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  1. 🏠
  2. Medicare Options
  3. Texas
  4. Fayette County

Your Medicare Coverage Options in Fayette County, TX

Explore Medicare choices for residents of Fayette County, Texas, from Original Medicare to Medicare Advantage, Part D drug plans, Medigap coverage, and local assistance programs.

Medicare Options at a Glance

Residents of Fayette County, Texas can choose from several Medicare coverage types, each offering a different balance of access, cost, and benefits. The main options are:

  • Original Medicare: Provides broad access to providers across the country.
  • Medicare Advantage: Offers all-in-one coverage, often with lower upfront costs.
  • Part D: Covers prescription drugs when paired with Original Medicare.
  • Medigap: Reduces gaps in coverage and limits out-of-pocket expenses.
  • SNPs: Tailored plans for individuals with qualifying health or financial needs.
  • Other Options: Includes VA coverage, employer-sponsored plans, and local support programs.

Because each option works in a different way, understanding the differences is critical when choosing Medicare coverage in Fayette County.

Medicare Advantage Options in Fayette County

Medicare Advantage plans in Fayette County combine hospital and medical coverage into a private plan option, often with prescription drug coverage and extra benefits. Availability, plan type, and out-of-pocket limits vary by county.

Medicare Advantage Snapshot Fayette County
Total Medicare Advantage plans 24
$0 premium plans 14
HMO plans 0
PPO plans 17
Plans with drug coverage 17
Lowest MOOP $4,500
Highest MOOP $8,300
Highest Part B giveback $255.00

Top PPO Plans by Enrollments

Plan CMS Rating Enrollment
HumanaChoice H5216-043 3.5 ★ 40,870
Humana Essentials Plus Giveback H5216-358 3.5 ★ 35,322
Humana Essentials Plus Giveback H7617-035 4.5 ★ 32,951

Top HMO-POS Plans by Enrollments

Plan CMS Rating Enrollment
BSW SeniorCare Advantage Select Rx 4.0 ★ 16,314
BSW SeniorCare Advantage Preferred Rx 4.0 ★ 5,657
BSW SeniorCare Advantage Premium Rx 4.0 ★ 5,377

Medicare Advantage coverage varies based on network structure, inclusion of drug benefits, and maximum out-of-pocket costs each year. Many beneficiaries begin with these plans for their all-in-one coverage and added perks, but provider access and plan rules play a key role in the decision.

See Medicare Advantage plans in Fayette County

Medicare Part D Options in Fayette County

Medicare Part D plans offer standalone prescription drug coverage for individuals enrolled in Original Medicare. Costs and coverage vary based on premiums, deductibles, pharmacy networks, and covered medications.

Top Basic Coverage Plans by Enrollments

Plan Premium Deductible Enrollment
Wellcare Classic $0.00 $615 193,413
SilverScript Choice $94.80 $615 110,367
Humana Basic Rx Plan $41.70 $615 23,182

Top Enhanced Coverage Plans by Enrollments

Plan Premium Deductible Enrollment
Wellcare Value Script $0.00 $615 458,870
Humana Value Rx Plan $22.90 $601 119,174
AARP Medicare Rx Preferred from UHC $114.80 $130 117,882

Choosing a Part D plan is less about how many plans are available and more about whether your medications are covered at your preferred pharmacy at an affordable price.

See Medicare Part D plans in Texas

Medicare Supplement (Medigap) Coverage in Fayette County

Medigap plans supplement Original Medicare by covering deductibles, copayments, and coinsurance. Unlike Medicare Advantage, these plans do not replace Original Medicare and typically require a separate Part D plan for prescription drug coverage.

Across 37 insurers, sample data shows monthly premiums starting near $35 and rising above $2,396 based on plan type and pricing approach. Even with standardized benefits, pricing can vary significantly due to different rating methods and available discounts.

Medigap Snapshot Fayette County
Works with Original Medicare Yes
Includes prescription drug coverage No
Requires separate Part D plan Usually yes
Best fit for Beneficiaries who want broad provider access and predictable cost sharing

For residents of Fayette, Medigap is often considered by people who want the flexibility to use providers nationwide who accept Medicare without relying on local Medicare Advantage networks.

Sample Plan G Pricing in Texas

Plan G typically ranges from $125 to $943.

Carrier Plan Low High
AARP - UnitedHealthcare G $158 $743
Aetna G $198 $628
Humana G $135 $594
Mutual of Omaha G $170 $540
Wellcare G $132 $472

Sample Plan N Pricing in Texas

Plan N typically ranges from $92 to $657.

Carrier Plan Low High
AARP - UnitedHealthcare N $114 $657
Aetna N $136 $455
Humana N $103 $466
Mutual of Omaha N $129 $426
Wellcare N $99 $387

Explore all Medicare Supplement plans in Texas for more details.

Special Needs Plan (SNP) Options in Fayette County

SNPs are Medicare Advantage plans tailored for people with defined eligibility profiles, including those enrolled in Medicaid, living with certain chronic conditions, or receiving long-term or institutional care.

SNP Snapshot Fayette County
Total SNP plans 18
D-SNP plans 12
C-SNP plans 2
I-SNP plans 4

Top D-SNP Plans by Enrollments

Plan CMS Rating Enrollment
UHC Dual Complete TX-S003 4.0 ★ 87,584
UHC Dual Complete TX-D007 3.5 ★ 29,987
Aetna Medicare Dual Care 3.5 ★ 11,040

Top C-SNP Plans by Enrollments

Plan CMS Rating Enrollment
UHC Complete Care TX-29 3.5 ★ 9,891
UHC Complete Care Support TX-1A 3.5 ★ 4,983

Top I-SNP Plans by Enrollments

Plan CMS Rating Enrollment
Texas Independence Health Plan, Inc. 5.0 ★ 2,678
Humana Together in Health 3.5 ★ 723
American Health Advantage of Texas 0.0 ★ 496

Availability of SNPs in Fayette is tied to eligibility requirements. These plans are not available to all beneficiaries but can be especially valuable for those with Medicaid or qualifying chronic conditions.

See Special Needs Plans in Fayette County

VA Benefits and Local Medicare Help in Fayette County

Some beneficiaries may have coverage choices or support options outside standard Medicare plan categories, including VA health benefits, retiree coverage, and counseling programs.

Additional Support Options Fayette County
VA health coverage may coordinate with Medicare Yes
SHIP / local counseling availability Texas SHIP
Local help resource State Health Insurance Assistance Program

Finding the Right Medicare Plan for You in Fayette County

Choosing the right Medicare coverage is based on how you want to access care, manage expenses, and select providers. Most decisions start with a choice between Medicare Advantage and Original Medicare.

Medicare Advantage plans offer all-in-one coverage that typically includes hospital, medical, and prescription drug benefits. These plans may have lower premiums and added services, but they generally operate within provider networks.

Original Medicare gives you the flexibility to see any provider nationwide who accepts Medicare. Many people pair it with a Part D plan and a Medigap policy to help control costs and improve coverage predictability.

Special Needs Plans (SNPs) may be an option for those with specific health or eligibility requirements, including Medicaid. These plans are specialized and only available to qualifying individuals.

Your ideal coverage will depend on your doctors, prescriptions, and how you prefer to balance premiums and out-of-pocket spending.

For a closer look, explore the plans and coverage types available in Fayette County.

  • CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Last accessed May 2, 2026
  • CMS.gov, Medicare Part C & D Performance Data — Last accessed May 2, 2026
  • CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed May 2, 2026

County-level figures shown on this page (including plan counts, enrollment totals, averages, and percentage distributions) are derived from CMS-published datasets using a standardized aggregation methodology.

Data sources and methodology documentation .

  • Medicare.gov, "What's Medicare Drug Coverage (Part D)?" — Last accessed May 1, 2026
  • Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed May 6, 2026
  • AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — Last accessed May 6, 2026
  • Medicare.gov, "What's Medicare Supplement Insurance (Medigap)?" — Last accessed May 6, 2026

MedicarePlans.com is an independent, non-government informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.

Data provenance documentation is maintained in alignment with the U.S. Core Data for Interoperability (USCDI) Provenance standard.

Page content independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate, non-commercial Medicare plan interpretation and resolution.

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