Best Medicare Advantage Plans in Bexar County, TX for 2027
Every general-audience Medicare Advantage plan with drug coverage sold in Bexar County, ranked by what it could cost you in a bad year: 12 months of premiums, less any Part B giveback, plus the in-network out-of-pocket maximum.
Bexar County plans, ranked
| # | Plan | Premium / month | In-network max out-of-pocket | Worst-case year | Stars |
|---|---|---|---|---|---|
| 1 | Alignment Health BRIDGE 013 (HMO-POS)Alignment Health Plan · HMO-POS1 of 254 counties · drug deductible $700Dental up to $1,800/yr · eyewear $250/yr · OTC items $900/yr | $0 | $2,800 | $2,800 | 4.5★ |
| 2 | Alignment Health ONE 011 (HMO-POS)Alignment Health Plan · HMO-POS2 of 254 counties · drug deductible $700Dental up to $2,200/yr · eyewear $100/yr · OTC items $480/yr | $0 | $2,800 | $2,800 | 4.5★ |
| 3 | SCAN Classic Texas (HMO)SCAN Health Plan · HMO6 of 254 counties · drug deductible $450Dental up to $2,000/yr · eyewear $300/yr · OTC items $200/yr | $0 | $2,900 | $2,900 | Not rated |
| 4 | SCAN Walmart Health Advantage (HMO)SCAN Health Plan · HMO6 of 254 counties · drug deductible $450Dental up to $3,500/yr · OTC items $780/yr | $0 | $3,500 | $3,500 | Not rated |
| 5 | Humana Gold Plus H0028-070 (HMO)Humana · HMO14 of 254 counties · drug deductible $700Dental up to $5,000/yr · eyewear $325/yr | $12 | $3,400 | $3,544 | 4.5★ |
| 6 | Humana Gold Plus H0028-030 (HMO)Humana · HMO8 of 254 counties · drug deductible $700Part B giveback $22/mo · Dental up to $4,000/yr · eyewear $300/yr | $0−$22 Part B giveback | $3,900 | $3,636 | 4.5★ |
| 7 | Humana Gold Plus H4461-053 (HMO)Humana · HMO19 of 254 counties · drug deductible $700Dental up to $5,000/yr · eyewear $400/yr | $24 | $3,400 | $3,688 | 4.5★ |
| 8 | Aetna Medicare Prime Care (HMO)Aetna Medicare · HMO3 of 254 counties · drug deductible $400Dental up to $3,000/yr · eyewear $150/yr · hearing aids $1,000/yr per ear · OTC items $180/yr | $0 | $3,900 | $3,900 | 3★ |
| 9 | Aetna Medicare Signature Extra (HMO)Aetna Medicare · HMO11 of 254 counties · drug deductible $300Dental up to $2,500/yr · eyewear $100/yr · hearing aids $1,000/yr per ear · OTC items $140/yr | $0 | $3,900 | $3,900 | 3★ |
| 10 | DEVOTED CORE 003 TX (HMO)Devoted Health · HMO15 of 254 counties · drug deductible $461Dental up to $4,000/yr · eyewear $300/yr · OTC items $400/yr | $0 | $3,900 | $3,900 | 4.5★ |
| 11 | Humana Gold Plus H4461-058 (HMO)Humana · HMO8 of 254 counties · drug deductible $700Dental up to $4,000/yr · eyewear $200/yr | $0 | $3,900 | $3,900 | 4.5★ |
| 12 | Wellcare Simple (HMO)Wellcare · HMO5 of 254 counties · drug deductible $700Dental up to $1,500/yr · eyewear $100/yr · hearing aids $500/yr per ear | $0 | $3,900 | $3,900 | 3.5★ |
| 13 | DEVOTED PREMIUM 004 TX (HMO)Devoted Health · HMO15 of 254 counties · drug deductible $650Dental up to $4,000/yr · eyewear $400/yr · OTC items $244/yr | $5 | $3,900 | $3,960 | 4.5★ |
| 14 | AARP Medicare Advantage Essentials from UHC TX-21 (HMO-POS)UnitedHealthcare · HMO-POS9 of 254 counties · drug deductible $595Dental up to $2,000/yr · eyewear $100/yr · hearing aids $1,000/yr | $0 | $4,200 | $4,200 | 4★ |
| 15 | Wellpoint Medicare Advantage Select (HMO-POS)Wellpoint · HMO-POS1 of 254 counties · drug deductible $0Dental up to $1,500/yr · eyewear $175/yr · hearing aids $3,000/yr · OTC items $120/yr | $0 | $4,250 | $4,250 | 3.5★ |
| 16 | HealthSpring Preferred (HMO)HealthSpring · HMO8 of 254 counties · drug deductible $500Dental up to $3,000/yr · eyewear $300/yr · OTC items $320/yr | $0 | $4,450 | $4,450 | 3.5★ |
| 17 | AARP Medicare Advantage from UHC TX-0043 (HMO-POS)UnitedHealthcare · HMO-POS9 of 254 counties · drug deductible $595Dental up to $3,000/yr · eyewear $125/yr · hearing aids $1,000/yr | $45 | $4,200 | $4,740 | 4★ |
| 18 | Alignment Health Smart 012 (HMO-POS)Alignment Health Plan · HMO-POS2 of 254 counties · drug deductible $700Part B giveback $140/mo · Preventive dental · eyewear $100/yr | $0−$140 Part B giveback | $6,450 | $4,770 | 4.5★ |
| 19 | AARP Medicare Advantage Extras from UHC TX-28 (HMO-POS)UnitedHealthcare · HMO-POS9 of 254 counties · drug deductible $700Dental up to $5,000/yr · eyewear $125/yr · hearing aids $1,000/yr | $0 | $5,500 | $5,500 | 4★ |
| 20 | HealthSpring Preferred Savings (HMO)HealthSpring · HMO8 of 254 counties · drug deductible $300Part B giveback $127/mo · Dental up to $5,000/yr · eyewear $300/yr · OTC items $160/yr | $0−$127 Part B giveback | $7,150 | $5,626 | 3.5★ |
| 21 | DEVOTED GIVEBACK EXTRAS 116 TX (HMO)Devoted Health · HMO15 of 254 counties · drug deductible $700Part B giveback $70/mo · Dental up to $4,250/yr · eyewear $350/yr · OTC items $1,076/yr | $0−$70 Part B giveback | $6,600 | $5,760 | 4.5★ |
| 22 | Humana USAA Honor Giveback with Rx (PPO)Humana · PPO11 of 254 counties · drug deductible $700Part B giveback $84/mo · Dental up to $1,750/yr · eyewear $250/yr | $0−$84 Part B giveback | $6,900 | $5,892 | 4★ |
| 23 | Humana USAA Honor Giveback with Rx (PPO)Humana · PPO11 of 254 counties · drug deductible $700Part B giveback $84/mo · Dental up to $1,750/yr · eyewear $250/yr | $0−$84 Part B giveback | $6,900 | $5,892 | 4.5★ |
| 24 | AARP Medicare Advantage Giveback from UHC TX-40 (HMO-POS)UnitedHealthcare · HMO-POS9 of 254 counties · drug deductible $215Part B giveback $97/mo · Preventive dental · eyewear $100/yr · hearing aids $1,000/yr | $0−$97 Part B giveback | $7,150 | $5,986 | 4★ |
| 25 | Clover Health Choice (PPO)Clover Health · PPO7 of 254 counties · drug deductible $0Dental up to $1,500/yr · eyewear $200/yr · OTC items $160/yr | $0 | $6,350 | $6,350 | 5★ |
| 26 | Humana Value Choice (PPO)Humana · PPO21 of 254 counties · drug deductible $700Dental up to $3,000/yr · eyewear $100/yr | $0 | $6,500 | $6,500 | 4.5★ |
| 27 | HealthSpring True Choice (PPO)HealthSpring · PPO40 of 254 counties · drug deductible $700Dental up to $500/yr · eyewear $100/yr | $0 | $6,800 | $6,800 | 3★ |
| 28 | Aetna Medicare Signature Extra (PPO)Aetna Medicare · PPO7 of 254 counties · drug deductible $700Preventive dental · eyewear $100/yr · hearing aids $500/yr per ear | $0 | $7,150 | $7,150 | 3.5★ |
| 29 | Aetna Medicare Value Plus (PPO)Aetna Medicare · PPO2 of 254 counties · drug deductible $700Dental up to $500/yr · eyewear $100/yr · hearing aids $500/yr per ear · OTC items $60/yr | $6 | $7,150 | $7,222 | 3.5★ |
| 30 | HumanaChoice H5216-042 (PPO)Humana · PPO84 of 254 counties · drug deductible $700Dental up to $2,000/yr · eyewear $250/yr | $62 | $6,750 | $7,494 | 4★ |
| 31 | DEVOTED GIVEBACK 021 TX (HMO)Devoted Health · HMO15 of 254 counties · drug deductible $461Part B giveback $184.70/mo · Dental up to $250/yr · eyewear $200/yr · OTC items $800/yr | $0−$184.70 Part B giveback | $9,850 | $7,634 | 4.5★ |
| 32 | HumanaChoice H5216-043 (PPO)Humana · PPO57 of 254 counties · drug deductible $700Dental up to $1,000/yr · eyewear $150/yr | $20 | $7,700 | $7,940 | 4★ |
| 33 | HumanaChoice H7617-059 (PPO)Humana · PPO57 of 254 counties · drug deductible $700Dental up to $1,000/yr · eyewear $150/yr | $23 | $7,700 | $7,976 | 4.5★ |
| 34 | HumanaChoice R4182-004 (Regional PPO)Humana · Regional PPOAll 254 counties · drug deductible $700Dental · eyewear $150/yr | $46 | $8,200 | $8,752 | 3.5★ |
| 35 | HumanaChoice R4182-003 (Regional PPO)Humana · Regional PPOAll 254 counties · drug deductible $700Dental · eyewear $150/yr | $100 | $8,200 | $9,400 | 3.5★ |
| 36 | Community First Medicare Advantage Alamo Plan (HMO)Community First · HMO1 of 254 counties · drug deductible $700Dental up to $1,000/yr · eyewear $200/yr · hearing aids $2,000/yr · OTC items $60/yr | $0 | $9,850 | $9,850 | Not rated |
| 37 | Wellpoint Medicare Advantage 2 (HMO-POS)Wellpoint · HMO-POS83 of 254 counties · drug deductible $105Dental up to $2,000/yr · eyewear $350/yr · hearing aids $3,000/yr · OTC items $400/yr | $0 | $9,850 | $9,850 | 3★ |
| 38 | AARP Medicare Advantage from UHC TX-61 (Regional PPO)UnitedHealthcare · Regional PPOAll 254 counties · drug deductible $685Preventive dental · eyewear $125/yr · hearing aids $700/yr | $138 | $9,850 | $11,506 | 3★ |
Worst-case year = 12 × (monthly plan premium − any Part B giveback) + in-network maximum out-of-pocket. The giveback is money back on the Part B premium ($202.90 a month in 2026), which is otherwise the same for everyone, so a large one can push the worst-case year below $0; drug costs are capped separately at $2,400 in 2027. Other extras are the yearly maximums each plan filed with CMS and don’t change the order. Methodology
What changed since 2026
- Plans with drug coverage: 59 in 2026, 48 in 2027.
- $0-premium plans: 44 in 2026, 37 in 2027.
- Median in-network out-of-pocket maximum: $6,350 in 2026, $6,475 in 2027.
- 105,482 people here were in a general-audience Advantage plan in October 2026; 14,259 of them are in a plan that ends or leaves the county for 2027 and must choose again.
From our 2026 vs. 2027 Medicare Advantage study (CMS landscape, enrollment and crosswalk files).
Before you enroll, check that your doctors are in the plan’s network and how it covers your drugs in the Medicare Plan Finder. Weighing Advantage against Original Medicare with a Medigap plan? Run the county calculator.
Also sold here without drug coverage: HealthSpring Courage (HMO), Wellcare Patriot Simple (HMO), Aetna Medicare Eagle (PPO), Clover Health Valor (PPO), AARP Medicare Advantage Patriot No Rx TX-MA03 (HMO-POS), HumanaChoice R4182-001 (Regional PPO), Humana USAA Honor Giveback (PPO), Humana USAA Honor Giveback (PPO), DEVOTED MA ONLY 020 TX (HMO), Humana Gold Choice H8145-126 (PFFS).
Questions
How many Medicare Advantage plans are in Bexar County for 2027?
38 general-audience plans with drug coverage, 27 of them with a $0 monthly premium, compared with 59 plans and 44 $0-premium plans in 2026. Special Needs Plans aren't counted.
Which plan has the lowest worst-case cost in Bexar County?
Alignment Health BRIDGE 013 (HMO-POS) from Alignment Health Plan: $0 a month with an in-network out-of-pocket maximum of $2,800, so at most about $2,800 for the year in premiums and in-network costs.
Do any Bexar County plans have a Part B giveback?
8 do. The largest is $184.70 a month off your Part B premium, from DEVOTED GIVEBACK 021 TX (HMO).
How many Bexar County plans have 4 or more stars?
22 of 38, based on CMS's 2027 ratings of the contract behind each plan.
Sources
- CMS, CY 2027 Medicare Advantage and Prescription Drug Plan Landscape (CY2027_Landscape_202609.csv), from cms.gov; extra benefits (Part B giveback, dental, eyewear, hearing aids, over-the-counter allowance) from the CMS CY 2027 Plan Benefit Package files, cms.gov, yearly amounts as each plan filed them; star ratings from the CMS 2027 Star Ratings Data Tables (October 8, 2026), cms.gov. Ratings are per contract, so plans under the same contract share one rating. General-audience plans only: Special Needs Plans, Cost plans and employer group plans are not ranked.
- County population: 2020 Census, via the USDA Rural-Urban Continuum Codes (2023).
Educational information, not a recommendation to join any plan. We are not an insurance agent or broker, and we are not connected with or endorsed by the U.S. government or the federal Medicare program. · Advertiser disclosure
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