Medicare Advantage

HealthSpring's 2027 Medicare Advantage plans in San Antonio: one new D-SNP joins the lineup

SAN ANTONIO — As the Medicare Annual Enrollment Period runs from October 15 through December 7, 2026, HealthSpring is bringing six Medicare Advantage plans to Bexar County for 2027 — one more than it offered this year, with a new Dual Eligible Special Needs Plan joining the lineup. If you are a HealthSpring member in San Antonio, or shopping its plans for the first time, here is a plain look at what the carrier is offering next year and how to check it against the care you already use.

MyMedicarePlans.org is an independent news and education site. We are not HealthSpring, and we are not Medicare. We also are not the only carrier in town: 14 other companies offer Medicare Advantage plans in Bexar County for 2027, for a total of 98 plans countywide.

What HealthSpring is offering in Bexar County for 2027

San Antonio sits in Bexar County, and Medicare Advantage availability is set at the county level. For 2027, HealthSpring's lineup in Bexar County includes:

• HealthSpring Courage (HMO) — HMO, with drug coverage
• HealthSpring Preferred (HMO) — HMO, with drug coverage
• HealthSpring Preferred Savings (HMO) — HMO, with drug coverage
• HealthSpring TotalCare (HMO D-SNP) — HMO Special Needs Plan, with drug coverage
• HealthSpring TotalCare Plus (HMO D-SNP) — HMO Special Needs Plan, with drug coverage; new for 2027
• HealthSpring True Choice (PPO) — PPO, with drug coverage

The table on this page lists every plan side by side. (A note on how CMS lists them: HealthSpring plans sit under their parent organization, Health Care Service Corporation, in CMS files; locally they are sold as HealthSpring plans.)

What is new, and what is not returning

For 2027, HealthSpring is adding one plan in Bexar County — HealthSpring TotalCare Plus (HMO D-SNP) — bringing its D-SNP count to two. No HealthSpring plans are leaving Bexar County for 2027.

Even when a plan returns, its details can shift from one year to the next: cost-sharing, drug formularies, extra benefits and provider networks can all change. Those changes are spelled out in the Annual Notice of Change (ANOC) the carrier mails every fall. If you are already a member, that document — not any article — is the authoritative source on your plan next year.

HMO, PPO and D-SNP: what the plan types mean

HealthSpring's 2027 Bexar County lineup includes three plan types. An HMO generally asks you to use a network of doctors and hospitals and often requires a referral to see a specialist. A PPO is usually more flexible about going out of network, often at a higher cost. A D-SNP — Dual Eligible Special Needs Plan — is built for people who qualify for both Medicare and Medicaid, and it coordinates benefits across both programs.

All six HealthSpring plans in Bexar County for 2027 include Part D prescription drug coverage.

How to check a plan against your doctors and drugs

Before December 7, the single most useful thing you can do is match a plan to the care you actually use. The free Medicare Plan Finder at medicare.gov is built for this:

1. Enter your ZIP code and your prescription drugs (names and doses). 2. Add your preferred pharmacies. 3. Compare plans side by side — Plan Finder will show covered drugs, cost estimates and star ratings based on your inputs. 4. For doctors and hospitals, check the plan's own provider directory on the carrier's website, or call the plan to confirm a specific provider is in network for 2027.

If you prefer to talk to someone, call 1-800-MEDICARE (1-800-633-4227), which is available 24 hours a day, 7 days a week.

Program-level numbers to know for 2027

A few Medicare figures are set by CMS and apply no matter which plan you pick:

• Part D out-of-pocket cap: $2,400 in 2027 (up from $2,100 in 2026).
• Part D maximum deductible: $700 in 2027 (up from $615 in 2026).
• The old coverage gap ("donut hole") has been gone since 2025; Part D now has three phases.
• The Medicare Prescription Payment Plan lets you spread your drug costs across the year in monthly installments if you choose.

The 2027 Part B standard premium and deductible, and the 2027 IRMAA income brackets, had not been announced as of early fall 2026. CMS typically publishes those figures later in the fall.

If you do nothing

Nothing bad happens automatically. If your HealthSpring plan is offered again in 2027 — and all five of its 2026 plans are — you stay enrolled, with the changes described in your ANOC. If you want to switch to another HealthSpring plan, to a different carrier, or back to Original Medicare, you can do that between October 15 and December 7, 2026, and the change starts January 1, 2027. There is also a Medicare Advantage Open Enrollment Period from January 1 through March 31, 2027, for people already in a Medicare Advantage plan who want to make one change.