Guide to Medicare Advantage Plans in San Saba County, TX for 2025
📊 At a Glance: Medicare Advantage in San Saba County
- Average Monthly Premium
- $42.72
- Plans with $0 Premium
- 16
- Average MOOP Limit
- $6,460 ($9,350 max. in 2025)
- Average Rx Deductible
- $330.83
- Plans Without Drug Coverage
- 4 (standalone Texas Part D plans)
- Plans with 5-Star Ratings
- No 5-star plans available.
- Stars Ratings (Plan Mix)
- 4+ Stars: 39% · 3 Stars: 61% · Below 3: 0%
- Plans Available
- 26 (excluding San Saba County SNP plans)
- Plan Type Breakdown
- 8 HMO-POS · 3 HMO · 11 PPO · 4 REGIONAL PPO
- Countywide Enrollments
- 300 (excluding SNP plans)
- Top 3 Plans by Enrollment
- 1. BSW SeniorCare Advantage Select Rx (HMO-POS) — 88 enrollees
2. HumanaChoice H0473-004 (PPO) — 53 enrollees
3. UHC Medicare Advantage TX-0030 (REGIONAL PPO) — 43 enrollees
Data Sources:
CY2025 Landscape,
PBP Benefits,
Star Ratings Data, and
Monthly Enrollment by CPSC.
Plan enrollment data last updated .
Welcome to our comprehensive guide to Medicare Advantage Plans in San Saba County, Texas for 2025. With 26 plans available, it’s important to find the one that best suits your healthcare needs. This guide will help you explore and compare your options, providing all the information you need to make an informed decision.
Medicare Advantage Plan Options for San Saba County
Explore the 26 Medicare Advantage Plans currently offered in San Saba County. Take a closer look at any plan, and you'll find a dedicated page packed with benefit and coverage details.
San Saba County, Texas Medicare Advantage Plans
Plan Name | Type | Premium | MOOP | Rx Ded. | Rating |
---|---|---|---|---|---|
BSW SeniorCare Advantage Preferred* | HMO-POS | $83 | $4,500 | N/A | |
BSW SeniorCare Advantage Preferred Rx* | HMO-POS | $135 | $4,600 | $0 | |
BSW SeniorCare Advantage Premium* | HMO-POS | $199 | $4,500 | N/A | |
BSW SeniorCare Advantage Premium Rx* | HMO-POS | $243 | $4,800 | $0 | |
BSW SeniorCare Advantage Select* | HMO-POS | $0 | $5,900 | N/A | |
BSW SeniorCare Advantage Select Rx* | HMO-POS | $0 | $5,800 | $0 | |
BSW SeniorCare Advantage Select Rx Assist* | HMO-POS | $18 | $5,800 | $590 | |
Devoted CORE Austin* | HMO | $0 | $6,400 | $590 | |
HumanaChoice H0473-004 | PPO | $0 | $8,800 | $350 | |
BSW SeniorCare Advantage Basic | PPO | $0 | $6,750 | $250 | |
BSW SeniorCare Advantage Platinum | PPO | $129 | $4,600 | $50 | |
Humana USAA Honor Giveback | PPO | $0 | $7,900 | N/A | |
HumanaChoice R4182-001 | Regional PPO | $0 | $6,750 | N/A | |
HumanaChoice R4182-003 | Regional PPO | $138 | $7,400 | $275 | |
HumanaChoice R4182-004 | Regional PPO | $83 | $7,400 | $350 | |
Wellcare Assist | HMO | $18 | $3,450 | $570 | |
Wellcare Patriot Simple | HMO | $0 | $3,450 | N/A | |
Wellpoint Medicare Advantage 2 | HMO-POS | $0 | $9,350 | $0 | |
Blue Cross Medicare Advantage Complete | PPO | $0 | $6,750 | $0 | |
Blue Cross Medicare Advantage Dental Premier | PPO | $0 | $6,700 | $590 | |
Blue Cross Medicare Advantage Health Choice | PPO | $0 | $7,900 | $590 | |
Blue Cross Medicare Advantage Protect | PPO | $0 | $6,950 | N/A | |
UHC Medicare Advantage TX-0030 | Regional PPO | $64 | $7,900 | $570 | |
Devoted CHOICE Austin | PPO | $0 | $6,700 | $590 | |
Devoted CHOICE GIVEBACK Austin | PPO | $0 | $7,550 | $590 | |
Devoted LIBERTY CHOICE Austin | PPO | $0 | $9,350 | N/A | |
**Certain PFFS, MSA, and HMO-POS plans have a combined in and out-of-network maximum. Limits are detailed on the plan pages. |
Understanding Your Medicare Advantage Options
Medicare Advantage Plans, also known as Part C, are offered by private insurance companies and provide comprehensive coverage that includes both Medicare Part A (hospital insurance) and Part B (medical insurance). Many of the 26 plans available in San Saba County also include additional benefits such as prescription drug coverage, dental, vision, and wellness programs, making them an all-in-one alternative to Original Medicare.
🏥 Health Maintenance Organization (HMO) Plans
HMO plan members must use the plan's network of doctors and hospitals in San Saba County, and typically need a referral to see a specialist. Some Medicare Advantage HMO Plans may have lower costs but offer less flexibility in choosing healthcare providers. There are 14 residents enrolled in HMO plans in this county. The most popular plan is Wellcare Assist .
🔓 Preferred Provider Organization (PPO)
A PPO allows more flexibility in choosing healthcare providers, with the option to see specialists without referrals, though often at a higher cost. Medicare Advantage PPOs usually have higher premiums and out-of-pocket expenses. There are 94 San Saba County residents enrolled in PPO plans. The most popular of these plans by enrollments is HumanaChoice H0473-004 .
🔀 Health Maintenance Organization Point of Sale (HMO-POS)
Medicare HMO-POS plans are a type of HMO that offers a little more flexibility. Like a regular HMO, you typically use the plan's network of doctors and hospitals for care, usually requiring a referral to see specialists. However, an HMO-POS plan lets you receive certain healthcare services outside of the network at a higher cost. There are 135 residents enrolled in HMO-POS plans in this San Saba County. The most popular plan by enrollments is BSW SeniorCare Advantage Select Rx .
Advantages of Enrolling in Medicare Advantage
Medicare Advantage Plans, also known as Part C, provide several key advantages over Original Medicare. Bundle up your healthcare with plans that cover Medicare Parts A and B, plus some extras like prescription meds, dental care, and vision services - it's a package deal! Medicare Advantage can be a smart choice if you want to maximize your healthcare dollars and enjoy extras like additional services and lower out-of-pocket costs.
Here are some of the top advantages these plans offer San Saba County residents:
🧑⚕️Coordinated Care
Plans often include care coordination services, which help you manage your healthcare across different providers and services.
💸 Cost Savings
Many plans have low or $0 premiums and offer capped out-of-pocket costs, providing financial protection against high medical expenses.
🧾 Comprehensive Coverage
Includes Medicare Part A, Part B, and often Part D (prescription drug coverage), along with additional benefits like dental, vision, and hearing.
🧘 Wellness Programs
Many Yavapai County plans offer free gym memberships, wellness programs, and preventive care services. You need to stay healthy, right?
Tips for Selecting a Medicare Advantage Plan
Selecting the ideal Medicare Advantage Plan from the 26 plans available in San Saba County involves evaluating several crucial aspects:
🏥1. Provider Network
Ensure your healthcare providers are within the plan's network to maintain continuity of care.
💊 2. Prescription Drug Coverage
Confirm that your current medications are included in the plan's formulary to avoid higher out-of-pocket costs.
💰 3. Costs
Assess the plan’s premium, deductible, and out-of-pocket expenses. The ideal plan aligns with both your financial situation and your healthcare needs.
🎁 4. Additional Benefits
Identify any additional benefits that are important to you, such as fitness programs, routine dental, or over-the-counter medication benefits, and ensure the plan includes them.
⭐ 5. Plan Ratings
If a plan offers the benefits you need at a price you can afford, be sure to check its CMS star ratings. This will help you avoid plans with known problems, like poor customer service.
Discover the key factors to consider when comparing Medicare Advantage Plans.
Medicare Advantage Enrollment Periods
Knowing when and how to enroll in a San Saba County Medicare Advantage Plan is key to getting the healthcare coverage you need. Here’s a quick overview of the enrollment opportunities available to you in for 2025.
📅 Initial Enrollment Period (IEP)
The IEP is a seven-month window surrounding your 65th birthday, allowing you to sign up for a Medicare Advantage Plan as soon as you become eligible for Medicare.
🗓️ Annual Enrollment Period (AEP)
The AEP runs from October 15 to December 7 each year, giving you the opportunity to change, drop, or enroll in a Medicare Advantage Plan.
🔁 Open Enrollment Period (OEP)
Between January 1 and March 31, if you’re already enrolled in a Medicare Advantage Plan, you can switch plans or revert to Original Medicare.
To learn more about the enrollment periods and steps to take, check out our comprehensive Medicare Enrollment guide.
Frequently Asked Questions
What are the most popular Medicare Advantage plan types in San Saba County?
Based on the 2025 plan data, PPO plans are the most common in San Saba County. The full breakdown of plan types is: 8 HMO-POS · 3 HMO · 11 PPO · 4 REGIONAL PPO.
How much can I expect to pay out of pocket for Medicare Advantage plans?
The average maximum out-of-pocket limit (MOOP) in San Saba County is $6,460 for 2025.
Do any Medicare Advantage plans in San Saba County have 5-star ratings?
No 5-star rated Medicare Advantage plans are available in San Saba County for the 2025 plan year. However, 39% of plans have a rating of 4 stars or higher.
What is the average monthly premium for Medicare Advantage plans in San Saba County?
The average monthly premium for Medicare Advantage plans in San Saba County is $42.72. A total of 16 offer $0 premiums, though costs vary by plan type and benefits.
More About These Plans
Plans Offered
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Baylor Scott & White Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, GlobalHealth, Health Care Service Corporation, Healthy Blue, HealthSun, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.
Master Plan Pages by Plan ID
Plan Availability
The MA and MAPD plans on this page are available to people on Medicare enrolled in both Medicare Part A and Part B living in San Saba, and all other areas of San Saba County, Texas.
Citations & References
- Medicare.gov, "Compare types of Medicare Advantage Plans", Last Accessed 19 March, 2025
- Medicare.gov, "Special Needs Plans (SNP)", Last Accessed 11 June, 2024
- Medicare.gov, "How to compare Medigap policies", Last Accessed 19 March, 2025
- Plan and enrollment data provided by the Centers for Medicare & Medicaid Services (CMS)
- Data processed and interpreted by MedicareWire.com editorial team.
- Read our methodology and sourcing policy.