Texas Medicare HMO plans are a type of Medicare Advantage plan, also called Part C. Medicare Advantage plans pay instead of Medicare. Most plans have a network of doctors from whom you’ll seek your care.

Many HMO plans will require you choose a primary care physician. You must see that doctor to get a referral if you need to see a specialist. While Medicare HMOs often have lower premiums than Medigap plans, you will pay more copays on the back end for your treatment.

Texas Medicare HMO Eligibility

To be eligible for a Medicare HMO plan, you must live in the plan’s service area and also be enrolled in Medicare Parts A and B. When you enroll in a Medicare HMO, you will be issued an member ID card and you will present that to your providers when you seek care.

Built-in Part D

Most Medicare HMO plans have a Part D drug plan integrated into them. This means you can present the same card at the doctor and at the pharmacy.
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