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Medicare in Texas

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By the numbers

As of 2018, more than four million Medicare beneficiaries lived in Texas. To learn more about Medicare in Texas, here are some statistics:

  • Total number of Texas Medicare beneficiaries: 4,058,768
  • Beneficiaries enrolled in Medicare Advantage or other Medicare health plans in Texas: 1,563,169
  • Beneficiaries enrolled in Medicare prescription drug coverage: 2,935,072
  • Texas beneficiaries enrolled in Medicare Advantage Prescription Drug plans: 1,250,040
  • Texas beneficiaries enrolled in stand-alone Medicare Prescription Drug Plans: 1,685,032

Medicare Advantage plans and Prescription Drug Plan sponsors must have a contract with Medicare in order to offer 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 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.

Source: Statistical data from the Centers for Medicare & Medicaid Services (CMS) “Medicare Enrollment Dashboard,” from the CMS Office of Enterprise Data & Analytics, February 2019.

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