Texas Medicare Advantage Plans from Clover Health
Clover Health is a Medicare Advantage provider that services Texas communities. We are designed to provide you with the benefits you need while being friendly to your budget.
Enter your zip code to see Clover Health plans available in Texas.
Clover Health Medicare in Texas
At Clover Health, our approach to Medicare is simple. Our Medicare Advantage plans can lower your out-of-pocket healthcare costs, stretch your retirement dollars, give you the freedom to choose the doctor you want, and even give you yearly allowances for dental care, eyewear, and over-the-counter items.
In Texas, Clover Health offers HMO and PPO Medicare Advantage plans in Bexar and El Paso counties.
Our Medicare Advantage plans vs. Original Medicare in Texas
Original Medicare helps to cover the big stuff in Part A, like hospitalization, and in Part B, like doctor appointments. However, it only covers 80% of your Part B expenses. You are responsible for the remaining 20%, which can add up.
Our Texas Medicare Advantage plans have many advantages over Original Medicare.
Unlike Original Medicare:
- Our Medicare Advantage plans include prescription drug coverage.
- Our plans usually have lower out-of-pocket expenses, which is great for managing your retirement budget.
- Our plans have copays, so you know upfront how much it will cost to see a doctor or be admitted to a hospital.
- Original Medicare has coinsurance, which means you pay a portion of the total cost.
- Our Texas plans include allowances for dental care, eyewear, and over-the-counter items, which means you keep more in your pocket.
- Our HMO plans include rides to medical appointments.
- Our plans include the SilverSneakers® fitness program, which includes a gym membership and on-demand video classes.
Peace of mind with a Clover Health Medicare Advantage plan
With a Clover Health Medicare Advantage plan, you can have peace of mind knowing…
- You are still enrolled in Medicare.
- Clover Health has a contract with the Centers for Medicare & Medicaid Services (CMS).
- Every Clover Health Medicare Advantage plan must include all Part A and Part B.
- Every Clover Health plan is reviewed and approved by CMS each year.
Core Medicare benefits of our Texas Medicare plans
The Clover Health Choice Medicare Advantage plan with prescription drug coverage gives Bexar and El Paso County residents some of the best benefits in the area, including a $0 monthly plan premium, a $0 copay for unlimited primary care visits, low copays for unlimited specialist visits, a $0 copay for many generic drugs, a $0 copay for diabetes monitoring supplies, a $0 copay for preventive services, and a $0 copay for rides to medical appointments.
When you’re a Clover Health member, your copays for urgent care, emergency care, inpatient hospital stays, outpatient surgery, ambulance services, and prescription costs are reasonable and affordable.
Clover Health Medicare plans give you the freedom to choose your doctor
Clover Health puts members’ needs first. Our PPO networks are broad and open, enabling our members to see any doctor participating in Medicare who is willing to accept them.
If you’d like to see a list of providers in your area who are in the Clover Health network, please use Find a Provider.
Supplemental benefits and services in Texas
Another advantage of Clover Health Medicare Advantage plans in Texas is the supplemental benefits not offered with Original Medicare.
Dental, vision, and hearing
Clover Health plans cover important dental, vision, and hearing services to support your wellness. Texas Medicare plan members get routine dental exams, cleanings, an annual x-ray, and comprehensive dental coverage with a minimum $1,000 yearly allowance for dentures, crowns, fillings, and other dental services.
With Clover Health, you also get one routine vision exam per year, plus a $100 yearly allowance for routine contacts or glasses. One annual routine hearing exam is also included with a $0 copay in our Texas Medicare Advantage plan when you visit a TruHearing audiologist, along with hearing aids with affordable copays.
Our Texas Medicare Advantage plans also include an allowance for frequently used over-the-counter products like aspirin, cold and flu medicines, digestive aids, and much more.
In Texas, our HMO members receive $100 every quarter, or $400 a year, to spend on these items, which helps keep more in your pocket. Our PPO members receive $50 every quarter or $200 a year.
Easy access to a doctor
In addition to visiting your doctor’s office, you can now see your doctor from the comfort of your home. Clover Health Medicare Advantage plans provide a telehealth solution to all doctors so they can offer video or phone appointments. If your personal doctor isn’t available, Clover Health can connect you with a doctor or nurse practitioner via video or phone.
Staying fit and active is much easier when you have a Clover Health Medicare Advantage plan, which includes a SilverSneakers® membership. Sign up for a Clover Health plan and you’ll have access to over 16,000 fitness centers nationwide as well as on-demand video fitness and nutrition classes through SilverSneakers®.
Unlike Original Medicare, we cover many prescription drugs and can save you money with a convenient 100-day supply delivered to you. With our Texas Medicare Advantage plans, Tier 1 prescriptions from a preferred pharmacy have a $0 copay. Preferred pharmacies include CVS as well as many Walmart and Costco pharmacies and other locations nationwide. Check this pharmacy locator for a preferred pharmacy near you. Copays and the percentage of medication costs covered vary by plan and Medicare phase of coverage, so check our formulary to see if your medications are covered.
Why Clover Health Medicare Advantage for Texas?
Most residents of Bexar and El Paso counties are looking to lower their out-of-pocket healthcare costs, stretch their retirement dollars, have the freedom to choose the doctor they want, and even have yearly allowances for dental care, eyewear, and over-the-counter items. A Clover Health Medicare Advantage plan can help you get all that and more.
Contact us at 1-800-836-6890 (TTY 711) 8 am to 8 pm local time, 7 days a week,* to speak to a licensed sales agent and learn why we’ve been one of the fastest growing Medicare Advantage plans in the country since 2013. Already a member? Call us at 1-888-778-1478 (TTY 711).