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Coverage · Medicare

Medicare Plans Houston TX: A Local Look at Your Options

Looking for Medicare plans in Houston TX? Most people here land on one of two paths: Medicare Advantage or Medicare Supplement (Medigap). If you're closing in on 65, newly retired, or just rethinking your current plan, understanding the split between these two options can save you real money. Open enrollment for 2026 runs October 15 through December 7.

Below, we walk through how Medicare works for Houston residents, which plan types are sold locally, and how to line up coverage with your doctors, prescriptions, and monthly budget.

  • Medicare Advantage (Part C) plan comparison
  • Medicare Supplement (Medigap) guidance
  • Turning 65 enrollment support
  • Part D prescription drug matching
Houston couple reviewing Medicare plan paperwork at their kitchen table

Let a local Houston agent walk through your Medicare options

Our licensed Houston agents look at your doctors, your prescriptions, and your likely costs against the Medicare plans we offer in your ZIP code, then tells you which ones make sense. There's no charge for the review.

Houston Senior Insurance

Licensed Texas insurance agency · Houston, TX

Licensing, carriers and how we work →
  • Independent agency serving Harris County since 2009
  • AHIP Medicare certified, renewed every year
  • Advantage, Medigap, Part D and final expense under one roof
  • No cost for our help, and no pressure to switch
  • Office, phone and at-home appointments across Greater Houston
Call our Houston office: (713) 651-3098

Written and reviewed by the licensed Medicare team at Houston Senior Insurance, Licensed Texas insurance agency. Last reviewed: August 2026.

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Takes about 20 seconds. No obligation to enroll.

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Not sure when you can enroll?

Punch in your birth date and we'll show you your Initial Enrollment Period, the month to apply, and when coverage can start.

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Types of Medicare Plans Sold in Houston TX

Once you're enrolled in Original Medicare (Part A and Part B), Houston and Harris County residents typically choose between two main coverage paths.

Medicare Advantage Plans (Part C)

Medicare Advantage plans take the place of Original Medicare by bundling your coverage into one plan sold through a private carrier approved by Medicare. Most plans in the Houston area include:

  • Hospital and medical coverage
  • Prescription drug coverage
  • Provider networks
  • Copays and out-of-pocket limits

Some plans throw in dental, vision, or hearing benefits, though what you actually get depends on the carrier and plan.

Medicare Advantage usually appeals to Houston seniors who want a lower monthly premium, bundled benefits, and set copays through a network. Provider access is the catch: networks change year to year, so it pays to confirm your doctors are still in before you sign up, especially if you see specialists near Texas Medical Center.

Medicare Supplement Plans (Medigap)

Medicare Supplement policies pair with Original Medicare and pick up costs Medicare doesn't cover, like deductibles and coinsurance. Medigap plans generally give you nationwide provider access, predictable medical bills, no referral requirements, and no network to worry about.

Medigap doesn't include prescription drugs. You'll need a stand-alone Part D plan to cover medication.

Medigap tends to fit people who travel often, want the freedom to see any provider, want fewer surprise bills, or use healthcare regularly, including many retirees who split time between Houston and out-of-state family.

Medicare Advantage vs. Medicare Supplement in Harris County

Here's the plain comparison Houston TX residents ask us about most.

Medicare Advantage

  • Uses provider networks
  • Often carries lower monthly premiums
  • Includes copays and annual out-of-pocket limits
  • Benefits can change each year

Medicare Supplement

  • Works alongside Original Medicare
  • Typically has higher monthly premiums
  • Keeps out-of-pocket costs minimal
  • Benefits stay consistent year after year

Medigap, Medicare Advantage, and Part D: how they line up

This table lays out exactly where the three types of coverage split. Medigap and Medicare Advantage are an either/or choice. Part D is the drug plan you add on if you go with Medigap.

Medicare Supplement

Medigap · pairs with Original Medicare

What it covers
Your share of Part A and Part B costs: deductibles, copays and coinsurance.
Doctor networks
None. Any provider in the U.S. who accepts Medicare.
Monthly premium
Highest of the three, plus your Part B premium.
Costs when you use care
Little to nothing after the Part B deductible on Plan G.
Prescription drugs
Not included. You add a separate Part D plan.
Extras (dental, vision, hearing)
Not included. Buy standalone if you want them.
Health questions to enroll
None during your 6-month open enrollment; underwriting applies later.
Best if you
Travel, see specialists often, and want predictable bills.
Medicare Supplement details

Medicare Advantage

Part C · all-in-one private plan

What it covers
Hospital, medical and usually drugs, bundled into one plan with one card.
Doctor networks
HMO or PPO network. Verify Houston Methodist, Memorial Hermann or Kelsey-Seybold.
Monthly premium
Often $0, plus your Part B premium.
Costs when you use care
Copays per visit and per service, capped by an annual out-of-pocket maximum.
Prescription drugs
Included in most Houston plans.
Extras (dental, vision, hearing)
Commonly included, with allowances that vary a lot by plan.
Health questions to enroll
None. Guaranteed acceptance during a valid enrollment period.
Best if you
Are settled with Houston providers and want low premiums plus extras.
Medicare Advantage details

Part D Drug Plan

Prescriptions only · add-on

What it covers
Prescription medications only. Nothing medical.
Doctor networks
Pharmacy network only. Preferred pharmacies cost less.
Monthly premium
Low monthly premium, plus your Part B premium.
Costs when you use care
Deductible and tiered copays based on the plan's drug list.
Prescription drugs
This is the drug coverage.
Extras (dental, vision, hearing)
Not included.
Health questions to enroll
None.
Best if you
Chose Medigap or Original Medicare and need drug coverage.
Part D Drug Plan details

There's no single right answer for every Houston resident. It comes down to your health needs, the doctors you want to keep, your prescriptions, and what fits your budget. Ask us to price both options.

Houston TX ZIP Codes We Cover

Houston Senior Insurance works with Medicare beneficiaries across Houston and Harris County, including:

  • 77002
  • 77003
  • 77024
  • 77045
  • 77077

Don't see your ZIP code? Check our full Houston & Harris County service area . We also work with clients in Katy, Sugar Land, Cypress, Missouri City, Pearland, Pasadena and beyond.

Annual Enrollment runs Oct 15 – Dec 7

Networks, drug tiers and premiums shift every year. A free review takes about 15 minutes.

Your prescriptions decide the real price

We run your exact medication list against every Part D formulary sold in your ZIP code, so you're comparing annual cost, not just the premium sticker.

Turning 65 in Houston TX: The Enrollment Basics

If you're turning 65 in Houston, your Initial Enrollment Period is the window that matters most. It opens three months before your birthday month and closes three months after.

Miss it, and you could face late enrollment penalties or fewer plan choices later on. Starting early keeps every option on the table.

  1. 1

    Enroll in Medicare Part A and Part B

  2. 2

    Select a Medicare Advantage plan

  3. 3

    Sign up for a Medigap policy without medical underwriting in most cases

  4. 4

    Add prescription drug coverage through Part D

Talk to a Local Advisor About Medicare Plans in Houston TX

Choosing Medicare coverage is a big call. You don't have to work through it by yourself.

If you want plain answers about Medicare Advantage, Medigap, or turning 65 in Houston, Houston Senior Insurance can help. Talk with someone who knows Medicare rules and the hospital networks across Harris County, from Texas Medical Center to community clinics in Pasadena and Pearland.

Compare Medicare plans in Houston TX with a local advisor

We check your doctors and prescriptions first, then price Advantage and Medigap side by side. No fee, no pressure.