More than 4 million Texans are enrolled in Medicare as of 2020,1 which is 14% of the state’s total population.2
But what does it take to qualify? Learn about your Medicare eligibility in Texas and the coverage options that are available to you.
And if you’re ready to start comparing Medicare Advantage plans in Texas, you can do so with our innovative FitScore® technology right now! Get started reviewing your options.
Who Is Eligible for Medicare in Texas?
People age 65 and older are usually eligible for Medicare. Although, you can qualify if you’re under 65 and have received disability benefits for two years, or if you have End-Stage Renal Disease (ESRD) or Amyotrophic Lateral Sclerosis (ALS).3
Medicare Options for Texans
Original Medicare is the traditional way many Texas receive their benefits. It includes Part A (hospital insurance) and Part B (medical insurance).3 There are also plans sold by private companies that can help fill some of the coverage gaps in Original Medicare. These are:
Medicare Part C
Also called Medicare Advantage, this is an alternative to Original Medicare. Plans include Part A and Part B coverage, and they usually offer extra benefits, such as prescription drug, vision, and dental coverage.5 Out of those who have Medicare in Texas, more than 1.7 million are enrolled in a Medicare Advantage plan as of 2020.1
Medicare Part D
This is prescription drug coverage.If you choose to keep Original Medicare, you can add a separate drug plan to your coverage6. You must have Part A and/or Part B to enroll. Your Medicare eligibility in Texas may also qualify you for financial assistance with prescription drug costs. More than 62% of Medicare-eligible Texas who applied in 2020 were deemed eligible for Extra Help,6 a program that helps lower prescription drug costs.
These plans are also known as Medigap. Plans are generally used to help pay your Original Medicare Parts A and B out-of-pocket expenses, such as deductibles, copays, and coinsurance. Many plans also offer foreign travel emergency benefits. Medicare Supplement plans in Texas are available to new beneficiaries in eight standardized options.
Where Do I Apply for Medicare in Texas?
You can apply for Medicare in Texas with Social Security, either online or by phone. If you receive benefits from Social Security or the Railroad Retirement Board, you qualify for automatic enrollment.
HealthMarkets can help determine if you qualify for Medicare. The HealthMarkets FitScore can assist you in exploring your options and help you find a Medicare Advantage, Medicare Part D or Medicare Supplement plan that meets your needs. Get your free FitScore® today to start comparing plans.
1. 1.Total Number of Medicare Beneficiaries, KFF. 2020. Retrieved from https://www.kff.org/medicare/state-indicator/total-medicare-beneficiaries/ | 2. QuickFacts Texas, U.S. Census Bureau. 2019. Retrieved from https://www.census.gov/quickfacts/TX | 3. Original Medicare (Part A and B) Eligibility and Enrollment, CMS. 2020. Retrieved from https://www.cms.gov/Medicare/Eligibility-and-Enrollment/OrigMedicarePartABEligEnrol | 4. TRS. 2018. Retrieved from https://www.trs.texas.gov/Pages/healthcare_news_update_medicare_eligible.aspx | 5. Understanding Medicare Advantage Plans, Medicare. 2020. Retrieved from https://www.medicare.gov/Pubs/pdf/12026-Understanding-Medicare-Advantage-Plans.pdf | 6.What Medicare Part D drug plans cover, Medicare. 2020. Retrieved from https://www.medicare.gov/drug-coverage-part-d/what-medicare-part-d-drug-plans-cover | 7. Extra Help with Medicare Prescription Drug Plan Costs. SSA. 2020. Retrieved from https://www.ssa.gov/open/data/Data-about-Extra-Help-with-Medicare-Prescription-Drug-Plan-Cost.html
HealthMarkets’ FitScore intends to identify plans that fit your needs. You should carefully review official plan materials.