What you'll learn
- Bell County residents can choose from 21 Medicare Advantage plans for 2027, offered by 4 insurance companies.
- 11 of those plans have a $0 monthly premium. You still pay your Part B premium.
- Military retirees with TRICARE For Life generally need Part B to keep that coverage, so compare plans with that in mind.
- Free counseling is available from HICAP at 1-800-252-9240 and the Central Texas Area Agency on Aging in Belton at 254-770-2345.
Bell County, 2027 at a glance
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.
Bell County has two very different centers of gravity. Killeen and Harker Heights grew up around Fort Hood, and many soldiers who served there stayed to retire. Temple, to the east, is a regional medical hub where people from across Central Texas go for specialists and hospital care. Belton, Salado, Nolanville, and the farm country in between round out a county where your Medicare choice for 2027 depends a lot on who you are and where you get care.
Bell County's 2027 options
CMS's 2027 plan data shows 21 Medicare Advantage plans in Bell County, offered by 4 insurance companies. 11 have a $0 monthly premium, and 14 include Part D drug coverage.
Out-of-pocket maximums range from $4,500 to $9,850. That gap matters. A $0 premium plan with a high out-of-pocket limit can cost more in a year with a surgery or hospital stay, so look at both numbers before you pick.
With only 4 companies in the market, each plan's network carries real weight. If you see doctors in Temple but live in Killeen, or the other way around, check that each one is in network by name.
Military retirees: start with TRICARE
If you retired from the military, your Medicare decision starts in a different place. TRICARE For Life works together with Medicare, and you must have both Part A and Part B to get it. Dropping or delaying Part B can put your TRICARE coverage at risk.
Some retirees still compare Medicare Advantage or drug plans, but how they fit with TRICARE varies, and a plan that looks good on paper may add little. Our guide to Medicare and TRICARE For Life in Texas walks through how the two work together. If you also use VA health care, keep in mind that VA and Medicare are separate programs with separate rules.
Not military? A simple checklist
Your Medicare Advantage choices are set by the county you live in. If you live in Coryell, Lampasas, Milam, or Falls County and come into Bell County for care, compare the plans offered where you live, not in Bell. If you live up I-35 in Waco, see our McLennan County Medicare guide.
Before you compare, write down:
- Every doctor and specialist you see, and which city they're in
- The hospital you'd want to use
- Your pharmacy
- Your prescriptions and doses
Then check each one against the plans in your ZIP code on the Medicare.gov Plan Finder. If you're weighing a plan against Original Medicare with a Medigap policy, our Medicare Advantage vs. Original Medicare in Texas guide lays out the trade-offs.
Our guide to the Annual Notice of Change shows what to look for in that letter.
If you have Medicare and Medicaid
Bell County has 12 Dual Special Needs Plans for people who qualify for both programs, plus 2 plans for certain chronic conditions and 3 for people who live in a nursing home. If money is tight, see our guides to help paying for Part B in Texas and how Medicare and Medicaid work together in Texas.
For drug coverage only, there are 10 stand-alone Part D plans in Texas for 2027, with premiums starting at $5.30 a month. Our 2027 Part D guide has more.
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-time switch if you're in Medicare Advantage |
For more on the fall deadline, see our 2027 annual enrollment guide for Texas.
Free local help
The Central Texas Area Agency on Aging in Belton (254-770-2345, or toll-free 800-447-7169) serves Bell, Coryell, Hamilton, Lampasas, Milam, Mills, and San Saba counties. For free, unbiased Medicare counseling, call HICAP at 1-800-252-9240. You can also call 1-800-MEDICARE, compare every plan for your ZIP code on Medicare.gov, or see all Texas counties on our Medicare plans by county page.
Common questions
How many Medicare Advantage plans are in Bell County for 2027?
CMS data shows 21 Medicare Advantage plans open to general enrollment in Bell County for 2027, from 4 insurance companies. There are also special needs plans for people with Medicaid, certain chronic conditions, or who live in a nursing home.
I'm a military retiree with TRICARE For Life. Do I need a Medicare plan?
TRICARE For Life works with Medicare, and you must have both Part A and Part B to have it. Some retirees also look at Medicare Advantage or drug plans, but how those fit with TRICARE varies. HICAP at 1-800-252-9240 can explain your options for free.
Where can I get free Medicare help in Bell County?
Call the Texas Health Information, Counseling and Advocacy Program (HICAP) at 1-800-252-9240, or the Central Texas Area Agency on Aging in Belton at 254-770-2345 (toll-free 800-447-7169).
Sources
- CMS: 2027 Medicare Advantage and Part D state-by-state fact sheets
- Medicare.gov: Plan Finder
- Medicare.gov: Special Needs Plans (SNP)
- Medicare.gov: Joining a plan
- TRICARE Newsroom: How does TRICARE For Life work with Medicare?
- Medicare.gov: Who pays first?
- U.S. Army: Hood renamed to honor an original Phantom Warrior
- Texas HHS: Medicare counseling (HICAP)
- Texas HHS: Area Agencies on Aging directory



