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Medicare in Texas

By the numbers

Over two and a half million Medicare beneficiaries in Texas had creditable prescription drug coverage in 2012. The average monthly premium for a Prescription Drug Plan (PDP) in Texas was $52.44.

  • Number of Texans enrolled in Medicare: 3,187,332
  • Amount Texas spent on Medicare (in millions): $33.3
  • Amount Texas spent on each beneficiary (average): $11,479
  • Total Texas beneficiaries enrolled in Medicare Advantage: 716,858
  • Total Medicare Advantage plans in Texas: 157
  • Percentage of beneficiaries in Texas enrolled in a Medicare Advantage plan with a $0 premium: 54%

Medicare Advantage Organizations 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 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 28 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.

How healthy is the state of Texas?

Texas is the second most populous state in the U.S. and ranked as the 44th healthiest state to live. Texas's strength as a healthy state is helped by its low prevalence of smoking as well as low rate of cancer deaths. Two challenges facing Texas are its large uninsured population as well as high incidence of infectious disease.

All data provided by the Henry J. Kaiser Family Foundation.

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Medicare has neither reviewed nor endorsed this information.