Texas's Best Medicare Supplement Plans & Companies
Texas residents enrolled in Original Medicare have the option to enhance their Part A and Part B coverage by choosing from a range of Medicare Supplement (Medigap) Plans. In Texas, there are ten distinct plan options, each designed to cover varying out-of-pocket expenses.
In this article, we provide an in-depth analysis of the top Texas Medigap plans and insurance companies for 2024.
Table of Contents
What You Need to Know
- Private insurance companies offer Medicare Supplement Plans in Texas, not the government.
- Medicare Supplements are available in 10 different plan options, labeled A through N. Each plan offers a different level of Medicare coverage.
- Medicare Supplements are available to Texas residents at age 65.
- All plans offer coverage for Medicare Part A coinsurance and hospital costs, Medicare Part B copayments or coinsurance, and the first three pints of blood.
- Most plans cover the Medicare Part A deductible and Skilled Nursing Facility coinsurance.
- Medicare Supplements do not cover long-term care, vision, dental, hearing aids, or private-duty nursing.
- Average costs for a 65-year-old vary widely based on gender, tobacco use, where you live in Texas, and the coverage you choose.
- Medicare Supplements are not health insurance. They are indemnity insurance and have their own rules.
The Top 5 Medicare Supplement Plans in Texas
There are ten different Medicare Supplement Plans. These plans are labeled A through N and are standardized by the federal Medicare program.
The top-rated plans in Texas for 2024 include Medicare Supplement Plan F, Plan C, Plan D, Plan G, and Plan N. They are considered the best because they provide the most extensive coverage.
Which one of these plans is the best choice for you?
HELPFUL READING: Medicare Plan G vs Plan N: Which is Better?
An easy way to quickly understand the ten plans is to refer to a Medigap plan chart. This chart illustrates how each policy helps cover the Medicare Part A and Medicare Part B out-of-pocket costs (deductibles, coinsurance, and copayments) for Texas residents.
Understanding Your Medigap Plan Options in Texas
Every Medicare beneficiary has unique requirements. Your age, gender, Texas zip code, utilization of medical services, preferred healthcare providers, emergency care needs, and necessities for medical supplies and durable equipment all contribute to the factors you must consider.
These factors play a significant role in determining your available plan options. It's essential to carefully assess your needs for outpatient and inpatient care when deciding.
When Best = Most Comprehensive Coverage in Texas
Most Medicare insurance experts in Texas will tell you that opting for Plan G is the wisest decision if you're enrolling in Medicare with one or more chronic health conditions. This plan offers the most extensive coverage available for those who qualify for Medicare on or after January 1, 2020.
CRUCIAL: While Plan F provides slightly more coverage than Medicare Supplement Plan G, it comes at a significantly higher cost and is only available to beneficiaries who became eligible for Medicare before 2020.
- Get Plan F and Plan G Quotes in Your Zip Code
- See All Companies Offering Plan F in Texas
- See All Companies Offering Plan G in Texas
When Best = Good Coverage & Monthly Savings
If you're enrolling in Medicare and find yourself in excellent health or in need of solid coverage but are concerned about the cost of Plan G, consider Medicare Supplement Plan N as a viable option. Plan N provides comprehensive coverage everywhere in Texas for inpatient hospital stays and most medical expenses.
Plan N is a suitable choice for healthy individuals due to its cost-sharing feature. In exchange for lower monthly premiums, beneficiaries in this plan are responsible for a modest copayment for doctor's office visits (up to $20) or emergency room visits (up to $50).
When Best = Lowest Cost Coverage in Texas
Many Texas beneficiaries don't require comprehensive coverage or simply can't manage it in their budget. If you're concerned about the monthly premium burden, consult with your insurance agent regarding Medicare Supplement Plan K and the High Deductible Plan G (HDG).
RELATED: How Does High Deductible Plan G Work?
These two plan options represent the most economical choices available. Many well-informed Texas seniors prefer these plans over a Medicare Advantage plan.
Does Texas have Plan A, B, C, D, L and M?
Medicare Supplement Plan A represents the most fundamental coverage available. Surprisingly, in many areas of Texas, its cost exceeds that of Plan N. Why pay more for less?
Medicare Supplement Plan C and Plan D provide coverage similar to Plan G but come at a higher cost. Additionally, similar to Plan F, Plan C is exclusively accessible to Texas beneficiaries who enrolled in Medicare prior to 2020.
It's worth noting that only a select few insurance companies in Texas offer Plan L or Plan M.
Mutual of Omaha, United Healthcare, Humana, Cigna, Blue Cross Blue Shield... What's the Difference?
Every Medigap insurance carrier operating in Texas must adhere to federal and state insurance regulations. They can't deviate from the standardized plans designated by letters A through N.
To give an example, a Plan F policy from Aetna Medicare provides identical coverage and benefits (same out-of-pocket costs covered) as a Plan F policy from Mutual of Omaha, United Healthcare, Humana, Cigna, or Blue Cross Blue Shield. This standardization simplifies the process of comparing Medigap plans.
The most important difference is the strength and quality of insurance company standing behind the plan and how they rate their plan for premium increases. It's crucial to research a company's Medicare Supplement rate increase history before making a final decision.
Texas state laws may impose enrollment and rating limitations on carrier. For detailed information, refer to the Texas Department of Insurance website at http://www.tdi.texas.gov/.
Medicare Supplement Plan F Companies in Texas
Medicare Supplement Plan F (Medigap Plan F) is Texas’s most popular Medigap plan. Here are the 10 best companies that offer Plan F policies in Texas based on our reviews (click for details):
Required Benefits of Plan F in Texas
Medigap Plan F is standardized like all Medicare Supplement Plans in Texas. Insurance carriers are required to cover certain benefits. Plan F is the most comprehensive plan because it covers all gaps in Original Medicare.
Although Original Medicare does not cover foreign travel medical emergencies, Plan F does (up to 89%). In addition to this extra benefit, companies may offer limited additional features. One example is Physician Mutual’s Preventive Care and Hearing Loss Testing benefits.
Medicare Supplement Plan G Companies in Texas
Medicare Supplement Plan G (Medigap Plan G) is rapidly gaining popularity with Texas seniors. With Plan F no longer available to new Medicare beneficiaries, Plan G is the new gold standard. Here are the 10 best insurance companies that offer Medigap Plan G policies in Texas based on our reviews (click for details):
Required Benefits of Plan G in Texas
All Medigap plans in Texas, including Medigap Plan G, are standardized. Insurance companies must provide the standard coverage. Plan G covers all gaps in Original Medicare except the Part B deductible. And it only covers 80% of foreign travel medical emergencies that fall within your policy’s limits.
Companies may offer additional features like UnitedHealthcare’s fitness program, Renew Active, or the Silver Sneakers fitness program.
Medicare Supplement Plan N Companies in Texas
Medicare Supplement Plan N is similar to Plan D (not to be confused with Medicare Part D) but covers Medicare Part B coinsurance costs differently. Due to its lower cost and good coverage, it's catching the attention of many Arizona seniors. Here are the 10 best insurance companies that offer Medigap Plan N policies in Texas based on our reviews (click for details):
Required Benefits of Plan N in Texas
All Medicare Supplement Plans in Texas are standardized, including Medigap Plan N. Like Plan G, Plan N does not cover the Part B deductible. It also does not cover Part B excess charges. But it does cover 80% of foreign travel medical emergencies up to the policy’s limits.
Medicare limits the types of extra benefits companies can offer. One excellent additional benefit is UnitedHealthcare’s NurseLine, which lets you talk to an experienced nurse, day or night.
Medcare Eligibility for Medigap Plans
You can apply for Medigap coverage during your Medigap Open Enrollment Period (OEP). This six-month window starts when you enroll in Medicare Part B. Texas may have additional rules after your OEP ends.
Medicare eligibility rules grant you Medigap protections during your Medigap Open Enrollment Period. This means that, regardless of your health history or any chronic conditions, you can secure a Medicare Supplement Plan during this period from any insurance company that offers Medigap in Texas.
Enrolling in a Medigap plan in Texas typically involves consulting with a licensed insurance agent. If you don't already have one, we recommend reaching out to HealthCompare, an Allstate company, at 1-855-728-0510 (TTY 711). They have licensed agents nationwide, and there's no obligation.
Is a Medicare Supplement Right for You?
Consider a Medicare Supplement Insurance Plan If:
- You anticipate the need for frequent healthcare services, both presently and in the future, and wish to limit deductibles and co-pays.
- You have the financial means to afford the monthly premiums associated with Medicare Supplement Insurance, and you do not qualify for Medicaid.
- You value the flexibility to select your healthcare providers and doctors under Medicare without any network restrictions.
- You require nationwide coverage or have plans to travel abroad.
- You are in your Initial Enrollment Period and possess guaranteed issue rights, enabling you to join a Medigap plan regardless of your current health condition.
- You prefer not to enroll in a Medicare Advantage plan and want to avoid the complexities of referrals and pre-authorization for healthcare services.
Consider Alternatives to a Medicare Supplement If:
- You do not anticipate needing frequent healthcare services at present or in the future.
- You missed your Medigap open enrollment period and cannot pass medical underwriting to obtain your preferred Medigap policy.
- You prefer a Medicare Advantage plan with low or zero monthly premiums.
- You have Medicaid, TRICARE, VA benefits, retiree benefits, or other coverage options that cover most of your Medicare out-of-pocket expenses.
- You favor an HMO or PPO plan, coupled with a Part D prescription drug plan, Silver Sneakers, and routine dental, vision, and hearing care.
- You can comply with the rules and limitations of a Medicare Advantage plan.
Alternatives to Texas Medicare Supplement Plans
If you have decided that a Texas Medicare Supplement Plan is not right for you, or that none of the 10 plan types works with your budget, there are several options:
- Stick with Original Medicare, add a Medicare Part D plan for prescription drug coverage, and pay all Part A and Part B deductibles, coinsurance, and copays costs out-of-pocket. NOTE: This is very risky, no matter how healthy you are.
- If you qualify for both Medicare and Medicaid, or have a serious health condition, enroll in a Medicare Advantage Special Needs Plan.
- If you have VA health benefits, get all of your healthcare from your nearest VA hospital. When you do, the VA will bill Medicare and pay the remainder.
- Enroll in a Medicare Advantage Plan with a low maximum out-of-pocket (MOOP) limit and reasonable copayments.
It's important to carefully weigh your options and consider your unique healthcare needs when deciding on the right path for your Medicare coverage. Each choice comes with its own advantages and considerations. If you require further guidance or have questions about the options available to you in Texas, don't hesitate to reach out to our preferred agency, HealthCompare, at 1-855-728-0510 (TTY 711).
Next Steps
The next step is to get a FREE Medigap Rate Comparison Report. It will arm you with all of the information you need to make an informed decision.
Get Your Free Medicare Supplement Rate Comparison
MedicareWire is a Medicare consulting agency. We are not insurance agents. Our job is to help people navigate Medicare without marketing interference.
Our free report will show you rates from all carriers without a sales pitch. No Calls. No Email Spam. No Kidding!
If you would prefer to speak with an agent, our preferred, nationwide agency is HealthCompare, an Allstate company. Give them a call at 1-855-728-0510 (TTY 711).
Citations & References
- Costs of Medigap policies, Medicare.gov, Last Accessed October 4, 2023
- What's Medicare Supplement Insurance (Medigap)?, Medicare.gov, Last Accessed October 4, 2023
- Find a Medigap policy that works for you, Medicare.gov, Last Accessed October 4, 2023
- How to compare Medigap policies, Medicare.gov, Last Accessed October 4, 2023
- How Original Medicare works, Medicare.gov, Last Accessed October 4, 2023
- Your Medicare coverage choices, Medicare.gov, Last Accessed October 4, 2023