Medicare Plans in Texas β€” Learn, Compare & Enroll Yourself | Medicare Self Enroll
Site questions? 1-833-219-INFO
βœ“ No sales calls. Ever.

⭐ Texas · All 254 Counties

Medicare Plans in Texas.

Learn it first. Compare when you're ready.

Texas has one of the largest Medicare markets in the country β€” hundreds of plan choices across 254 counties. We explain your options in plain English so you can compare and enroll yourself, at your own pace. No forms. No sales calls.

Free Β· Private Β· No sign-up required

First β€” sign up for Parts A & B

When you turn 65, register for Medicare Parts A & B at SSA.gov. It's free and takes about 30 minutes. You must do this before choosing any plan.

Then β€” compare Texas plans here

Once you have Parts A & B, compare the plans available in your Texas ZIP code and enroll yourself β€” free, private, and at your own pace.

426
Medicare Advantage plans in Texas (2026)
55%
of Texas beneficiaries in Medicare Advantage
$0
Premium plans available in every county
254
Texas counties covered

2026 plan-year figures. Sources: CMS, KFF. 2027 plan details are released October 1.

All 254 Counties

Medicare Is Available in Every Texas County

Tap any county on the map to jump straight to its Medicare details below.

    Hover to see a county's name Β· Tap to view its plans

    Texas Coverage Options

    Which Kind of Medicare Plan Fits You?

    More than 4.8 million Texans are enrolled in Medicare, so you have a wide range of choices. Here are the three main plan types, explained simply.

    Medicare Advantage

    426 plans in Texas for 2026. Every Texan with Medicare can access at least one $0-premium plan.

    • Includes Parts A, B and usually Part D
    • Dental, vision and hearing on many plans
    • Monthly OTC allowance on many plans
    • $0-premium plans in every Texas county
    • UnitedHealthcare, Humana, Aetna, BCBS of Texas & more
    Compare Advantage Plans

    Part D Drug Plans

    12 stand-alone Part D plans in Texas for 2026. Compare them using your own list of medications.

    • Covers brand-name and generic drugs
    • Find plans that cover your medications
    • Low or $0 deductible plans available
    • Bundled with Advantage or added separately
    Compare Drug Plans

    Texas Medicare Facts

    What Makes Texas Medicare Different

    Texas mostly follows the federal Medicare rules β€” which makes timing especially important for Medigap. Here's what every Texas senior should know.

    Texas Medigap: timing is everything

    • Your one guaranteed window is the 6-month Medigap Open Enrollment Period that starts when you're 65 and enrolled in Part B
    • During that window, insurers must sell you any Medigap plan regardless of your health
    • After it, Texas allows medical underwriting β€” you can be charged more or turned down
    • Texas has no "birthday rule," but about 40 insurers compete, which helps keep premiums reasonable

    Medicare Advantage in Texas

    • About 55% of Texas Medicare beneficiaries choose Medicare Advantage
    • Plan counts vary widely β€” roughly 50–70 in big metros, 15–25 in rural counties
    • Houston, Dallas–Fort Worth, San Antonio and Austin have the most choices
    • Many plans include dental, vision, hearing and OTC allowances

    Financial Help & Free Counseling

    Texas Medicare Savings Programs

    • Lower-income Texans may qualify for help paying premiums and cost-sharing
    • QMB β€” covers Part A and B premiums and cost-sharing
    • SLMB and QI β€” help pay your Part B premium
    • Apply through Texas HHSC; "Extra Help" can also lower Part D drug costs

    Free, unbiased help in Texas

    • Texas SHIP / HICAP offers free Medicare counseling statewide
    • Call 1-800-252-9240 to reach a Texas SHIP counselor
    • The Texas Department of Insurance oversees carriers and handles complaints
    • Our Medicare AI Assistant answers general questions 24/7 β€” free, no sign-up

    Key Dates

    Texas Medicare Enrollment Dates

    Missing a window can mean permanent penalties β€” or, for Medigap, medical underwriting. Keep these dates handy.

    Enrollment periodDatesWhat you can do
    Initial Enrollment Period (IEP)3 months before your 65th birthday through 3 months afterSign up for Parts A and B for the first time. Best time to enroll β€” no penalties.
    Medigap Open EnrollmentThe 6 months starting the month you're 65 and enrolled in Part BBuy any Medigap plan with no health questions. After this, underwriting applies.
    Annual Enrollment Period (AEP)October 15 – December 7, 2026Switch Medicare Advantage plans, or add or drop Part D. Changes start January 1, 2027.
    Medicare Advantage Open EnrollmentJanuary 1 – March 31, 2027If you're in a Medicare Advantage plan, make one switch or return to Original Medicare.
    Special Enrollment Period (SEP)Triggered by qualifying life eventsAvailable if you lose employer coverage, move, or your plan leaves your area.
    General Enrollment PeriodJanuary 1 – March 31 each yearSign up if you missed your IEP. Coverage starts the month after you enroll. Late penalties may apply.

    Common Questions

    Texas Medicare, in Plain English

    Answers to the questions Texas seniors ask most. Still curious? Ask our AI Assistant anytime.

    There are 426 Medicare Advantage plans in Texas for 2026, up from 381 in 2025. The number varies sharply by county β€” roughly 15 to 25 in rural counties and 50 to 70 or more in Houston, Dallas–Fort Worth, San Antonio and Austin. Every Texas county has at least one $0-premium Medicare Advantage plan.
    Not without conditions. Texas doesn't require year-round guaranteed-issue Medigap. Your one guaranteed window is the 6-month Medigap Open Enrollment Period that begins when you're 65 and enrolled in Part B β€” during it, insurers must sell you any plan regardless of your health. After that, Texas allows medical underwriting, so you could be charged more or turned down. Texas also has no "birthday rule." The upside: about 40 insurers compete here, which helps keep premiums reasonable. Because timing matters so much, plan ahead before your window closes.
    The standard Part B premium is set by the federal government and is the same in every state, including Texas. It's adjusted each January, so confirm the current amount at Medicare.gov. Higher-income Texans pay an extra Income-Related Monthly Adjustment Amount (IRMAA) on top of the standard premium.
    Yes. Texas offers Medicare Savings Programs (QMB, SLMB and QI) for eligible lower-income residents to help pay Part A and B premiums, deductibles and cost-sharing. The federal "Extra Help" program can also lower Part D drug costs. Apply through Texas Health and Human Services (HHSC), dial 2-1-1, or call Texas SHIP at 1-800-252-9240 for free help.
    Many Medicare Advantage plans in Texas include a monthly Over-the-Counter (OTC) allowance β€” often $25 to $150 a month β€” for approved vitamins, supplements and health products. The amount varies by plan and county, so check the OTC benefit when you compare plans in your ZIP code.

    All 254 Texas Counties

    Find Medicare Plans in Your County

    Every Texas county has Medicare Advantage, Medigap and Part D options. Find yours below β€” comparing is free.

    No counties match your search.

    Take your time. No rush. No pressure.

    Compare Texas plans whenever you're ready. The seminar, the AI Assistant, the Readiness Test and the practice tool are always here β€” free, and always at your pace.

    Our Approach

    We translate Medicare into plain English so you can make your own informed decision.

    Medicare is complicated β€” but you are perfectly capable of understanding it when someone explains it clearly. We don't tell you which plan to buy, rush you into enrolling, or pressure you with sales calls.

    Education First. Enrollment Second.

    We don't sell you plans. We help you find the right choice.

    Medicare Self Enroll

    We Don't Sell You Plans. We Help You Find the Right Choice.

    Compare Medicare plans at your own pace, without sales pressure β€” and keep the member support your insurance company provides after you enroll.

    1-833-219-INFO

    We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

    Medicare Self Enroll is operated by Advocate Health LLC. We are not affiliated with or endorsed by the federal Medicare program, the Centers for Medicare & Medicaid Services (CMS), or any government agency. This site provides general educational information and a private plan-comparison and enrollment tool; it is not medical, legal, or financial advice. The AI Assistant provides general educational information only and can make mistakes β€” it is not a substitute for professional advice or the official plan documents. Plan counts and statistics on this page are for the 2026 plan year and are drawn from CMS and KFF data; availability, premiums and benefits vary by county and change annually. Member-service availability and support may vary by insurance company and plan. Not a complete description of benefits. Enrollment in a plan depends on the plan's contract renewal with Medicare.

    © 2026 Advocate Health LLC Β· Medicare Self Enroll. All rights reserved.