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The Texas Medicare Report

Medicare, explained for Texans

Texas

Medicare Plans in Brownsville and Cameron County for 2027

At the southern tip of Texas, many Cameron County residents have both Medicare and Medicaid, and many prefer help in Spanish. Here's what the 2027 numbers show and where to start.

An older man in a straw hat walking under palm trees beside a quiet resaca in South Texas
Photo is illustrative.

What you'll learn

  • Cameron County has 34 Medicare Advantage plans for 2027, from 5 insurance companies.
  • 25 plans have a $0 monthly premium, and in-network out-of-pocket maximums range from $3,000 to $9,850.
  • There are 21 plans for people who have both Medicare and Texas Medicaid.
  • Help is available in Spanish from 1-800-MEDICARE, HICAP, and the Lower Rio Grande Valley Area Agency on Aging.

Cameron County, 2027 at a glance

34Medicare Advantage plans offered in 2027
25Advantage plans with a $0 monthly premium
5Insurance companies offering Advantage plans
$3,000–$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.

Cameron County stretches from Brownsville and the river up through Harlingen and San Benito to Port Isabel and South Padre Island. Families here often manage Medicare, Texas Medicaid, and caregiving all at once, many people would rather talk it through in Spanish, and hurricane season is part of life. This guide is built around those needs.

Cameron County's 2027 numbers

According to CMS's 2027 data, Cameron County residents can choose from 34 Medicare Advantage plans offered by 5 insurance companies. 26 include drug coverage, and 25 charge no monthly plan premium.

21Dual Special Needs Plans in Cameron County for 2027, for people with both Medicare and Texas Medicaid.

In-network out-of-pocket maximums range from $3,000 to $9,850, and 19 plans have an overall CMS rating of 4 stars or higher. For people on Original Medicare, there are 10 stand-alone Part D plans, starting at $5.30 a month.

If you have Medicare and Medicaid

Medicare calls people with both Medicare and full Medicaid "dually eligible." For them:

  • Medicare pays first for Medicare-covered services, and Medicaid pays last.
  • Texas pays your Part B premium if you have full Medicaid, and may help with other Medicare costs depending on your eligibility.
  • D-SNPs are Medicare Advantage plans built for people with both programs. Medicare says they can help coordinate your benefits. Some plans include extras like dental or vision, but benefits vary by plan.
  • More chances to switch. Medicare says people with Medicaid or Extra Help can make coverage changes once a calendar month, with some exceptions.

For more, see our guide to Medicare and Medicaid in Texas.

Cameron County also has 9 chronic condition plans and 4 plans for people who live in a nursing home or similar facility.

Don't have Medicaid but struggling with costs? Texas Medicare Savings Programs may help with premiums. Limits change every year, so ask HICAP. Our guide to Part B premium help in Texas explains the basics.

Care across the border

Some Cameron County residents cross into Mexico for dental work, prescriptions, or to visit family. Keep in mind that Medicare says it usually doesn't cover health care outside the U.S., with only limited exceptions. Some Medigap policies may cover emergency care when you travel outside the U.S. If you cross the border often, factor that into your choice between Original Medicare with Medigap and a Medicare Advantage plan, and check your coverage before you get care abroad.

Ayuda en español

Call 1-800-MEDICARE (1-800-633-4227) and ask for an interpreter. You can also ask Medicare to send you printed materials in Spanish. When you talk with HICAP, the area agency on aging, or a licensed agent, ask for a Spanish-speaking counselor if you prefer. Never sign up for a plan you don't fully understand.

Hurricane season on the coast

From Port Isabel to Brownsville, Gulf storms can mean evacuations and power outages. Medicare says that when a disaster or emergency is declared, Medicare Advantage plans must let you get care at Medicare-certified facilities out of network, without a referral, at the in-network rate.

  • Keep your Medicare card, plan card, and medication list in your go-bag.
  • If you evacuate for a while, Medicare says you can ask your drug plan about a 60- or 90-day supply.
  • Confirm your nearest in-network hospital and urgent care before storm season.

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

Neighbors up the Valley can read our McAllen and Hidalgo County guide. For the bigger picture, see Medicare Advantage vs. Original 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 Lower Rio Grande Valley Area Agency on Aging serves Cameron, Hidalgo, and Willacy counties at 956-682-3481, ext. 412.

Compare every plan for your ZIP code on the Medicare.gov Plan Finder, or call 1-800-MEDICARE. Farther up the coast? See our Corpus Christi and Nueces County guide.

Common questions

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

CMS data shows 34 Medicare Advantage plans open to general enrollment in Cameron County for 2027, plus special needs plans for people with Medicaid, certain chronic conditions, or who live in a nursing home.

Does Medicare cover care I get in Mexico?

Medicare says it usually doesn't cover health care outside the U.S., with limited exceptions. Some Medigap policies may cover emergency care abroad. If you get care in Mexico, expect to pay on your own unless your coverage says otherwise.

Where can I get free Medicare help in Cameron County?

Call the Texas Health Information, Counseling and Advocacy Program (HICAP) at 1-800-252-9240. The Lower Rio Grande Valley Area Agency on Aging serves Cameron County at 956-682-3481, ext. 412.

Sources

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