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Medicare Advantage · HMO
MedCare Partners Health Plan of Texas
Plan year 2027

MedCare Choice (HMO C-SNP) H5767-003

Monthly premium
$6
+ your Part B premium
Max out-of-pocket
$9,850
in-network annual cap
Primary care
Not published
per visit copay
Specialist
20%
per visit
Eligibility required for this C-SNP
The plan must verify that you have one of its qualifying chronic or disabling conditions, such as cardiovascular disorders, diabetes. If the plan uses a pre-enrollment assessment, provider verification is due by the end of your first month of enrollment. If verification is still missing, the plan must notify you and may disenroll you at the end of your second month. Your coverage continues if verification arrives before then. Review the official plan documents for the exact criteria.
Extra benefits for members who qualify
  • Food and produce benefit
These benefits are not available to every member. Even if you have a listed chronic condition, the plan must confirm that you meet its coverage criteria. See the Evidence of Coverage for complete rules.

Your costs at a glanceIn-network, for the 2027 plan year

Rx deductible
$700
Outpatient surgery
20%
Emergency room
$115
Urgent care
$0

What's included, and what it's actually worth6 benefits included. Tap any card for the detail

Dental

$2,000/yr preventive dental allowance
Details$2,000/yr preventive dental allowance
This is a supplemental benefit with plan-specific limits. See plan documents for details.

Vision

$200/yr eyewear allowance
Eyewear allowance$200/yr eyewear allowance
This is a supplemental benefit with plan-specific limits. See plan documents for details.

Hearing

$149copay per hearing aid
Details$149 copay per hearing aid
This is a supplemental benefit with plan-specific limits. See plan documents for details.
See more details about this plan
Doctor Visits: Specialist20%
In-network20% per visit
Outpatient Surgery20%
In-network20% per procedure
Fitness$0 fitness benefit
Transportation60 one-way trips/year
Trips per year60 one-way trips/year
MealsMeal benefit

Your coverageCheck your coverageFrom the doctors and prescriptions you added

Our take

Things to know before you enroll

This plan’s out-of-pocket maximum is above the national median.
Network restriction — you’ll need to use in-network providers except in emergencies.
Limited coverage while traveling outside the plan’s service area.
Questions? Talk to a licensed agent at1-866-764-3312 (TTY: 711)

Plan documents

Plan questions

Common questions about MedCare Choice (HMO C-SNP)

What does MedCare Choice (HMO C-SNP) cover?

MedCare Choice (HMO C-SNP) is a Chronic Condition Special Needs Plan, a Medicare Advantage plan for people whose qualifying condition the plan verifies, including cardiovascular disorders and diabetes. The plan record also identifies Part D prescription drug coverage. Published supplemental benefits include dental ($2,000/yr preventive dental allowance), vision ($200/yr eyewear allowance), hearing ($149 copay per hearing aid), and fitness ($0 fitness benefit). Review the plan documents for covered services, limits, and rules. Coverage can change each plan year.

Learn about Medicare Advantage

How much does MedCare Choice (HMO C-SNP) cost in 2027?

The published 2027 monthly plan premium for MedCare Choice (HMO C-SNP) is $6. Any Medicare premiums you owe are separate from the listed plan premium. The listed Part D deductible is $700. The in-network medical out-of-pocket maximum is $9,850; it does not include Part D drug spending. Published visit costs include specialist visits 20%. These figures are plan data, not a personal yearly-cost estimate.

Understand Medicare drug-cost limits

Can I use my current doctors with MedCare Choice (HMO C-SNP)?

CMS lists MedCare Choice (HMO C-SNP) as a HMO plan. A network label alone does not confirm that a specific doctor participates. Use the doctor lookup tool, then confirm with the doctor's office and the plan before receiving care. Provider networks and member costs can change. Emergency care and travel coverage can follow different network rules.

Check your doctors

What chronic conditions qualify for MedCare Choice (HMO C-SNP)?

MedCare Choice (HMO C-SNP) is listed in the current plan record as a C-SNP. The plan must verify that you have one of its qualifying chronic or disabling conditions, such as cardiovascular disorders, diabetes. If the plan uses a pre-enrollment assessment, provider verification is due by the end of your first month of enrollment. If verification is still missing, the plan must notify you and may disenroll you at the end of your second month. Your coverage continues if verification arrives before then. Review the official plan documents for the exact criteria.

Learn about Special Needs Plans

How does MedCare Choice (HMO C-SNP) coordinate care for my chronic condition?

MedCare Choice (HMO C-SNP) is identified in the current plan record as a Chronic Condition Special Needs Plan for qualifying conditions that include cardiovascular disorders and diabetes. The record also lists dental ($2,000/yr preventive dental allowance), vision ($200/yr eyewear allowance), and hearing ($149 copay per hearing aid). The data on this page does not describe a personal care plan or promise a specific care coordinator. Review the Evidence of Coverage and ask the plan how its model of care, provider communication, and medication support apply to your verified condition.

When can I enroll in MedCare Choice (HMO C-SNP)?

MedCare Choice (HMO C-SNP) is a 2027 Medicare Advantage plan. The Annual Enrollment Period runs from October 15 through December 7, with changes taking effect January 1. The Medicare Advantage Open Enrollment Period runs from January 1 through March 31 for people already enrolled in Medicare Advantage. Because this is a C-SNP, the plan must also verify its eligibility requirements. A qualifying circumstance may create a Special Enrollment Period, but eligibility alone does not guarantee a year-round right to enroll. Confirm the enrollment window and effective date that apply to you before changing coverage.

Review Medicare enrollment periods

More plan options

Browse the full 2027 Chronic Condition Special Needs Plan directory. This plan is offered in Texas. Plan availability can vary by county.

Helpful next steps

MedCare Choice H5767-003 (HMO C-SNP) — 2027 Costs & Benefits