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The Texas Medicare Report

Medicare, explained for Texans

Texas

Medicare Plans in Austin and Travis County for 2027

Lots of people are new to Austin, and some arrive with Medicare from another state. Here's how 2027 plan choices work in Travis County and what to do if you just moved.

The downtown Austin skyline at sunset reflected in Lady Bird Lake
Photo is illustrative.

What you'll learn

  • Travis County has 28 Medicare Advantage plans for 2027, from 5 insurance companies.
  • 20 plans have a $0 monthly premium, and out-of-pocket maximums range from $3,900 to $9,850.
  • If you moved here in a Medicare Advantage or Part D plan from out of state, you generally get a Special Enrollment Period to pick a Texas plan.
  • The Capital Area Area Agency on Aging serves Travis and nearby counties, including Williamson and Hays.

Travis County, 2027 at a glance

28Medicare Advantage plans offered in 2027
20Advantage plans with a $0 monthly premium
5Insurance companies offering Advantage plans
$3,900–$9,850Range of yearly in-network out-of-pocket maximums
10Stand-alone Part D drug plans
$5.30Lowest stand-alone Part D monthly premium

Source: CMS 2027 Medicare Advantage and Part D landscape files. Counts include plans open to general enrollment; availability can vary by ZIP code. Compare all plans at Medicare.gov.

Austin keeps growing, and that includes people at or near Medicare age. Some are longtime Texans moving closer to family. Others are retirees relocating from out of state who arrive with a Medicare plan that doesn't work here. Whichever group you're in, Travis County's 2027 options are worth a fresh look.

Travis County's 2027 options

According to CMS's 2027 data, Travis County residents can choose from 28 Medicare Advantage plans offered by 5 insurance companies. 22 include drug coverage and 20 have a $0 monthly plan premium.

$3,900The lowest in-network out-of-pocket maximum among Travis County Medicare Advantage plans for 2027.

In-network out-of-pocket maximums range from $3,900 to $9,850. 16 plans carry an overall CMS rating of 4 stars or higher. If you're keeping Original Medicare, there are 10 stand-alone Part D plans, starting at $5.30 a month.

New to Austin? Start here

Medicare Advantage and Part D plans have service areas. A plan from another state usually won't cover routine care in Texas. If you moved:

  1. Check whether your plan serves Travis County. If it doesn't, you'll need a new plan.
  2. Use your Special Enrollment Period. Medicare says your window to switch begins when you move and lasts two full months after. If you tell your plan before you move, it can start the month before.
  3. Update your address with Social Security so your Medicare records are current.
  4. Find new doctors first, then a plan. It's easier to choose a plan once you know which local doctors you want to see.

If you have Original Medicare with a Medigap policy, your Medigap generally moves with you, but premiums can differ by state. Our guide to moving to Texas with Medicare covers this in more detail.

Growing suburbs, growing networks

Many Austin-area retirees live in Pflugerville, Lakeway, Manor, or across the line in Williamson or Hays County. Remember that plans are approved by county, so a neighbor in Round Rock may have a different list than you. Check plans for your own ZIP code, and confirm that the clinics and hospitals closest to you are in network.

Special needs plans

Travis County has 14 Dual Special Needs Plans for people with both Medicare and Texas Medicaid, 8 chronic condition plans, and 6 institutional plans. For cost help, see Part B premium help in Texas.

Key dates

Date What happens
Oct. 15 – Dec. 7, 2026 Annual Enrollment Period: change plans for 2027
Jan. 1, 2027 New plan coverage starts
Jan. 1 – Mar. 31, 2027 One plan change if you're already in Medicare Advantage

Turning 65 soon? Start with our guide to turning 65 with Medicare in Texas.

Free local help

The Texas Health Information, Counseling and Advocacy Program (HICAP) offers free, unbiased Medicare counseling at 1-800-252-9240. Locally, the Capital Area Area Agency on Aging is at 512-916-6054.

You can compare every plan for your ZIP code on the Medicare.gov Plan Finder or by calling 1-800-MEDICARE.

Common questions

How many Medicare Advantage plans are in Travis County for 2027?

CMS data shows 28 Medicare Advantage plans open to general enrollment in Travis County for 2027, plus special needs plans for people with Medicaid, certain chronic conditions, or who live in a nursing home.

I just moved to Austin. Can I change my Medicare plan now?

If you moved out of your old plan's service area, Medicare says you can switch starting when you move and for two full months after. If you told your plan before moving, the window can start the month before the move. You can also make changes during Annual Enrollment, Oct. 15 to Dec. 7.

Where can I get free Medicare help in Travis County?

Call the Texas Health Information, Counseling and Advocacy Program (HICAP) at 1-800-252-9240. The Capital Area Area Agency on Aging is at 512-916-6054.

Sources

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