| 月费 | 最高支付 | 家庭医生 | 专科医生 | 住院 | 门诊手术 | 药费首付 | 首选常药 | 常药 | 首选新药 | 新药 | 特种药 | |||
| AetnaMedicare Freedom Plan | PPO | H2293-016 | 0 | 5900 | 0 | 30 | 300/Day | 250 | 200 | 0 | 10 | 47 | 100 | 29% |
| Aetna Medicare Value Plan | PPO | H3288-047 | 0 | 7550 | 0 | 40 | 350/Day | 250 | 300 | 0 | 10 | 47 | 100 | 28% |
| Aetna Medicare Premier Plan | HMO | H4523-015 | 0 | 6700 | 0 | 40 | 300/Day | 250 | 200 | 0 | 10 | 47 | 100 | 29% |
| Aetna Medicare Prime Plan | HMO | H4523-024 | 0 | 4900 | 0 | 30 | 250/day | 200 | 150 | 0 | 0 | 47 | 100 | 30% |
| Aetna Medicare select Plan | HMO | H8332-003 | 0 | 3900 | 0 | 20 | 400/stay | 175 | 150 | 0 | 10 | 47 | 100 | 30% |
| Aetna Medicare Choice Plan * | PPO | H3288-006 | 0 | 7550 | 0 | 50 | 335/day | 325 | 300 | 0 | 10 | 47 | 100 | 28% |
| Amerivantage Classic plus | HMO | H8849-008 | 0 | 5500 | 5 | 35 | 220/day | 125 | 0 | 5 | 12 | 42 | 95 | 33% |
| Amerivantage select plus | HMO | H8849-009 | 0 | 3400 | 0 | 25 | 120/day | 50 | 0 | 3 | 10 | 42 | 95 | 33% |
| Amerivantage select plus | PPO | H2593-001 | 0 | 6700 | 0 | 35 | 270/day | 250 | 0 | 5 | 12 | 37 | 90 | 33% |
| Amerivantage Choice | PPO | H8343-001 | 0 | 6700 | 0 | 35 | 270/day | 250 | 0 | 5 | 12 | 37 | 90 | 33% |
| Blue Cross Medicare advantage Basic | HMO | H8133-001 | 0 | 3400 | 0 | 35 | 295/day | 275 | 0 | 0 | 10 | 47 | 100 | 33% |
| Blue Cross Medicare advantageValue | HMO | H9706-005 | 0 | 3400 | 0 | 30 | 295/day | 175 | 0 | 0 | 5 | 44 | 85 | 33% |
| Blue Cross Medicare advantage Dental valu | HMO | H9706-007 | 0 | 3655 | 0 | 30 | 370/day | 275 | 505 | 0 | 5 | 44 | 85 | 25% |
| Blue Cross Medicare advantagesAVER | HMO | H9706-008 | 0 | 6900 | 0 | 30 | 370/day | 275 | 0 | 0 | 5 | 44 | 85 | 33% |
| Blue Cross Medicare advantage classic | PPO | H4801-002 | 0 | 6500 | 0 | 31 | 372/day | 350 | 200 | 0 | 5 | 44 | 85 | 29% |
| Blue Cross Medicare advantage Dental Prem | PPO | H4801-016 | 0 | 6500 | 0 | 46 | 370/day | 375 | 505 | 0 | 5 | 44 | 85 | 25% |
| Blue Cross Medicare advantage health Choi | PPO | H4801-018 | 0 | 6900 | 0 | 46 | 370/day | 375 | 505 | 0 | 5 | 44 | 85 | 25% |
| Cigna Aliance Medicare | HMO | H4513-064 | 0 | 2600 | 0 | 10 | 190/day | 125 | 0 | 0 | 4 | 42 | 100 | 33% |
| Cigna Preferred Medicare | HMO | H4513-061 | 0 | 2900 | 0 | 20 | 265/stay | 150 | 0 | 0 | 4 | 42 | 100 | 33% |
| Cigna True Choice Medicare | PPO | H7849-038 | 0 | 6100 | 0 | 30 | 270/day | 275 | 0 | 0 | 4 | 42 | 100 | 33% |
| Cigna Preferred Saving medicare | HMO | H4513-066 | 0 | 6400 | 0 | 45 | 315/day | 350 | 0 | 0 | 4 | 42 | 100 | 33% |
| Devoted Health great Houston | HMO | H7993-001 | 0 | 3400 | 0 | 15 | 225/stay | 150 | 0 | 0 | 0 | 40 | 80 | 33% |
| Devoted GiveBack great Houston | HMO | H7993-006 | 0 | 6900 | 0 | 35 | 325/day | 325 | 300 | 0 | 7 | 47 | 100 | 28% |
| Humana Gold Plus | HMO | H0028-042 | 0 | 3450 | 0 | 20 | 325/stay | 75 | 0 | 0 | 0 | 47 | 100 | 33% |
| Humana Choice | PPO | H5216-043 | 0 | 6700 | 0 | 35 | 320/day | 325 | 0 | 0 | 5 | 47 | 100 | 33% |
| KelseyCare Advantage Rx | HMO | H0332-002 | 0 | 3450 | 0 | 25 | 375 | 300 | 100 | 0 | 0 | 40 | 80 | 31% |
| KelseyCare Advantage Gold Freedom | HMO-POS | H0332-004 | 0 | 3450 | 0 | 25 | 375 | 300 | 100 | 0 | 0 | 40 | 80 | 31% |
| KelseyCare Advantage Platinum | HMO | H0332-009 | 0 | 3450 | 0 | 20 | 350 | 300 | 100 | 0 | 0 | 40 | 80 | 31% |
| Molina Medicare Choic Care | HMO | H7678-004 | 0 | 8300 | 0 | 20 | 200/day | 225 | 125 | 3 | 12 | 47 | 100 | 31% |
| Molina Medicare Choic Care select | HMO | H7678-005 | 0 | 8300 | 0 | 50 | 450/DAY | 225 | 200 | 15 | 20 | 47 | 100 | 29% |
| SCAN Classic | HMO | H8902-005 | 0 | 2900 | 0 | 15 | 200/DAY | 150 | 0 | 0 | 0 | 35 | 90 | 33% |
| SCAN Venture | HMO | H8902-008 | 0 | 5000 | 0 | 40 | 275/DAY | 275 | 0 | 0 | 0 | 40 | 95 | 33% |
| AARP Medicare Advantagechoice | PPO | H1278-014 | 0 | 6700 | 0 | 40 | 325/day | 325 | 245 | 0 | 10 | 47 | 100 | 29% |
| AARP Medicare Advantage Ally | HMO-POS | H4514-014 | 0 | 3900 | 0 | 20 | 295/DAY | 200 | 0 | 0 | 0 | 47 | 100 | 33% |
| AARP medicare Advantage Plan1 | HMO-POS | H4527-037 | 0 | 3900 | 0 | 25 | 350/STAY | 250 | 0 | 0 | 12 | 47 | 100 | 33% |
| Wellcare No Premium | HMO | H0174-010 | 0 | 3300 | 0 | 20 | 200/day | 150 | 0 | 0 | 0 | 20 | 80 | 33% |
| Wellcare TexasPlus Class no Premium | HMO | H4506-003 | 0 | 3400 | 0 | 25 | 325/stay | 175 | 0 | 0 | 0 | 20 | 80 | 33% |
| Wellcare GiveBack | HMO | H0174-019 | 0 | 7550 | 0 | 50 | 370/day | 350 | 350 | 0 | 5 | 20 | 90 | 27% |
| Wellcare TexasPlus no Premium | HMO-POS | H4506-029 | 0 | 3400 | 0 | 40 | 325/day | 240 | 250 | 0 | 5 | 25 | 70 | 29% |
| Wellcare No Premium Open | PPO | H7323-003 | 0 | 6400 | 0 | 35 | 230/day | 250 | 200 | 0 | 3 | 25 | 48% | 29% |
| Wellcare No Premium Rx Plus Open | PPO | H7323-006 | 0 | 6000 | 0 | 40 | 300/DAY | 300 | 300 | 0 | 0 | 35 | 48% | 28% |
| 急诊 | 救护车 | 健身房 | 接送 | 助听器 | 眼镜/年 | 牙齿 | OTC | 每月退款 | ||||||
| AetnaMedicare Freedom Plan | PPO | H2293-016 | 110 | 260 | Y | N | 1000 | $250 | 2000 | 165 | ||||
| Aetna Medicare Value Plan | PPO | H3288-047 | 95 | 260 | Y | 24 | No | $150 | 2000 | 60 | ||||
| Aetna Medicare Premier Plan | HMO | H4523-015 | 95 | 290 | Y | N | No | $225 | 2000* | 90 | ||||
| Aetna Medicare Prime Plan | HMO | H4523-024 | 110 | 270 | Y | N | 1250 | $200 | 2000* | 120 | ||||
| Aetna Medicare select Plan | HMO | H8332-003 | 110 | 255 | Y | 24 | 1250 | 250 | 3000* | 165 | ||||
| Aetna Medicare Choice Plan* | PPO | H3288-006 | 95 | 300 | Y | NO | NO | 100 | NO | Y | ||||
| Amerivantage Classic plus | HMO | H8849-008 | 90 | 275 | Y | Y | 3000 | 100 | 750 | 194 | ||||
| Amerivantage select plus | HMO | H8849-009 | 120 | 210 | Y | Y | 3000 | 200 | 2500 | 200 | ||||
| Amerivantage select plus | PPO | H2593-001 | 90 | 275 | Y | No | 3000 | 100 | 1200 | 90 | ||||
| Amerivantage Choice | PPO | H8343-001 | 90 | 275 | Y | No | 3000 | 100 | 1200 | 90 | ||||
| Blue Cross Medicare advantage Basic | HMO | H8133-001 | 120 | 295 | Y | Y | 699 | 150 | 1000 | 100 | ||||
| Blue Cross Medicare advantageValue | HMO | H9706-005 | 120 | 295 | Y | Y | 699 | 150 | 1000 | 100 | ||||
| Blue Cross Medicare advantage Dental valu | HMO | H9706-007 | 90 | 275 | Y | NO | 699 | 100 | 5000 | NO | ||||
| Blue Cross Medicare advantagesAVER | HMO | H9706-008 | 90 | 275 | Y | NO | 699 | 100 | 1000 | NO | 50 | |||
| Blue Cross Medicare advantage classic | PPO | H4801-002 | 90 | 250 | Y | N | No | 125 | 2000 | NO | ||||
| Blue Cross Medicare advantage Dental Prem | PPO | H4801-016 | 90 | 275 | Y | N | 1000 | 100 | 5000 | NO | ||||
| Blue Cross Medicare advantage health Choi | PPO | H4801-018 | 90 | 275 | Y | N | 1000 | 100 | 1000 | NO | ||||
| Cigna Aliance Medicare | HMO | H4513-064 | 125 | 250 | Y | Y | 2000 | 250 | 2000 | 150 | ||||
| Cigna Preferred Medicare | HMO | H4513-061 | 125 | 250 | Y | Y | 2000 | 250 | 2000 | 75 | ||||
| Cigna True Choice Medicare | PPO | H7849-038 | 95 | 260 | Y | N | 2000 | 200 | 2000 | 80 | ||||
| Cigna Preferred Saving medicare | HMO | H4513-066 | 95 | 250 | Y | Y | 1500 | 150 | 20000 | 35 | 125 | |||
| Devoted Health great Houston | HMO | H7993-001 | 120 | 250 | Y | Y | 399 | 300 | 3000 | 170 | ||||
| Devoted GiveBack great Houston | HMO | H7993-006 | 95 | 250 | Y | N | 599 | 200 | 2500 | 75 | 120 | |||
| Humana Gold Plus | HMO | H0028-042 | 120 | 270 | Y | Y | 399 | 200 | 3000 | 75 | ||||
| Humana Choice | PPO | H5216-043 | 90 | 290 | Y | N | 699 | 100 | 2000 | 25 | ||||
| KelseyCare Advantage Rx | HMO | H0332-002 | 120 | 225 | Y | 20 | 750 | 75 | No | 40 | ||||
| KelseyCare Advantage Gold Freedom | HMO-POS | H0332-004 | 120 | $225 | Y | Y | 750 | 125 | 2000 | 95 | ||||
| KelseyCare Advantage Platinum | HMO | H0332-009 | 120 | $225 | Y | Y | 750 | 125 | 2000 | 90 | ||||
| Molina Medicare Choic Care | HMO | H7678-004 | 90 | 200 | Y | Y | No | 200 | 2000 | 90 | ||||
| Molina Medicare Choic Care select | HMO | H7678-005 | 90 | 20% | Y | NO | Y | 300 | 2000 | 210 | ||||
| SCAN Classic | HMO | H8902-005 | 90 | 225 | NO | Y | 650 | 250 | ** | 50 | ||||
| SCAN Venture | HMO | H8902-008 | 90 | 225% | NO | Y | 450 | 150 | ** | 30 | 75 | |||
| AARP Medicare Advantagechoice | PPO | H1278-014 | 90 | 250 | Y | NO | 1225 | NO | 500 | NO | ||||
| AARP Medicare Advantage Ally | HMO-POS | H4514-014 | 90 | 250 | y | NO | 1225 | NO | 2000 | NO | ||||
| AARP medicare Advantage Plan1 | HMO-POS | H4527-037 | 90 | 185 | Y | NO | 1225 | NO | 500 | NO | ||||
| Wellcare No Premium | HMO | H0174-010 | 125 | 250 | Y | Y | 750 | 200 | 3000 | 145 | ||||
| Wellcare TexasPlus Class no Premium | HMO | H4506-003 | 125 | 250 | Y | Y | 750 | 100 | 1500 | 67 | ||||
| Wellcare GiveBack | HMO | H0174-019 | 95 | 275 | Y | No | 350 | 100 | 1000 | 60 | 95 | |||
| Wellcare TexasPlus no Premium | HMO-POS | H4506-029 | 125 | 300 | Y | No | NO | 100 | 1000 | 68 | ||||
| Wellcare No Premium Open | PPO | H7323-003 | 95 | 300 | Y | NO | 350 | 100 | 1000 | 91 | ||||
| Wellcare No Premium Rx Plus Open | PPO | H7323-006 | 110 | 285 | NO | NO | 350 | 100 | NO | 68 | ||||
| * 该计划不适用于Harris, 适用于Fort Bend | ||||||||||||||
| ** 另有付费牙保险 |