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خطط Medicare Advantage في ⁨Jefferson County⁩، ⁨TX⁩ لعام ⁨2027⁩

تتوفر ⁨73⁩ خطط Medicare Advantage من ⁨12⁩ شركات في ⁨Jefferson County⁩ لعام ⁨2027⁩. الخطط ذات القسط الشهري $0 (باستثناء خطط الاحتياجات الخاصة): ⁨30⁩. أقل حد للدفع من الجيب داخل الشبكة: ⁨$3,400⁩.

يستمر التسجيل المفتوح لعام ⁨2027⁩ من 15 أكتوبر إلى 7 ديسمبر ⁨2026⁩؛ تبدأ التغطية في 1 يناير ⁨2027⁩.

خطط تغطي الأدوية (⁨31⁩)

الخطة	النوع	القسط الشهري	خصم الأدوية	حد الدفع من الجيب (داخل الشبكة)	تقييم النجوم للعام الماضي
Wellcare TexanPlus Classic Simple (HMO-POS) Wellcare	HMO-POS	$0	$700	$3,400	4
Wellcare Simple (HMO) Wellcare	HMO	$0	$700	$3,500	4
HealthSpring Alliance (HMO) HealthSpring	HMO	$0	$500	$3,600	4.5
DEVOTED CORE 019 TX (HMO) Devoted Health	HMO	$0	$650	$3,650	5
DEVOTED CORE 001 TX (HMO) Devoted Health	HMO	$0	$650	$3,700	5
Humana Gold Plus H0028-042 (HMO) Humana	HMO	$0	$440	$3,950	3.5
Humana Gold Plus H0028-072 (HMO) Humana	HMO	$0	$440	$3,950	3.5
Humana Total Complete (HMO) Humana	HMO	$0	$440	$3,950	4
Humana Total Complete (HMO) Humana	HMO	$0	$440	$3,950	4
HealthSpring Preferred (HMO) HealthSpring	HMO	$0	$500	$4,000	4.5
DEVOTED GIVEBACK EXTRAS 114 TX (HMO) Devoted Health	HMO	$0	$700	$5,600	5
AARP Medicare Advantage from UHC TX-0009 (HMO-POS) UnitedHealthcare	HMO-POS	$0	$685	$6,700	4
HealthSpring True Choice (PPO) HealthSpring	PPO	$0	$700	$6,800	3
Humana Value Choice (PPO) Humana	PPO	$0	$700	$6,800	4.5
AARP Medicare Advantage from UHC TX-0015 (HMO-POS) UnitedHealthcare	HMO-POS	$0	$685	$6,900	4.5
Aetna Medicare Signature Extra (HMO) Aetna Medicare	HMO	$0	$400	$7,150	4
Aetna Medicare Signature Extra (PPO) Aetna Medicare	PPO	$0	$700	$7,150	3.5
HealthSpring Preferred Savings (HMO) HealthSpring	HMO	$0	$300	$7,200	4.5
HealthSpring Preferred Extra Savings (HMO) HealthSpring	HMO	$0	$300	$7,500	4.5
DEVOTED GIVEBACK 006 TX (HMO) Devoted Health	HMO	$0	$461	$8,300	5
Humana Essentials Plus Giveback (PPO) Humana	PPO	$0	$50	$8,300	4.5
HumanaChoice Giveback H5216-358 (PPO) Humana	PPO	$0	$50	$8,300	3.5
Wellpoint Medicare Advantage 2 (HMO-POS) Wellpoint	HMO-POS	$0	$105	$9,850	3.5
DEVOTED PREMIUM 002 TX (HMO) Devoted Health	HMO	$5	$650	$4,150	5
Aetna Medicare Value Plus (PPO) Aetna Medicare	PPO	$6.3	$700	$7,150	3.5
HumanaChoice H5216-043 (PPO) Humana	PPO	$20	$700	$7,700	3.5
HumanaChoice H7617-059 (PPO) Humana	PPO	$23	$700	$7,700	4.5
HumanaChoice R4182-004 (Regional PPO) Humana	Regional PPO	$46	$700	$8,200	3.5
HumanaChoice H5216-042 (PPO) Humana	PPO	$62	$700	$6,750	3.5
HumanaChoice R4182-003 (Regional PPO) Humana	Regional PPO	$100	$700	$8,200	3.5
AARP Medicare Advantage from UHC TX-61 (Regional PPO) UnitedHealthcare	Regional PPO	$138	$685	$9,850	3.5

خطط بدون تغطية الأدوية (⁨7⁩)

الخطة	النوع	القسط الشهري	حد الدفع من الجيب (داخل الشبكة)	تقييم النجوم للعام الماضي
HealthSpring Courage (HMO) HealthSpring	HMO	$0	$4,300	4.5
Aetna Medicare Eagle (PPO) Aetna Medicare	PPO	$0	$4,900	3.5
HumanaChoice R4182-001 (Regional PPO) Humana	Regional PPO	$0	$6,000	3.5
AARP Medicare Advantage Patriot No Rx TX-MA01 (HMO-POS) UnitedHealthcare	HMO-POS	$0	$7,150	4.5
Humana USAA Honor Giveback (PPO) Humana	PPO	$0	$7,900	3.5
Humana USAA Honor Giveback (PPO) Humana	PPO	$0	$7,900	4.5
Humana Gold Choice H8145-126 (PFFS) Humana	PFFS	$0	$9,850	3.5

خطط الاحتياجات الخاصة (⁨35⁩)

خطط الاحتياجات الخاصة مخصصة فقط للأشخاص الذين لديهم أيضاً Medicaid (D-SNP)، أو حالات مزمنة معينة (C-SNP)، أو الذين يعيشون في مؤسسات مثل دور الرعاية (I-SNP).

الخطة	النوع	القسط الشهري	خصم الأدوية	حد الدفع من الجيب (داخل الشبكة)	تقييم النجوم للعام الماضي
Wellpoint Kidney Care (HMO-POS C-SNP) Wellpoint	HMO-POS C-SNP	$0	$275	$2,900	3.5
ProCare Advantage - Diabetes Care Management (HMO-POS C-SNP) ProCare Advantage	HMO-POS C-SNP	$0	$350	$3,400	—
Wellcare Superior HealthPlan Dual Reserve (HMO D-SNP) Wellcare	HMO D-SNP	$0	$700	$3,450	4
Humana Gold Plus - Diabetes and Heart (HMO C-SNP) Humana	HMO C-SNP	$0	$700	$3,950	4
DEVOTED C-SNP ENHANCED 030 TX (HMO C-SNP) Devoted Health	HMO C-SNP	$0	$650	$4,450	5
DEVOTED C-SNP GIVEBACK EXTRAS 087 TX (HMO C-SNP) Devoted Health	HMO C-SNP	$0	$700	$5,600	5
Aetna Medicare Full Dual Care (HMO D-SNP) Aetna Medicare	HMO D-SNP	$0	$700	$9,850	3.5
Aetna Medicare Full Dual Extra Care (HMO D-SNP) Aetna Medicare	HMO D-SNP	$0	$700	$9,850	4
Aetna Medicare QMB Only Care (HMO D-SNP) Aetna Medicare	HMO D-SNP	$0	$700	$9,850	3.5
Aetna Medicare QMB Only Extra Care (HMO D-SNP) Aetna Medicare	HMO D-SNP	$0	$700	$9,850	4
Community DualCare Access (HMO D-SNP) Community Health Choice	HMO D-SNP	$0	$700	$9,850	—
DEVOTED C-SNP PLUS 031 TX (HMO C-SNP) Devoted Health	HMO C-SNP	$0	$650	$9,850	5
DEVOTED DUAL 010 TX (HMO D-SNP) Devoted Health	HMO D-SNP	$0	$700	$9,850	5
DEVOTED DUAL FULL 040 TX (HMO D-SNP) Devoted Health	HMO D-SNP	$0	$700	$9,850	5
HealthSpring TotalCare (HMO D-SNP) HealthSpring	HMO D-SNP	$0	$300	$9,850	4.5
HealthSpring TotalCare Plus (HMO D-SNP) HealthSpring	HMO D-SNP	$0	$300	$9,850	4.5
Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP) Humana	HMO D-SNP	$0	$700	$9,850	3.5
Humana Gold Plus SNP-DE H4461-071 (HMO D-SNP) Humana	HMO D-SNP	$0	$700	$9,850	4
Humana Gold Plus SNP-DE H4461-072 (HMO D-SNP) Humana	HMO D-SNP	$0	$700	$9,850	4
Humana Together in Health (PPO I-SNP) Humana	PPO I-SNP	$0	$700	$9,850	3.5
Humana Together in Health (PPO I-SNP) Humana	PPO I-SNP	$0	$250	$9,850	4.5
Molina Medicare Complete Care (HMO D-SNP) Molina Healthcare of Texas, Inc.	HMO D-SNP	$0	$205	$9,850	3.5
ProCare Advantage (HMO-POS I-SNP) ProCare Advantage	HMO-POS I-SNP	$0	$700	$9,850	—
ProCare Advantage - Kidney Care (HMO-POS C-SNP) ProCare Advantage	HMO-POS C-SNP	$0	$0	$9,850	—
UHC Dual Complete TX-Q7 (HMO-POS D-SNP) UnitedHealthcare	HMO-POS D-SNP	$0	$75	$9,850	4
UHC Dual Complete TX-S001 (Regional PPO D-SNP) UnitedHealthcare	Regional PPO D-SNP	$0	$400	$9,850	3.5
Wellcare Superior HealthPlan Dual Access (HMO D-SNP) Wellcare	HMO D-SNP	$0	$700	$9,850	4
Wellcare Superior HealthPlan Dual Liberty (HMO D-SNP) Wellcare	HMO D-SNP	$0	$700	$9,850	4
Wellpoint Dual Advantage (HMO D-SNP) Wellpoint	HMO D-SNP	$0	$105	$9,850	3.5
Wellpoint Dual Advantage Plus (HMO D-SNP) Wellpoint	HMO D-SNP	$0	$105	$9,850	3.5
Wellpoint Full Dual Advantage Aligned (HMO D-SNP) Wellpoint	HMO D-SNP	$0	$105	$9,850	3.5
Texas Independence Health Plan, Inc. (HMO I-SNP) Texas Independence Health Plan	HMO I-SNP	$3.9	$700	$9,250	5
Texas Independence Community Plan (HMO I-SNP) Texas Independence Health Plan	HMO I-SNP	$6.3	$700	$9,250	5
Provider Partners Texas Advantage Plan (HMO I-SNP) Provider Partners Health Plans	HMO I-SNP	$6.3	$700	$9,850	5
UHC Complete Care TX-29 (Regional PPO C-SNP) UnitedHealthcare	Regional PPO C-SNP	$100	$685	$9,850	3.5

خطط أدوية Part D المستقلة في ⁨Texas⁩ →

تنشر CMS تقييمات النجوم لعام ⁨2027⁩ في أكتوبر؛ النجوم المعروضة هي التقييم الإجمالي للعقد لعام ⁨2026⁩. نحن غير مرتبطين أو معتمدين من قبل الحكومة الأمريكية أو برنامج Medicare الفيدرالي، ولا نبيع الخطط. لا ندرج مزايا الخطط بالكامل؛ يرجى تأكيد التكاليف والتغطية مع الخطة أو Medicare.gov أو الاتصال على 1-800-MEDICARE (TTY 1-877-486-2048) قبل التسجيل. المصدر: مشهد Medicare Advantage و Part D من CMS، ⁨2027⁩ (إصدار ⁨2026-10⁩).