Find the Right Plan for You

Answer a few simple questions to explore MedCare Partners plans that may fit your needs.

MedCare Classic

H5767-001

MedCare Classic is a great choice for individuals with a diagnosis of Cardiovascular Disease, Congestive Heart Failure, or Diabetes who do not qualify for Medicaid.

Key Costs (Estimated)

Monthly Plan Premium

$0

Max Out-of-Pocket

$1500

Specialist Copay

$15

Emergency Care Copay

$150

Outpatient Diagnostics

$200

*If you have full Medicaid benefits, you may pay $0 for your Medicare covered services and plan premium.

Key Benefits

*Eligibility requirements may apply.

MedCare Focus (HMO C-SNP)

H5767-002

MedCare Focus (HMO C-SNP) is a great choice for individuals with a diagnosis of Cardiovascular Disease, Congestive Heart Failure, or Diabetes who do not qualify for Medicaid.

Key Costs (Estimated)

Monthly Plan Premium

$0

Max Out-of-Pocket

$900

Primary Care Visit Copay

$0

Specialist Copay

$15

Emergency Care Copay

$150

Outpatient Diagnostics

$200

Key Benefits

*Eligibility requirements may apply.

MedCare Choice

H5767-003

MedCare Choice is a great choice for individuals with a diagnosis of Cardiovascular Disease, Congestive Heart Failure, or Diabetes who do not qualify for Medicaid.

Key Costs (Estimated)

Monthly Plan Premium

$6

Max Out-of-Pocket

$9850

Primary Care Visit Copay

$0

Specialist Copay

20%

Emergency Care Copay

$115

Outpatient Diagnostics

$20%

Key Benefits

*Eligibility requirements may apply.

MedCare Value (HMO)

H5767-001

Medical Plan Premium

$25

PCP Copay

$10

Specialist Copay

$35

MedCare Balance (HMO)

H5767-003

Medical Plan Premium

$0

Medical Plan Premium

$20

Medical Plan Premium

$45

MedCare Core (HMO)

H5767-004

Medical Plan Premium

$35

Medical Plan Premium

$5

Medical Plan Premium

$25

MedCare Partners Health Plan of Texas is a Medicare Advantage Plan for Medicare beneficiaries. If you believe you qualify to enroll with MedCare Partners Health Plan of Texas, please call us at 1-866-627-8901. Thank you for your interest in MedCare Partners Health Plan of Texas.

Thank you for your interest in MedCare Partners Health Plan of Texas. You may not live in our service area. Please call 1-866-627-8901 to speak with a plan representative if you have questions.

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