Medicare in Texas - Find TX Medicare Insurance Options. By the numbers. As of 2. Medicare beneficiaries resided in Texas. To learn more about Medicare in Texas, here are some statistics: Beneficiaries enrolled in Medicare Part A and/or Part B in Texas: 2, 4. Total number of Texas beneficiaries: 3, 5. Beneficiaries enrolled in a Medicare Advantage plan in Texas: 1, 1. Beneficiaries enrolled in Medicare Part D: 2, 4. Texas beneficiaries enrolled in a Medicare Advantage Prescription Drug plan: 9. Texas beneficiaries enrolled in a stand- alone Medicare Prescription Drug Plan: 1, 5. Medicare Advantage plans and Prescription Drug Plan sponsors must have a contract with Medicare in order to sell Medicare insurance plans (such as a Medicare HMO or a Medicare Part D Prescription Drug Plan). Depending on the terms of the contract between the plan and Medicare, not every plan is available statewide or in all service areas. Each year, the plan must renew their contract with Medicare, so the availability of a plan in a specific service area is subject to change as a result of the annual contract renewal. Medicare resources in Texas. Texas Medicare Savings Programs: Beneficiaries in Texas are sometimes overwhelmed by health care costs. Programs offer special savings to beneficiaries whose income is under a certain limit. Texas State Health Insurance Counseling and Assistance Program (SHIP): Health Information Counseling & Advocacy Program of Texas (HICAP) is the Texas branch of SHIP. HICAP has 2. 8 Area Agency on Aging offices where you can speak with benefits counselors who provide unbiased information and assistance and can act as advocates when necessary. Source: Statistical data from the Centers for Medicare & Medicaid Services. Medicare Advantage Plans in Texas. How Medicare Advantage plans work. Medicare Advantage (Medicare Part C) offers an alternative way of receiving your Original Medicare benefits. When you enroll in a Medicare Advantage plan in Texas, your Medicare Part A and Part B coverage comes from a private, Medicare- approved health insurance company instead of directly from the government. The same is true in other states. Medicare Advantage plans are required to include the same benefits you get from Original Medicare, Part A and Part B (with the exception of hospice care, which is still covered by Medicare Part A). Many Medicare Advantage plans in Texas (as in other states) include additional benefits that you won't get from Original Medicare, like routine vision, dental, and prescription drug coverage. Some Medicare Advantage plans are specifically designed around certain illnesses. These plans, known as Medicare Special Needs Plans (SNPs), set up their coverage, provider networks, and drug formularies to focus on beneficiaries with specific health conditions. Medicare Advantage Prescription Drug plans. Some Medicare Advantage plans in Texas (as in other states) provide prescription drug coverage on top of medical coverage. These are called Medicare Advantage Prescription Drug plans. If you enroll in this type of plan, you don't need to enroll in a separate Medicare Part D Prescription Drug Plan for your medications. A Medicare Advantage Prescription Drug plan gives you all your Medicare coverage in a single plan. Here are a few other things you need to know about Medicare Advantage plans. Medicare PACE / LIFE Program Provider List - 2016. Medicare PACE / LIFE Programs and Locations (updated March, 2016) State. Bienvivir Senior Health Services.Medicare.gov: the official U.S. Public Health-Care Programs in Texas. You may also visit the Centers for Medicare & Medicaid Services. If you are a LTC Programs provider looking for specific information about LTC. You have to be enrolled in Medicare Part A and Part B to qualify. You can only sign up during certain time periods. You can generally enroll when you're first eligible for Medicare. Another opportunity comes around every year, during the Annual Election Period (October 1. December 7). In some situations, such as when you lose coverage, you may qualify for a Special Election Period during which you can enroll. You're still in the Medicare program if you're enrolled in a Medicare Advantage plan, and you still need to continue paying your Medicare Part B monthly premium. You must live in the service area of the Medicare Advantage plan you sign up for. If you have end- stage renal disease (ESRD), you might not qualify for most Medicare Advantage plans (except Special Needs Plans). You can call a Medicare Advantage plan directly, or call Medicare at the number at the bottom of this page, to discuss your specific situation. Comparing Medicare Advantage plans in Texas. There are some important points to keep in mind when looking to enroll in a Medicare Advantage plan. The Medicare Advantage market may be different in each county, and not every plan is readily available all throughout Texas. Plan availability and costs may vary. As you shop for plans, you might compare the costs of a Medicare Advantage plan to its list of benefits. Many plans charge low premiums, some as low as $0 per month; but don't forget to look at all the out- of- pocket costs for each plan, such as deductibles and/or copayments. Do you take prescription medications? You may want to make sure that a Medicare Advantage plan covers them before you sign up. Each plan maintains its own formulary (a list of prescription drugs the plan covers). The formulary may change at any time. You will receive notice from your plan when necessary. Select your State. Alabama. Arkansas. Arizona. California. Colorado. Connecticut. Delaware. Florida. Georgia. Illinois. Indiana. Kansas. Kentucky. 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