Medicare Advantage Plans in Edinburg and McAllen, TX

There are 32 different Medicare Advantage (Medicare Part C) plans available in Hidalgo County in 2022.¹

Learn more about Medicare Advantage in Texas, or call to speak with a licensed insurance agent who can help you compare Hidalgo County Medicare plan costs, benefits and more. 

Or call 1-800-557-6059 1-800-557-6059 TTY Users: 711 24/7 to speak with a licensed insurance agent.

2022 Medicare Advantage plans in Hidalgo County

There are 32 different Medicare Advantage plans available in Hidalgo County in 2022, and the average MA plan premium is $62.94 per month, though you may be able to find $0 premium plans in your ZIP code.

The average drug deductible for Hidalgo County Medicare Advantage Prescription Drug plans is $302.62 per year.

28.1% of Hidalgo County Medicare Advantage plans are rated four stars or higher based on Medicare Star Ratings.² Plans rated four stars or higher are considered top-rated Medicare plans.

Premiums, deductibles and other costs may vary. The numbers reported in the table above are taken from the Centers for Medicare & Medicaid Services (CMS). A licensed insurance agent will be able to help you review and compare costs for specific plans available in Hidalgo County or wherever you may live.

List of Medicare Advantage plans in Edinburg, McAllen and Hidalgo County

Medicare Advantage plans can come in several different forms.

Nearly all Medicare Advantage enrollees in Texas belong to an HMO plan in 2022.

• HMO (Health Maintenance Organization) plans utilize a network of participating doctors and other health care providers. Care is typically not covered by the plan when received outside of the network.
  
  
• PPO (Preferred Provider Organization) plans are also available in Texas. These plans offer some more flexibility when choosing a doctor and allow for some coverage outside of the plan’s intended network. 

Private Fee-For-Service (PFFS) plans and Medical Savings Accounts may also be available in Texas in 2022.

How to Sign up for a Medicare Advantage Plan in Hidalgo County

There are different Medicare enrollment periods in the year during which you may able to sign up for a Medicare Advantage plan in Edinburg, McAllen and Hidalgo County, depending on your eligibility. 

Initial Enrollment Period (IEP)

When you first become eligible for Medicare, you will typically be granted an Initial Enrollment Period (IEP). This period begins three months before you turn 65 years old, includes the month of your birthday and continues for an additional three months. 

Annual Enrollment Period (AEP)

The Annual Enrollment Period (AEP, also called the Medicare Open Enrollment Period for Medicare Advantage plans) takes place from October 15 to December 7 each year. This period is open to all eligible Medicare beneficiaries who wish to add, drop or change Medicare plans.  

Special Enrollment Period

If you experience a qualifying circumstance, you may be granted a Special Enrollment Period (SEP) at any time throughout the year to allow you to enroll in a Medicare Advantage plan.

Such circumstances may include situations like moving outside of your plan’s service area or losing your Medicare Advantage plan coverage through no fault of your own. A licensed insurance agent can help you determine if you are eligible for a Special Enrollment Period and what actions you may be able to take during that time. 

Find a Medicare Advantage plan where you live

Medicare Advantage plans can come in a variety of types and can include different benefits, networks, costs and more.

Connect with a licensed insurance agent today for help determining your eligibility and finding the best Medicare Advantage plan for you in Hidalgo County. 

Or call 1-800-557-6059 1-800-557-6059 TTY Users: 711 24/7 to speak with a licensed insurance agent.

¹ MedicareAdvantage.com's The Best States for Medicare report.

² Every year, Medicare evaluates plans based on a 5-star rating system.