Medicare Advantage Plans in Texas

Texas has one of the largest, most competitive Medicare Advantage markets in the country. Here's how to make sense of it.

Original Medicare vs. Medicare Advantage

Original Medicare (Parts A and B) is run directly by the federal government and is accepted by nearly every provider nationwide. Medicare Advantage (Part C) is an alternative offered by private insurers that's approved by Medicare — it typically bundles hospital, medical, and often drug coverage into one plan, usually with a defined network (HMO or PPO) and extra benefits like dental, vision, or hearing that Original Medicare doesn't include.

The Texas market at a glance

250+Medicare Advantage plans available statewide
25+Carriers offering plans somewhere in Texas
254Texas counties, each with different plan availability
$4.66Average statewide monthly premium for 2026*

*Many Medicare Advantage plans in Texas are available with a $0 monthly premium; the statewide average reflects the full mix of plan types. Out-of-pocket costs still depend on the plan's deductibles, copays, and network.

Carriers to know

Market strength varies a lot by region, but the carriers most Texans will run into include UnitedHealthcare, Humana, Aetna, Blue Cross and Blue Shield of Texas, Wellcare, and regional/hospital-affiliated plans such as Baylor Scott & White Health Plan and KelseyCare Advantage. Humana has particularly deep roots in the San Antonio area, while UnitedHealthcare and Humana together hold the majority of the Austin-area market. See our county guides for local detail.

When to enroll

See what you'd actually pay

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