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Peace of mind with all-in-one Medicare Advantage coverage
Medicare Advantage, also known as Medicare Part C, includes everything in Original Medicare (Parts A and B), plus other coverage you might need. Along with quality care from a strong network of doctors and hospitals, our Medicare Advantage HMO plans in Texas may offer benefits such as:
Prescriptions
Prescription drug (Part D) coverage for a wide range of common drugs
Dental, vision, and hearing
Coverage to help support your whole health
Benefits Prepaid Card
Help paying for things like groceries1,2 and utilities1,2
Dedicated support team
Support to help you understand your benefits
Large network
Quality care from doctors and hospitals close to you
SilverSneakers®
No-cost fitness program to stay active
Benefits may vary depending on your state and plan.
Cover more costs with a Medicare Advantage HMO
Unlike Original Medicare, Medicare Advantage plans have limits on your out-of-pocket payments. That means you’ll have more predictable costs for things like deductibles, copays, and coinsurance. Most also include:
- $0 or low monthly premiums
- $0 or low prescription copays
- $0 or low copays for primary care visits
- No medical deductible
Get a prepaid card for everyday essentials
Our Wellpoint Medicare Advantage plans may include a Benefits Prepaid Card. If you’re eligible, you can use this to help pay for things like groceries,1,2 utilities,1,2 and over-the-counter health items.
Enroll in a Medicare Advantage plan
You can purchase a Texas Medicare Advantage plan once you’re enrolled in Original Medicare (Parts A and B). For most people, this is during their seven-month Initial Enrollment Period (IEP). This includes the:
- Three months before you turn 65
- Month you turn 65
- Three months after you turn 65
You might also be eligible for a Special Enrollment Period, which allows you to delay your enrollment without late penalties. Certain times each year and special circumstances allow you to add, drop, or change your Medicare Advantage plan.
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Is a Medicare Advantage Special Needs Plan better for you?
If you’re living with a chronic condition that requires additional care or need to cover health costs on a fixed or low income, you may qualify for a Medicare Advantage Special Needs Plan (SNP). These plans cover Original Medicare Part A (hospital) and Part B (medical) with other useful benefits.
Dual Eligible Special Needs Plan (D-SNP)
D-SNP plans offer support and care for people who have both Medicare and Medicaid. You’ll need to check your eligibility based on your situation.
Chronic Conditions Special Needs Plan (C-SNP)
Offers support and care for people living with chronic conditions like diabetes, heart disease, lung conditions and end-stage renal disease (ESRD).
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Frequently asked questions
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Wellpoint offers Medicare Advantage plans in these states
1 Members may receive a monthly or quarterly allowance in the form of a benefits prepaid card to pay for a wide range of approved groceries and utilities. Unused amounts will expire at the end of the month or quarter.
The Benefits Mastercard® Prepaid Card is issued by The Bancorp Bank, N.A., Member FDIC, pursuant to license by Mastercard International Incorporated. Mastercard is a registered trademark, and the circles design is a trademark of Mastercard International Incorporated. This is a benefits card that can only be used at certain Mastercard merchants participating in this program and will be authorized for qualified purchases as set forth in your Terms and Conditions. Valid only in the U.S. No cash access. Other languages are available upon request.
2 Depending on your plan, the benefits listed may be available through the Medicare Advantage Value-Based Insurance Design Model or to eligible members as Special Supplemental Benefits for the Chronically Ill (SSBCI). You may qualify for SSBCI if you have a high risk for hospitalization and require intensive care coordination to manage chronic conditions such as Chronic Kidney Diseases, Chronic Lung Disorders, Cardiovascular Disorders, Chronic Heart Failure, or Diabetes. For a full list of chronic conditions or to learn more about other eligibility requirements needed to qualify for SSBCI benefits, please refer to Chapter 4 in the plan’s Evidence of Coverage.
Wellpoint, a Medicare Advantage organization with a Medicare Contract, offers HMO, HMO D-SNP, HMO C-SNP, HMO I-SNP, LPPO, and PDP plans. Wellpoint HMO D-SNP plans additionally contract with state Medicaid programs. Enrollment in a Wellpoint health plan depends on contract renewal.