2009 Plans
TexanPlus® Medicare Advantage Plans are an affordable way to manage your
health and prescription drug coverage needs. TexanPlus Medicare Advantage
Plans are available in Collin, Dallas, Denton, Rockwall or Tarrant counties.
Plans offer no plan premiums, low co-pays, and deductibles, plus routine
dental and vision coverage.
What plan is right for you?
Compare your Medicare Advantage and Medicare Advantage Prescription Drug plan options below. For more detailed information, review the Summary of Benefits.
 |
Value |
Classic powered by CCRx |
Premier powered by CCRx |
Star powered by CCRx Recommended for those who qualify for assistance from Medicaid. |
|---|---|---|---|---|
| Monthly Premium | $0 plus a $50.90 reduction in monthly Part B premium |
$0 | $21.50 | $0 |
| MEDICAL BENEFITS | ||||
| Annual Out-of-Pocket Limit | $3,000 | $3,600 | $2,500 | $3,600 |
| PCP/Specialist Co-pay | $0/$20 | $0/$20 | $0/$15 | $0/$20 |
| Inpatient Hospital Care | Days 1-7: $75 per day |
Days 1-7: $75 per day |
Days 1-7: $50 per day |
Days 1-7: $75 per day |
| Emergency Care Co-pay per visit | $50 | $50 | $25 | $50 |
| OTHER BENEFITS | ||||
| Dental Benefits |
$15 co-pay (up to 2 visits/year), includes exam, cleaning, x-rays |
$15 co-pay (up to 2 visits/year), includes exam, cleaning, x-rays |
$15 co-pay (up to 2 visits/year), includes exam, cleaning, x-rays. Comprehensive dental benefits. |
$15 co-pay (up to 2 visits/year), includes exam, cleaning, x-rays. Comprehensive dental benefits |
| Vision Benefits | $25 co-pay for annual exam; free eyewear every year (up to $100) |
$25 co-pay for annual exam; free eyewear every year (up to $100) |
$10 co-pay for annual exam; free eyewear every year (up to $125) |
$25 co-pay for annual exam; free eyewear every year (up to $100) |
| Over-the-Counter Benefit | Not Available | Not Available | Not Available | $20 a month for approved healthcare items |
| PART D PRESCRIPTION DRUG COVERAGE | ||||
| Deductible | No coverage | $0 | $0 | $295 for brand drugs only |
| Initial Drug Coverage | No coverage | up to $2700 | up to $2700 | up to $2700 |
| 31-day/90-day supply, you pay | ||||
| Generics | No coverage | $0 | $0 | $0 |
| Preferred Brands | No coverage | $30/$75 | $30/$75 | $30/$75 |
| Non-preferred Brands | No coverage | $60/$150 | $60/$150 | $60/$150 |
| Specialty Drugs | No coverage | 25% | 25% | 25% |
| Coverage Gap Benefits | No coverage | $0 for generics | $0 for generics | No coverage |
| Catastrophic Coverage after you reach $4,350 in out-of-pocket prescription drug expenses | ||||
| 30-day/90-day supply, you pay | ||||
| Generics | No coverage | The greater of 5% coinsurance or $2.40 | The greater of 5% coinsurance or $2.40 | The greater of 5% coinsurance or $2.40 |
| Brands | No coverage | The greater of 5% coinsurance or $6 | The greater of 5% coinsurance or $6 | The greater of 5% coinsurance or $6 |
TexanPlus is a member of the Universal American family of companies. For more information on Universal American, click here.