Medicare Advantage in Texas: Your Plain-English 2027 Guide

105 Medicare Advantage plans in Texas are changing for 2027, 102 plans are leaving and 100 plans are new. Use this guide to see how the plans work in Texas and what to compare, in plain terms.

Sorting out Medicare in Texas? The first thing worth knowing is that plan availability is set at the county level, not statewide — two people an hour apart can have genuinely different options. That's why this guide is organized city by city.

Statewide, about 55% of Texas Medicare members are in a Medicare Advantage plan rather than Original Medicare — an official figure that varies widely county to county.

On this page: the companies active in Texas, a plain-language explanation of how Medicare fits together, 2027 costs, enrollment timing, free help, and links to every Texas city guide. We don't rank or recommend plans.

Advantage or Original Medicare? The basic fork

Every Medicare decision in Texas branches from one question: do you want your coverage delivered through a private Medicare Advantage plan, or do you want to stay with Original Medicare and build around it?

Go the Medicare Advantage route and a private plan (approved by Medicare) handles your Part A and Part B, typically folds in drug coverage — within a network and a county-based service area.

Stay with Original Medicare and you keep nationwide provider freedom, then usually add a stand-alone Part D drug plan and often a Medigap policy to cover what Original Medicare doesn't.

There's no single winner here — it comes down to your providers, your medications, and your budget. We explain the trade-offs and leave the choice to you; we don't rank plans.

The 2027 numbers, from shared to plan-specific

Start with what's fixed for everyone. The standard Part B premium is $202.90 per month in 2026 (2026 amount; 2027 figure will be posted when CMS releases it), and Part A is premium-free for most people who paid Medicare taxes long enough while working.

On the drug side, Part D has real guardrails for 2027: a deductible capped at $700 and, a hard $2,400 ceiling on your out-of-pocket costs for covered prescriptions — the old coverage gap is gone.

Higher earners pay more for Parts B and D through an income-related adjustment called IRMAA, which for 2026 starts above $109,000 in annual income for an individual and is based on your 2024 tax return. Most people fall below that line and pay the standard amounts. The 2027 brackets will be posted when CMS releases them.

Everything past that is plan-specific: the premiums, copays, and coverage details of an individual Advantage or Medigap plan change from plan to plan and year to year. Rather than quote or rank those, we point you to Medicare's Plan Finder and a licensed agent for your exact numbers.

Your Medicare enrollment calendar

The dates that follow are set federally, so they don't change from state to state — only your personal timing does.

It starts with your Initial Enrollment Period — the 7-month window around your 65th birthday month — the window around turning 65 when you first sign up. Missing it can mean late penalties that stick around, so it's the one not to sleep on.

After that, the big recurring window is the Annual Enrollment Period (Open Enrollment), October 15 – December 7, when anyone can join, switch, or drop an Advantage or Part D plan for a January 1 start. And if you're already in an Advantage plan, the Medicare Advantage Open Enrollment (January 1 – March 31) gives you one more chance to change course.

Life events — a move, a loss of other coverage — can also trigger a Special Enrollment Period. The calendar below shows the whole year at a glance.

Where to get free, unbiased help near Texas

Good Medicare help exists and it's free — you don't have to figure this out solo or pay for guidance.

For official specifics and the Plan Finder tool, go straight to Medicare.gov or 1-800-MEDICARE (TTY 1-877-486-2048). And a licensed agent can compare options and handle the paperwork with you.

One note on who we are: MyMedicarePlans.org is an independent, privately owned educational resource — not Medicare, not a government agency, and not affiliated with one. Our job is to help you get oriented, then hand you off to the official sources and licensed professionals for plan decisions.

Texas cities

Pick your city for the county-level picture, the companies active in your area, and local guides: