigap Plan N |
| AARP – UnitedHealthcare Insurance Company (Standard) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan L, Medigap Plan N |
| AARP – UnitedHealthcare Insurance Company (Standard/Household) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan L, Medigap Plan N |
| Accendo Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Aetna Health Insurance Company | Medigap Plan A, Medigap Plan B, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
| American Benefit Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| American Financial Security Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Amerigroup (an Anthem Company) | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Atlantic Coast Life Insurance Company | Medigap Plan A, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Atlantic Coast Life Insurance Company (Household) | Medigap Plan A, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Bankers Fidelity Assurance Company (Preferred) | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Bankers Fidelity Assurance Company (Standard) | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| BlueCross BlueShield of Texas | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan K, Medigap Plan L, Medigap Plan N |
| Capitol Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Catholic Life Insurance | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Central States Health and Life Co. of Omaha | Medigap Plan A, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Cigna Health & Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
| Colonial Penn Life Insurance Company | Medigap Plan A, Medigap Plan B, Medigap Plan D, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan K, Medigap Plan L, Medigap Plan M, Medigap Plan N |
| Colonial Penn Life Insurance Company (Substandard) | Medigap Plan A, Medigap Plan B, Medigap Plan D, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan K, Medigap Plan L, Medigap Plan M, Medigap Plan N |
| Elips Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Federal Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| GPM Health and Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Garden State Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan M, Medigap Plan N |
| Globe Life and Accident Insurance Company (Direct to Consumer) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
| Great Southern Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
| Great Southern Life Insurance Company (Class 1) | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
| Guarantee Trust Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Heartland National Life Insurance Company | Medigap Plan A, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan M, Medigap Plan N |
| Humana Achieve (CompBenefits Insurance Company) | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Humana Achieve (CompBenefits Insurance Company) (Household) | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Independence American Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Magna Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Manhattan Life Assurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Medico Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
| Nassau Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| National Guardian Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| National Health Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
| National Health Insurance Company (Household) | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
| Old Surety Life Insurance Company | Medigap Plan A, Medigap Plan C, Medigap Plan F, Medigap Plan G |
| Omaha Supplemental Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Oxford Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Pan-American Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Pekin Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Philadelphia American Life Insurance Company | Medigap Plan A, Medigap Plan C, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan M, Medigap Plan N |
| Physicians Life Insurance Company (Issue Age) | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G |
| Prosperity Life Group (Preferred) | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Prosperity Life Group (Standard) | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Puritan Life Insurance Company of America | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Resource Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G |
| Sentinel Security Life Insurance Company | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Shenandoah Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Southern Guaranty Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| State Farm Mutual Automobile Insurance Company | Medigap Plan A, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Transamerica Life Insurance Company (Direct) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan L, Medigap Plan M, Medigap Plan N |
| USAA Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Union Security Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| United American Insurance Company | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan K, Medigap Plan L, Medigap Plan N |
| United Commercial Travelers of America | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| United Insurance Company of America | Medigap Plan A, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| United States Fire Insurance Company | Medigap Plan A, Medigap Plan B, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan L, Medigap Plan N |
| Wisconsin Physicians Service Insurance Corporation | Medigap Plan A, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan L, Medigap Plan N |
| Physicians Life Insurance Company (Attained Age) | Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G |
Tomball, Texas Standard Medicare Plan Coverage
Wondering what’s covered by each of the standard Texas Medicare Supplement plans? Take a look at all of the Tomball, Texas Medicare Supplement plans with coverage details.
Tomball, Texas Standard Medicare Plan Coverage
| Plan Name | Monthly Cost | Copays Coinsurance | Deductibles | Plan Benefits |
|---|---|---|---|---|
| Medigap Plan A | Premiums range from $94-$1,616 depending on your age, sex, health status, and when you buy. | $0 is generally your cost for approved Part B services. | $1,484 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: No
Part A deductible: No Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
| Medigap Plan B | Premiums range from $112-$711 depending on your age, sex, health status, and when you buy. | $0 is generally your cost for approved Part B services. | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: No
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
| Medigap Plan C | Premiums range from $129-$701 depending on your age, sex, health status, and when you buy. | $0 is generally your cost for approved Part B services. | $0 Hospital (Part A) deductible, $0 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: Yes Part B excess charges: No Foreign travel emergency: Yes |
| Medigap Plan D | Premiums range from $122-$600 depending on your age, sex, health status, and when you buy. | $0 is generally your cost for approved Part B services. | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: Yes |
| Medigap Plan F | Premiums range from $112-$903 depending on your age, sex, health status, and when you buy. | $0 is generally your cost for approved Part B services. | $0 Hospital (Part A) deductible, $0 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: Yes Part B excess charges: Yes Foreign travel emergency: Yes |
| Medigap Plan F-high deductible | Premiums range from $32-$347 depending on your age, sex, health status, and when you buy. | $0 is generally your cost for approved Part B services after you pay $2,370 deductible. | $2,370 total plan deductible. After, you pay: $0 Hospital (Part A) deductible, $0 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: Yes Part B excess charges: Yes Foreign travel emergency: Yes |
| Medigap Plan G | Premiums range from $95-$924 depending on your age, sex, health status, and when you buy. | $0 is generally your cost for approved Part B services. | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: Yes Foreign travel emergency: Yes |
| Medigap Plan G-high deductible | Premiums range from $32-$180 depending on your age, sex, health status, and when you buy. | $0 is generally your cost for approved Part B services after you pay $2,370 deductible. | $2,370 total plan deductible. After, you pay: $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: Yes Foreign travel emergency: Yes |
| Medigap Plan K | Premiums range from $48-$316 depending on your age, sex, health status, and when you buy. | 10% is generally your cost for approved Part B services up to $6,220. Then, you’ll pay $0 for the rest of the year. | $742 (50% of Part A deductible) Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
| Medigap Plan L | Premiums range from $68-$633 depending on your age, sex, health status, and when you buy. | 5% is generally your cost for approved Part B services up to $3,110. Then, you’ll pay $0 for the rest of the year. | $371 (25% of Part A deductible) Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
| Medigap Plan M | Premiums range from $77-$735 depending on your age, sex, health status, and when you buy. | $0 is generally your cost for approved Part B services. | $742 (50% of Part A deductible) Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: Yes |
| Medigap Plan N | Premiums range from $74-$656 depending on your age, sex, health status, and when you buy. | $0 is generally your cost for approved Part B services with some $20 and $50 copays. | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: Yes |
Standalone Medicare Part D Plans in Tomball, Texas
Prescription drug coverage for Medicare in Tomball, Texas is covered by a Part D plan. You can purchase Part D coverage in Tomball, Texas as a standalone plan if it’s not included in your Medicare Advantage coverage. Take a look at the options for standalone Part D plans here.
Standalone Medicare Part D Plans in Tomball, Texas
| Plan | Details | Tiers |
|---|---|---|
| SilverScript SmartRx (PDP) S5601 – 197 – 0 by Aetna Medicare |
Monthly Premium: $7.30 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $19.00 Tier 3: $46.00 Tier 4: 48% Tier 5: 25% |
| Clear Spring Health Premier Rx (PDP) S6946 – 048 – 0 by Clear Spring Health |
Monthly Premium: $13.80 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $40.00 Tier 4: 42% Tier 5: 25% |
| Elixir RxPlus (PDP) S7694 – 135 – 0 by Elixir Insurance |
Monthly Premium: $15.10 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $6.00 Tier 3: $43.00 Tier 4: 45% Tier 5: 25% |
| WellCare Value Script (PDP) S4802 – 155 – 0 by WellCare |
Monthly Premium: $15.30 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $6.00 Tier 3: $43.00 Tier 4: 49% Tier 5: 25% |
| Express Scripts Medicare – Value (PDP) S5660 – 124 – 0 by Express Scripts Medicare |
Monthly Premium: $16.80 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $42.00 Tier 4: 50% Tier 5: 25% |
| Humana Walmart Value Rx Plan (PDP) S5884 – 201 – 0 by Humana |
Monthly Premium: $17.20 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: 18% Tier 4: 35% Tier 5: 25% |
| WellCare Wellness Rx (PDP) S4802 – 191 – 0 by WellCare |
Monthly Premium: $17.90 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $4.00 Tier 3: $40.00 Tier 4: 46% Tier 5: 25% |
| SilverScript Choice (PDP) S5601 – 044 – 0 by Aetna Medicare |
Monthly Premium: $18.10 Annual Deductible: $405 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $5.00 Tier 3: $35.00 Tier 4: 40% Tier 5: 25% |
| WellCare Classic (PDP) S4802 – 013 – 0 by WellCare |
Monthly Premium: $19.50 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $1.00 Tier 3: $35.00 Tier 4: 35% Tier 5: 25% |
| Humana Basic Rx Plan (PDP) S5884 – 143 – 0 by Humana |
Monthly Premium: $19.70 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $1.00 Tier 3: 20% Tier 4: 34% Tier 5: 25% |
| Clear Spring Health Value Rx (PDP) S6946 – 019 – 0 by Clear Spring Health |
Monthly Premium: $19.80 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $42.00 Tier 4: 33% Tier 5: 25% |
| Elixir RxSecure (PDP) S7694 – 022 – 0 by Elixir Insurance |
Monthly Premium: $20.20 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $7.00 Tier 3: 15% Tier 4: 33% Tier 5: 25% |
| Cigna Secure Rx (PDP) S5617 – 108 – 0 by Cigna |
Monthly Premium: $20.30 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $2.00 Tier 3: $45.00 Tier 4: 50% Tier 5: 25% |
| Exemplar Health Basic (PDP) S9325 – 004 – 0 by Exemplar Health |
Monthly Premium: $21.40 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $3.00 Tier 2: $6.00 Tier 3: $47.00 Tier 4: 47% Tier 5: 25% |
| Mutual of Omaha Rx Premier (PDP) S7126 – 091 – 0 by Mutual of Omaha Rx |
Monthly Premium: $23.60 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 23% Tier 4: 45% Tier 5: 25% |
| Cigna Secure-Essential Rx (PDP) S5617 – 301 – 0 by Cigna |
Monthly Premium: $24.00 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 18% Tier 4: 48% Tier 5: 25% |
| WellCare Medicare Rx Select (PDP) S5810 – 293 – 0 by WellCare |
Monthly Premium: $27.40 Annual Deductible: $415 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $3.00 Tier 3: $47.00 Tier 4: 42% Tier 5: 25% |
| Express Scripts Medicare – Saver (PDP) S5660 – 238 – 0 by Express Scripts Medicare |
Monthly Premium: $27.50 Annual Deductible: $285 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $2.00 Tier 2: $7.00 Tier 3: $35.00 Tier 4: 50% Tier 5: 28% |
| Amerivantage Rx Enhanced (PDP) S8182 – 002 – 0 by Amerigroup |
Monthly Premium: $29.00 Annual Deductible: $340 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 20% Tier 4: 40% Tier 5: 26% |
| WellCare Medicare Rx Saver (PDP) S5810 – 056 – 0 by WellCare |
Monthly Premium: $31.50 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $4.00 Tier 3: $38.00 Tier 4: 41% Tier 5: 25% |
| AARP MedicareRx Walgreens (PDP) S5921 – 403 – 0 by UnitedHealthcare |
Monthly Premium: $31.90 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $6.00 Tier 3: $40.00 Tier 4: 40% Tier 5: 25% |
| AARP MedicareRx Saver Plus (PDP) S5921 – 367 – 0 by UnitedHealthcare |
Monthly Premium: $44.30 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $8.00 Tier 3: $38.00 Tier 4: 40% Tier 5: 25% |
| Cigna Secure-Extra Rx (PDP) S5617 – 267 – 0 by Cigna |
Monthly Premium: $45.70 Annual Deductible: $100 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $4.00 Tier 2: $10.00 Tier 3: $42.00 Tier 4: 50% Tier 5: 31% |
| Amerivantage Rx Basic (PDP) S8182 – 001 – 0 by Amerigroup |
Monthly Premium: $48.40 Annual Deductible: $410 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $2.00 Tier 3: $36.00 Tier 4: 33% Tier 5: 25% |
| Blue Cross MedicareRx Basic (PDP) S5715 – 014 – 0 by Blue Cross and Blue Shield of Texas |
Monthly Premium: $59.40 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: 13% Tier 4: 43% Tier 5: 25% |
| Humana Premier Rx Plan (PDP) S5884 – 168 – 0 by Humana |
Monthly Premium: $65.90 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: $45.00 Tier 4: 49% Tier 5: 25% |
| SilverScript Plus (PDP) S5601 – 045 – 0 by Aetna Medicare |
Monthly Premium: $69.20 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: $47.00 Tier 4: 50% Tier 5: 33% |
| Amerivantage Rx Plus (PDP) S8182 – 005 – 0 by Amerigroup |
Monthly Premium: $69.70 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $43.00 Tier 4: 45% Tier 5: 33% |
| Exemplar Health Enhanced (PDP) S9325 – 003 – 0 by Exemplar Health |
Monthly Premium: $76.10 Annual Deductible: $150 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: $42.00 Tier 4: 43% Tier 5: 25% |
| WellCare Medicare Rx Value Plus (PDP) S5768 – 145 – 0 by WellCare |
Monthly Premium: $76.70 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: $47.00 Tier 4: 46% Tier 5: 33% |
| Express Scripts Medicare – Choice (PDP) S5660 – 192 – 0 by Express Scripts Medicare |
Monthly Premium: $82.10 Annual Deductible: $100 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $2.00 Tier 2: $7.00 Tier 3: $42.00 Tier 4: 50% Tier 5: 31% |
| Mutual of Omaha Rx Plus (PDP) S7126 – 021 – 0 by Mutual of Omaha Rx |
Monthly Premium: $83.80 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 20% Tier 4: 36% Tier 5: 25% |
| AARP MedicareRx Preferred (PDP) S5820 – 021 – 0 by UnitedHealthcare |
Monthly Premium: $85.10 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $5.00 Tier 2: $10.00 Tier 3: $45.00 Tier 4: 40% Tier 5: 33% |
| Blue Cross MedicareRx Value (PDP) S5715 – 005 – 0 by Blue Cross and Blue Shield of Texas |
Monthly Premium: $86.90 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $0.00 Tier 2: $8.00 Tier 3: $40.00 Tier 4: 40% Tier 5: 25% |
| Blue Cross MedicareRx Plus (PDP) S5715 – 006 – 0 by Blue Cross and Blue Shield of Texas |
Monthly Premium: $154.70 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: $30.00 Tier 4: 40% Tier 5: 33% |
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Jeff Root
Licensed Insurance Agent
Jeff is a well-known speaker and expert in life insurance and financial planning. He has spoken at top insurance conferences around the U.S., including the InsuranceNewsNet Super Conference, the 8% Nation Insurance Wealth Conference, and the Digital Life Insurance Agent Mastermind. He has been featured and quoted in Nerdwallet, Bloomberg, Forbes, U.S. News & Money, USA Today, and other leading...
Licensed Insurance Agent
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