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

Your Medicare Coverage Options in Matagorda County, TX

Learn about Medicare coverage options available in Matagorda County, Texas, including Original Medicare, Medicare Advantage, Part D, Medigap plans, and local support resources.

Medicare Options at a Glance

Medicare coverage in Matagorda 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 Matagorda County

Medicare Advantage plans in Matagorda 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 Matagorda County
Total Medicare Advantage plans 26
$0 premium plans 19
HMO plans 6
PPO plans 17
Plans with drug coverage 20
Lowest MOOP $3,450
Highest MOOP $9,250
Highest Part B giveback $78.30

Top PPO Plans by Enrollments

Plan CMS Rating Enrollment
HumanaChoice H5216-043 3.5 ★ 40,870
Humana USAA Honor Giveback 3.5 ★ 24,756
AARP Medicare Advantage from UHC TX-0006 3.5 ★ 15,918

Top HMO Plans by Enrollments

Plan CMS Rating Enrollment
Wellcare Simple 4.0 ★ 15,175
Wellcare Giveback 4.0 ★ 6,622
Wellcare Assist 4.0 ★ 1,642

Top HMO-POS Plans by Enrollments

Plan CMS Rating Enrollment
AARP Medicare Advantage from UHC TX-0015 4.5 ★ 36,578
AARP Medicare Advantage Patriot No Rx TX-MA01 4.5 ★ 1,552
Wellpoint Medicare Advantage 2 3.5 ★ 1,513

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 Matagorda County

Prescription Drug Coverage (Part D) in Matagorda 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 Matagorda County

Medicare Supplement (Medigap) plans are designed to fill gaps in Original Medicare by helping with deductibles, copayments, and coinsurance. These plans work alongside Original Medicare and generally require separate prescription drug coverage through Part D.

Data from 37 insurers indicates premiums beginning around $35 and exceeding $2,396, depending on plan type and how rates are set. Although coverage is standardized, pricing differences across insurers can be substantial.

Medigap Snapshot Matagorda 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

In Matagorda, Medigap is commonly chosen by those who want the freedom to see any provider nationwide that accepts Medicare, without being limited to 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.

SNP Coverage Options in Matagorda County

Special Needs Plans (SNPs) are a type of Medicare Advantage plan designed for individuals with specific eligibility criteria, such as dual eligibility for Medicaid, qualifying chronic conditions, or institutional care requirements.

SNP Snapshot Matagorda County
Total SNP plans 24
D-SNP plans 17
C-SNP plans 3
I-SNP plans 4

Top D-SNP Plans by Enrollments

Plan CMS Rating Enrollment
UHC Dual Complete TX-S003 4.0 ★ 87,584
Wellpoint Full Dual Advantage 3.5 ★ 33,651
UHC Dual Complete TX-D007 3.5 ★ 29,987

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
Wellpoint Kidney Care 3.5 ★ 396

Top I-SNP Plans by Enrollments

Plan CMS Rating Enrollment
Texas Independence Health Plan, Inc. 5.0 ★ 2,678
ProCare Advantage 0.0 ★ 981
Humana Together in Health 3.5 ★ 723

Availability of SNPs in Matagorda 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 Matagorda County

VA Benefits and Medicare Assistance in Matagorda 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 Matagorda County
VA health coverage may coordinate with Medicare Yes
SHIP / local counseling availability Texas SHIP
Local help resource State Health Insurance Assistance Program

Choosing the Best Medicare Coverage for You in Matagorda 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 Matagorda 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
  • CMS.gov, "Medicare Advantage Plan Fact Sheet" — Last accessed May 7, 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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