Your Medicare Coverage Options in Guadalupe County, TX
This page explains all Medicare coverage options available to residents of Guadalupe County, Texas, including Original Medicare, Medicare Advantage, Part D, Medigap, and local assistance.
Medicare Options at a Glance
Medicare coverage in Guadalupe County is built around several core options, each serving different needs depending on how you want to receive care, manage costs, and access providers. They include:
- Original Medicare: Best for broad provider access nationwide.
- Medicare Advantage: Best for bundled coverage with lower premiums.
- Part D: Best for prescription drug coverage with Original Medicare.
- Medigap: Best for predictable out-of-pocket costs.
- SNPs: Best for specific health or eligibility needs.
- Other Options: These may include VA benefits, employer or retiree coverage, and local assistance programs.
Each of these options works differently. Understanding how they compare is the key to choosing the right Medicare coverage in Yavapai County.
Medicare Advantage Options in Guadalupe County
Medicare Advantage plans in Guadalupe 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 | Guadalupe County |
|---|---|
| Total Medicare Advantage plans | 49 |
| $0 premium plans | 36 |
| HMO plans | 18 |
| PPO plans | 24 |
| Plans with drug coverage | 37 |
| Lowest MOOP | $3,200 |
| Highest MOOP | $9,250 |
| Highest Part B giveback | $79.80 |
Top PPO Plans by Enrollments
| Plan | CMS Rating | Enrollment |
|---|---|---|
| HumanaChoice H5216-043 | 3.5 ★ | 40,870 |
| Humana USAA Honor Giveback | 3.5 ★ | 24,756 |
| HumanaChoice H5216-360 | 3.5 ★ | 14,751 |
Top HMO Plans by Enrollments
| Plan | CMS Rating | Enrollment |
|---|---|---|
| HealthSpring Preferred | 4.0 ★ | 66,887 |
| HealthSpring Preferred Savings | 4.0 ★ | 53,231 |
| Humana Gold Plus H0028-030 | 3.5 ★ | 15,876 |
Top HMO-POS Plans by Enrollments
| Plan | CMS Rating | Enrollment |
|---|---|---|
| AARP Medicare Advantage Essentials from UHC TX-21 | 4.5 ★ | 24,277 |
| AARP Medicare Advantage Extras from UHC TX-28 | 4.5 ★ | 15,824 |
| AARP Medicare Advantage from UHC TX-0043 | 4.5 ★ | 3,060 |
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.
Medicare Part D Options in Guadalupe 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 |
Part D plan choice depends less on the number of plans and more on whether your drugs are covered at your preferred pharmacy at a reasonable cost.
See Medicare Part D plans in Texas
Medicare Supplement (Medigap) Coverage in Guadalupe County
Medigap plans work with Original Medicare and help pay deductibles, copayments, and coinsurance. Unlike Medicare Advantage, Medigap does not replace Original Medicare and usually requires separate Part D coverage for prescriptions.
Sample data across 37 insurers shows monthly premiums starting around $35 and exceeding $2,396 depending on plan type and pricing structure. Even when coverage is identical, differences in rating methods and discounts can lead to wide variation across insurers.
| Medigap Snapshot | Guadalupe 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 Guadalupe, 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 Plans (SNPs) in Guadalupe 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 | Guadalupe County |
|---|---|
| Total SNP plans | 35 |
| D-SNP plans | 22 |
| C-SNP plans | 8 |
| I-SNP plans | 5 |
Top D-SNP Plans by Enrollments
| Plan | CMS Rating | Enrollment |
|---|---|---|
| UHC Dual Complete TX-S003 | 4.0 ★ | 87,584 |
| HealthSpring TotalCare | 4.0 ★ | 29,362 |
| UHC Dual Complete TX-D004 | 4.5 ★ | 28,579 |
Top C-SNP Plans by Enrollments
| Plan | CMS Rating | Enrollment |
|---|---|---|
| UHC Complete Care TX-24 | 4.5 ★ | 24,425 |
| Humana Gold Plus - Diabetes and Heart | 4.0 ★ | 12,603 |
| Humana Gold Plus - Diabetes and Heart | 3.5 ★ | 12,405 |
Top I-SNP Plans by Enrollments
| Plan | CMS Rating | Enrollment |
|---|---|---|
| Texas Independence Health Plan, Inc. | 5.0 ★ | 2,678 |
| Provider Partners Texas Advantage Plan | 4.0 ★ | 2,324 |
| ProCare Advantage | 0.0 ★ | 981 |
Availability of SNPs in Guadalupe 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.
VA Benefits and Local Medicare Help in Guadalupe County
Beneficiaries may also have access to coverage or support options outside traditional Medicare plan types, such as VA benefits, employer or retiree plans, and counseling services.
| Additional Support Options | Guadalupe County |
|---|---|
| VA health coverage may coordinate with Medicare | Yes |
| SHIP / local counseling availability | Texas SHIP |
| Local help resource | State Health Insurance Assistance Program |
How to Choose the Right Medicare Coverage for You in Guadalupe County
Choosing Medicare coverage comes down to how you want to receive care, manage costs, and access providers. Most decisions begin by choosing between Medicare Advantage and Original Medicare.
Medicare Advantage plans combine hospital, medical, and often prescription drug coverage into a single plan. These plans may offer lower monthly premiums and additional benefits, but typically require you to use a provider network.
Original Medicare allows you to see providers nationwide who accept Medicare. Many beneficiaries add a Part D prescription drug plan and a Medigap policy to help manage out-of-pocket costs and provide more predictable coverage.
Special Needs Plans (SNPs) may be available for individuals with specific health conditions or eligibility, including those with Medicaid. These plans are not available to everyone but can offer targeted benefits when you qualify.
The right choice depends on your preferred doctors, prescription needs, and how you want to balance monthly premiums with out-of-pocket costs.
To explore your options in more detail, start by reviewing available plans and coverage types in Guadalupe 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, "How to get prescription drug coverage" — Last accessed May 2, 2026
- Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed May 6, 2026
- Medicare.gov, "Joining a plan" — Last accessed May 7, 2026
- Medicare.gov, "Get Medigap Basics" — Last accessed May 5, 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.