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Home / See All State / Medicare in Texas

Medicare Plans in Texas

How Do You Qualify for Medicare?

Alabama FlagMedicare is a federally-funded health insurance program. American citizens living in the United States qualify for Medicare once they turn 65. They may also qualify if they are under 65 and meet one of the following conditions:

  • Receive Social Security disability insurance (SSDI) for at least 24 months

  • Have End-Stage Renal Disease (ESRD)

  • Have amyotrophic lateral sclerosis (ALS, also known as Lou Gehrig's disease)

  • Receive Railroad Retirement Benefits

There is no income requirement to qualify for Medicare.

What Medicare Plans Are Available in Tennessee ?

Medicare enrollees have multiple options to receive their benefits.

  • Original Medicare includes Part A (hospital insurance) and Part B (medical insurance)

  • Medicare Advantage (MA) plans, also known as Part C, cover the same services as Original Medicare, with most MA plans offering additional coverage

  • Medicare Part D plans provide prescription drug coverage

  • Medicare Supplement Insurance plans, also known as Medigap, help pay for some of the costs not covered by Original Medicare

Private insurance companies provide Medicare Advantage, Part D, and Medigap plans. Coverage and costs vary according to each plan and provider. However, beneficiaries still pay their Part B premium, even if they have an MA plan.

Texas does not require Medigap providers to offer plans to beneficiaries who are under age 65.

Medicare Savings Programs in Texas

Although Medicare is a federally-funded program, there are state-level programs to help Texans pay their Medicare costs. These are known as Medicare Savings Programs (MSPs) and include:

  • Qualified Medicare Beneficiary (QMB) Program

  • Special Low-Income Medicare Beneficiary (SLMB) Program

  • Qualifying Individual (QI) Program.

  • Qualified Disabled and Working Individuals (QDWI) Program

While Medicare has no income requirements, MSPs do. Refer to the table below to see the income and resource limits for each program. If you are still employed, you may qualify even if your income exceeds these limits. It's always worth applying to see if you qualify.

Medicare Savings Program Requirements (Texas )

Program Name QMB Program SLMB Program QI Program QDWI Program
Individual Income $1,094 Per Month $1,308 Per Month $1,469 Per Month $4,379 Per Month
Married Income $1,472 Per Month $1,762 Per Month $1,980 Per Month $5,892 Per Month
Individual Resources $7,970 $7,970 $7,980 $4,000
Married Resources $11,960 $11,960 $11,960 $6,000
Helps Pay All out-of-pocket costs Part B Premiums Part B Premiums Part A Premiums

Additional Texas Medicare Resources

The following sites offer additional information on Medicare in Texas.

You can also call MedicareUSA toll-free at 1-800-637-7602. Our licensed agents are happy to answer your questions and guide you through the Medicare program. The best part? Working with MedicareUSA is always free!

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The MedicareUSA website is operated by HealthPlanOne, LLC a licensed health insurance agency based in Connecticut; in California d/b/a HPOne Insurance Agency, license #OF30784. HealthPlanOne, is a licensed and certified representative of Medicare Advantage HMO, PPO and PFFS organizations and stand-alone prescription drug plans with a Medicare contract. Enrollment in any plan depends on contract renewal.

For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.

PLEASE NOTE: Medicare Supplement insurance is available to those age 65 and older enrolled in Medicare Parts A and B and, in some states, to those under age 65 eligible for Medicare due to disability or End-Stage Renal disease.

The purpose of this communication is the solicitation of insurance. Contact will be made by an insurance agent/producer or insurance company.

Medicare supplement plans are not connected with or endorsed by the U.S. Government or the federal Medicare program.

The Centers for Medicare and Medicaid Services (CMS) does not review or approve Medicare Supplement plan information.


Last Updated 01/13/2021