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Here Are Medicare Advantage Plan Options for North Texas
Below are plan options for 2025.
| HMO-POS Select | |
|---|---|
| Monthly Premium | $0 |
| Medical Deductible | $0 |
| Out-of-Pocket Maximum | $5,550 |
| Primary Care Visit (In-office and Telehealth) |
$0 copay |
| Specialty Care Physician Office Visit | $25 copay |
| Prescription Drug Benefits | |
| Deductible | Not available |
| Total Out-of-Pocket | Not available |
| Supplemental Benefits | |
| Hearing Aids (every three years) | $1,000 allowance |
| Eyewear (annually; must use network provider) | $125 allowance |
| Over-the-Counter Allowance | $30 per quarter |
| HMO-POS Select Rx | |
|---|---|
| Monthly Premium | $0 |
| Medical Deductible | $0 |
| Out-of-Pocket Maximum | $5,000 |
| Primary Care Visit (In-office and Telehealth) |
$0 copay |
| Specialty Care Physician Office Visit | $25 copay |
| Prescription Drug Benefits | |
| Deductible | $0 |
| Total Out-of-Pocket | $2,000 |
| Supplemental Benefits | |
| Hearing Aids (every three years) | $1,200 allowance |
| Eyewear (annually; must use network provider) | $200 allowance |
| Over-the-Counter Allowance | $100 per quarter |
| HMO-POS Select Rx Assist | |
|---|---|
| Monthly Premium | $0 |
| Medical Deductible | $0 |
| Out-of-Pocket Maximum | $5,000 |
| Primary Care Visit (In-office and Telehealth) |
$0 copay |
| Specialty Care Physician Office Visit | $20 copay |
| Prescription Drug Benefits | |
| Deductible | $0 (if you qualify for Extra Help) $18.30/month (without Extra Help) |
| Total Out-of-Pocket | $2,000 |
| Supplemental Benefits | |
| Hearing Aids (every three years) | $1,000 allowance |
| Eyewear (annually; must use network provider) | $130 allowance |
| Over-the-Counter Allowance | $100 per quarter |
| PPO | |
|---|---|
| Monthly Premium | $0 |
| Medical Deductible | $0 |
| Out-of-Pocket Maximum | $6,400 |
| Primary Care Visit (In-office and Telehealth) |
$0 copay |
| Specialty Care Physician Office Visit | $35 copay |
| Prescription Drug Benefits | |
| Deductible | $300 (Applies to Tiers 3-5) |
| Total Out-of-Pocket | $2,000 |
| Supplemental Benefits | |
| Hearing Aids (every three years) | $1,100 allowance |
| Eyewear (annually; must use network provider) | $150 allowance |
| Over-the-Counter Allowance | $80 per quarter |
Want help comparing your plans and benefits—and finding the right choice for your needs?
Speak with a Medicare Advisor at 1.833.975.08411.833.975.0841 (TTY: 711).
Oct. 1 – March 31: 7 days a week, 8 AM to 8 PM. Closed on major holidays.
April 1 – Sept. 30: Monday-Friday, 8 AM to 5 PM. Closed on major holidays.
Para hablar con un representante en español, llame a 1.833.412.33201.833.412.3320
