Medicare Advantage

Before You Renew Your Bexar County Advantage Plan

Bexar County has 98 Medicare Advantage plans for 2027. Compared with 2026, 28 plans are not coming back, 26 are new, and 36 continuing plans changed in some way you should check before December 7, 11 of them under a new name. This guide covers what those numbers mean for San Antonio, not which plan to pick.

SAN ANTONIO — If you have a Medicare Advantage plan in Bexar County, this fall's mail is worth opening carefully. According to CMS's 2026 and 2027 Medicare Advantage Landscape files, 28 plans offered in the county this year will not be back in 2027, 26 new plans are coming in, and 11 are keeping the same underlying plan but changing the name on the card.

That matters because the Annual Enrollment Period — October 15 through December 7 — is when most people can switch. If your plan is one of the ones leaving, you also get extra time to make a move.

What's actually changing in Bexar County

San Antonio is in Bexar County, and Medicare Advantage availability is set at the county level. Here is what CMS's files show for the 2026-to-2027 shift:

• 28 plans leaving after 2026
• 26 new plans for 2027
• 11 plans renamed (same plan, new name)
• 25 continuing plans with a change on premium, deductible, plan type or name — the specifics are in the ANOC
• 61 plans continuing with no such change flagged
• One carrier exiting the county: American Health Advantage of Texas
• One carrier entering the county: Alignment Health Plan

The table below lists every plan offered in the county so you can find yours by name.

If your plan is leaving

Members whose plans are being discontinued should get a non-renewal notice from their insurer. If that is you, two things to know:

1. You can use the regular Annual Enrollment Period (Oct. 15 – Dec. 7) to pick a new Medicare Advantage plan or return to Original Medicare with a stand-alone Part D plan. 2. You also qualify for a Special Enrollment Period that runs through the end of February. That gives you extra runway if you need it.

The plans not returning to Bexar County next year include American Health Advantage of Texas (HMO I-SNP); several Blue Cross Blue Shield (HCSC) plans — Blue Cross Medicare Advantage Balance (PPO), Core (HMO), Dental Value (HMO), Dual Care Plus (HMO D-SNP), Optimum (PPO), Preferred (PPO) and Value (HMO); Centene's Wellcare Assist (HMO), Wellcare Dual Liberty (HMO D-SNP), Wellcare Giveback (HMO) and Wellcare Simple Open (PPO); Elevance Health's Wellpoint Dual Advantage (HMO D-SNP), Wellpoint Dual Advantage 2 (HMO D-SNP) and Wellpoint Full Dual Advantage 2 (HMO D-SNP); Humana Gold Choice H8145-084 (PFFS), Humana USAA Honor Giveback (PPO), HumanaChoice H5216-360 (PPO) and HumanaChoice H7617-040 (PPO); SCAN MyChoice Texas (HMO) and SCAN Strive Texas (HMO C-SNP); and UnitedHealthcare's AARP Medicare Advantage CareFlex from UHC TX-45 (HMO-POS), AARP Medicare Advantage from UHC TX-0003 (PPO), AARP Medicare Advantage Patriot No Rx TX-MA04 (PPO), UHC Complete Care Support TX-1A (Regional PPO C-SNP), UHC Dual Complete TX-D004 (HMO-POS D-SNP), UHC Dual Complete TX-S003 (HMO-POS D-SNP) and UHC Dual Complete TX-V007 (HMO-POS D-SNP).

If your plan is not on that list, it is either continuing, being renamed, or has other changes noted in your ANOC.

New plans coming to the county in 2027

Alignment Health Plan is new to Bexar County next year with a set of HMO-POS plans: Alignment Health BRIDGE 013, Alignment Health Duals+ 007, Alignment Health Heart & Diabetes 002, Alignment Health Heart & Diabetes Plus 004, Alignment Health ONE 011 and Alignment Health Smart 012.

Existing carriers are also adding plans. From Aetna (CVS Health): Aetna Medicare Chronic Care Total (HMO C-SNP) and Aetna Medicare QMB Only Care (HMO D-SNP). From Blue Cross Blue Shield (HCSC): HealthSpring TotalCare Plus (HMO D-SNP). From Centene (WellCare): Wellcare Superior HealthPlan Dual Liberty (HMO D-SNP) and Wellcare Superior HealthPlan Dual Reserve Value (HMO D-SNP). From Devoted Health: DEVOTED C-SNP GIVEBACK EXTRAS 089 TX (HMO C-SNP) and DEVOTED GIVEBACK EXTRAS 116 TX (HMO). From Elevance Health (Anthem): Wellpoint Chronic Care Advantage Select (HMO C-SNP), Wellpoint Chronic Care Select (HMO-POS C-SNP), Wellpoint Dual Advantage Plus Select (HMO D-SNP), Wellpoint Dual Advantage Select (HMO D-SNP) and Wellpoint Full Dual Advantage Select (HMO D-SNP). From Humana: Humana Gold Plus - Diabetes and Heart (HMO C-SNP), Humana Together in Health (PPO I-SNP) and Humana Value Choice (PPO). From SCAN Health Plan: SCAN Walmart Health Advantage (HMO) and SCAN Walmart Medicare Complete (HMO C-SNP). From UnitedHealthcare: UHC Dual Advantage TX-V11 (HMO-POS D-SNP), UHC Dual Complete TX-Q6 (HMO-POS D-SNP) and UHC Dual Complete TX-Y1 (HMO-POS D-SNP).

Many of these are Special Needs Plans (SNPs) designed for people with specific chronic conditions, dual Medicare-Medicaid eligibility or nursing home care needs. If you do not qualify for a SNP, those plans are not options for you.

Renamed plans — same plan, new name

Eleven plans in the county are keeping the same core plan but changing names. If your ID card language looks different next year, it may just be a rename:

• Aetna Medicare Chronic Care (HMO C-SNP) — was Aetna Medicare Prime Chronic Care (HMO C-SNP)
• Aetna Medicare Full Dual Care (HMO D-SNP) — was Aetna Medicare Dual Care (HMO D-SNP)
• Aetna Medicare Full Dual Extra Care (HMO D-SNP) — was Aetna Medicare Full Dual Care (HMO D-SNP)
• Aetna Medicare QMB Only Extra Care (HMO D-SNP) — was Aetna Medicare Partial Dual Care (HMO D-SNP)
• Aetna Medicare Signature Extra (PPO) — was Aetna Medicare Signature (PPO)
• Wellcare Superior HealthPlan Dual Access (HMO D-SNP) — was Wellcare Dual Access (HMO D-SNP)
• Wellcare Superior HealthPlan Dual Reserve (HMO D-SNP) — was Wellcare Dual Reserve (HMO D-SNP)
• Community First Medicare Advantage Bexar Dual (HMO D-SNP) — was Community First Medicare Advantage D-SNP (HMO D-SNP)
• DEVOTED PREMIUM 004 TX (HMO) — was DEVOTED CORE 004 TX (HMO)
• Wellpoint Medicare Advant