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

Your Medicare Coverage Options in Wilson County, TX

This page explains all Medicare coverage options available to residents of Wilson County, Texas, including Original Medicare, Medicare Advantage, Part D, Medigap, and local assistance.

Medicare Options at a Glance

Residents of Wilson 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 Wilson County.

Medicare Advantage Options in Wilson County

Medicare Advantage plans in Wilson County provide an all-in-one private coverage option that includes hospital and medical benefits, often with prescription drug coverage and additional extras. Plan availability, types, and cost limits vary by county.

Medicare Advantage Snapshot Wilson County
Total Medicare Advantage plans 52
$0 premium plans 39
HMO plans 17
PPO plans 26
Plans with drug coverage 40
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

Top PFFS 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 plans are primarily defined by their provider networks, whether prescription drug coverage is included, and their annual out-of-pocket limits. For those seeking bundled benefits and lower premiums, these plans are often the starting point, though network access and plan requirements should be considered.

See Medicare Advantage plans in Wilson County

Medicare Part D Options in Wilson 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

The right Part D plan depends more on drug coverage and pharmacy access than the total number of plans, with cost at your preferred pharmacy being a key factor.

See Medicare Part D plans in Texas

Medigap Plans in Wilson 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 Wilson 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

Many residents of Wilson consider Medigap when they want nationwide provider access under Original Medicare, rather than relying on the network restrictions of Medicare Advantage plans.

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 Wilson 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 Wilson County
Total SNP plans 33
D-SNP plans 21
C-SNP plans 7
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
ProCare Advantage 0.0 ★ 981
Humana Together in Health 3.5 ★ 723

In Wilson, SNP options are limited to individuals who meet specific eligibility criteria. While not a general option, they play an important role for beneficiaries with Medicaid or certain chronic health needs.

See Special Needs Plans in Wilson County

VA Benefits and Medicare Assistance in Wilson 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 Wilson 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 Wilson 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 Wilson 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, "Drug coverage (part D)" — 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, "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.

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