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Medicare plans in Bexar County, TX — 2027
What agents look up before working a county: plan count, carriers, $0-premium share, star distribution, MOOP range, the 65+ and 60–64 population, and what changed since last year.
In 2027, Bexar County, Texas has 108 Medicare plans (38 Medicare Advantage with drug coverage, 10 without, 10 standalone Part D, 50 Special Needs) from 15 carriers. 77 Medicare Advantage plans have a $0 premium. The lowest in-network out-of-pocket maximum is $2,000.
What changed vs 2026
- 4 fewer plans than 2026
- Carriers entered: Alignment Health Plan
- Carriers exited: American Health Advantage of Texas, Blue Cross and Blue Shield of Texas
- $0-premium plans up 14
- Average star rating up 0.1
Market snapshot
- Residents 65 and older
- 266,184
- Residents 60–64, aging in over the next five years
- 103,641
- Medicare eligibles
- 345,520
- Medicare Advantage penetration
- 59.0%
- Plans per 1,000 residents 65+
- 0.4
Carriers by number of plans
- Humana — 27 plans
- UnitedHealthcare — 15 plans
- Aetna Medicare — 12 plans
- Devoted Health — 10 plans
- Wellpoint — 9 plans
- HealthSpring — 8 plans
- Wellcare — 8 plans
- Alignment Health Plan — 6 plans
Plans sorted by CMS star rating, then premium
| Plan | Carrier | Category | Plan type | Monthly premium | Drug deductible | Out-of-pocket maximum | Star rating |
|---|---|---|---|---|---|---|---|
| Clover Health Choice (PPO) (H5141-025-0) | Clover Health | MA-PD | PPO | $0 | $0 | $6,350 | 5.0 |
| Clover Health Valor (PPO) (H5141-062-0) | Clover Health | MA | PPO | $0 | $6,500 | 5.0 | |
| UHC Nursing Home Plan TX-F001 (PPO I-SNP) (H0710-020-0) | UnitedHealthcare | SNP | PPO I-SNP | $6.30 | $700 | $9,850 | 5.0 |
| Alignment Health BRIDGE 013 (HMO-POS) (H5472-013-0) | Alignment Health Plan | MA-PD | HMO-POS | $0 | $700 | $2,800 | 4.5 |
| Alignment Health Heart & Diabetes 002 (HMO-POS C-SNP) (H5472-002-0) | Alignment Health Plan | SNP | HMO-POS C-SNP | $0 | $0 | $3,190 | 4.5 |
| Alignment Health ONE 011 (HMO-POS) (H5472-011-0) | Alignment Health Plan | MA-PD | HMO-POS | $0 | $700 | $2,800 | 4.5 |
| Alignment Health Smart 012 (HMO-POS) (H5472-012-0) | Alignment Health Plan | MA-PD | HMO-POS | $0 | $700 | $6,450 | 4.5 |
| DEVOTED C-SNP 046 TX (HMO C-SNP) (H7993-046-0) | Devoted Health | SNP | HMO C-SNP | $0 | $461 | $4,450 | 4.5 |
| DEVOTED C-SNP GIVEBACK EXTRAS 089 TX (HMO C-SNP) (H7993-089-0) | Devoted Health | SNP | HMO C-SNP | $0 | $700 | $6,600 | 4.5 |
| DEVOTED C-SNP PLUS 033 TX (HMO C-SNP) (H7993-033-0) | Devoted Health | SNP | HMO C-SNP | $0 | $650 | $9,850 | 4.5 |
Showing 10 of 108 plans.
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About this data
Source: CMS Medicare Advantage/Part D Landscape files, plan year 2027; population: U.S. Census Bureau ACS 5-year 2024; MA penetration: CMS October 2026.
This page summarizes publicly available CMS data. It is not a plan finder and does not recommend plans. To compare and enroll in plans, use Medicare.gov or talk to a licensed agent. Medicare.gov plan finder.