Medicare Plans in Fort Worth and Tarrant County for 2027

People often talk about "Dallas-Fort Worth" as one place. For Medicare, it isn't. Medicare Advantage plans are approved county by county, so Tarrant County residents choose from their own list of plans. And because so many people in Fort Worth, Arlington, and the Mid-Cities drive across the county line for care, the network question deserves extra attention here.

Tarrant County's 2027 numbers

According to CMS's 2027 plan data, Tarrant County has 40 Medicare Advantage plans from 8 insurance companies. Of those, 31 include drug coverage and 28 have a $0 monthly plan premium.

Out-of-pocket maximums for in-network care range from $2,399 to $9,850. 22 plans have an overall CMS rating of 4 stars or higher.

If you'd rather stay with Original Medicare, you can pick from 10 stand-alone Part D plans, starting at $5.30 a month.

Living in Tarrant, getting care in Dallas

Here's the key idea: where you live decides which plans you can join. The plan's network decides which doctors are covered.

• A plan you see advertised in Dallas may or may not be offered in Tarrant County. Always search by your own ZIP code.
• A Tarrant plan's network may include some providers in Dallas County, or it may not. Check each doctor and hospital by name.
• Medicare notes that many Medicare Advantage plans require you to use providers in the plan's network and service area for non-emergency care.

Moving within North Texas

If you move from Dallas County to Tarrant County, or the other way, your plan options may change. Medicare says moving outside your plan's service area gives you a Special Enrollment Period that lasts two full months after the move. If you're a new Texan, see moving to Texas with Medicare.

Medicare and Medicaid

Tarrant County has 22 Dual Special Needs Plans for people who have both Medicare and Texas Medicaid, plus 14 chronic condition plans and 7 institutional plans. To see whether you may qualify for help with Medicare costs, read our guide to 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

Free local help

The Texas Health Information, Counseling and Advocacy Program (HICAP) offers free, unbiased Medicare counseling at 1-800-252-9240. Tarrant County residents can also call the Tarrant County Area Agency on Aging at 817-258-8102.

Compare all plans for your ZIP code on the Medicare.gov Plan Finder, or call 1-800-MEDICARE.