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American Health Advantage of Texas (HMO I-SNP)

Medicare Advantage Health Plan Details

Institutional Special Needs Plans (I-SNP)

Health insurance company offering plan: American Health Advantage of Texas

American Health Advantage of Texas
$5 /mo
monthly premium
American Health Advantage of Texas (HMO I-SNP)
Additional Coverage
Overall Star Rating (2026)
  • Rx
  • Vision
  • Hearing
(coming soon)

General Plan Details

Medical Deductible
$0
Out-of-Pocket Maximum
$9250
Rx Drug Coverage
Yes
Rx Deductible
$615
Primary Doctor Office Visit
$0 copay
Specialist Office Visit
0%-20% coinsurance

Additional Benefits

Dental Coverage
No
Vision Coverage
Yes
Mental Health Coverage
Yes
Transportation for non-emergency
No
Fitness Benefits
No
Worldwide emergency
No
Telehealth
Yes
Part B Premium Reduction
No

We're Here to Help You Enroll

Or Call for Live Support from Licensed Insurance Agents

(888) 311-4264
TTY 711

Mon-Fri: 8am-10pm, Sat-Sun: 8am-9pm ETNo Obligation to Enroll

Doctor & Hospital Coverage

Primary Doctor Office Visit
In-network: $0 copay
Out-of-network: $0 copay
Specialist Office Visit
In-network: 0%-20% coinsurance
Out-of-network: 0%-20% coinsurance
Periodic Exam Coverage
In-network: $0 copay
Out-of-network: $0 copay

Emergency Room

20% coinsurance

Ambulance Coverage

In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Lab, X-Ray, Radiology Coverage

Diagnostic tests & procedures:
In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Lab services:
In-network: $0 copay
Out-of-network: $0 copay
Diagnostic radiology services (e.g., CT, MRI, etc):
In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Outpatient x-rays:
In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Hospital Services

Inpatient hospital coverage:
Tier 1
$0 per day for days 1-60
$419 per day for days 61-90
$838 per day for days 91-150
Outpatient hospital coverage:
In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Rehabilitation Coverage

Occupational therapy services:
In-network: 0%-20% coinsurance
Out-of-network: 0%-20% coinsurance

Urgent Care Coverage

20% coinsurance

Skilled Nursing Facility (SNF)

Tier 1
$0 per day for days 1-20
$0 per day for days 21-100

Mental Health Coverage

Outpatient group therapy with a psychiatrist:
In-network: 0%-20% coinsurance
Out-of-network: 0%-20% coinsurance
Outpatient individual therapy with a psychiatrist:
In-network: 0%-20% coinsurance
Out-of-network: 0%-20% coinsurance
Outpatient group therapy visits:
In-network: 0%-20% coinsurance
Out-of-network: 0%-20% coinsurance
Outpatient individual therapy visit:
In-network: 0%-20% coinsurance
Out-of-network: 0%-20% coinsurance

Dental, Vision, Hearing Benefits

Vision Benefits

Routine eye exams:
In-network: $0 copay
Out-of-network: $0 copay
Contact Lenses:
In-network: $0 copay
Out-of-network: $0 copay
Eyeglasses:
In-network: $0 copay
Out-of-network: $0 copay

Hearing Benefits

Hearing exam:
In-network: $0 copay
Out-of-network: $0 copay
Fitting/evaluation:
In-network: $0 copay
Out-of-network: $0 copay
Hearing aids - prescription:
In-network: $0 copay
Out-of-network: $0 copay

Additional Added Benefits

Annual physical exams
No
Chiropractic Coverage
No
Acupuncture
No
Massage Therapy
No
Health Education
No
Counseling Services
No
Support for Caregivers of Enrollees
No
Personal Emergency Response System (PERS)
No
In-home support services
Yes
Home and bathroom safety devices
No
Meals for short duration
No

Plan Links

Ready to Enroll Online?

Or call and get free advice from licensed insurance agents

TTY 711
Mon-Fri: 8am-10pm, Sat-Sun: 8am-9pm ET
No Obligation to Enroll

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Where This Plan is Available

State:
View all plans in your Texas County

Additional Plan Info

Plan Year:
2026
Insurance Company Website:
American Health Advantage of Texas
General Disclaimer   
  • Estimated annual savings is determined by subtracting a plan's annual cost estimate of the medications entered from the medications' average retail prices. The annual cost estimate for a plan includes covered annual monthly premiums and any annual cost sharing expenses that you must pay out-of-pocket for the medications entered. This number can only be calculated if the consumer enters medication information.
  • The savings number is calculated from all of the saved sessions where another consumer entered medication information and their current plan. For each saved session, we calculate the cost of each plan based on the medication entered and geographical location. The savings number is derived by comparing the cost of the plan to the cheapest plan in that geographical location and taking the average.
  • The retail drug cost is an estimated amount based on the out-of-pocket expenses you may expect to pay in a calendar year for medications that are not covered by an insurance plan's formulary on estimated retail drug price (retail drug cost is based on national averages for a medication and assumes adherence).
  • If you need help, please call 1-888-296-0117 (TTY User: 711) Mon - Fri, 8am - 9pm ET for Customer Service Representatives and licensed insurance agents who can assist with finding information on available Medicare Advantage, Medicare Supplement Insurance and Prescription Drug Plans.
  • For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
  • You must have both Part A and B to enroll in a Medicare Advantage plan. Members may enroll in the plan only during specific times of the year. Contact the plan for more information.
  • You must have Medicare Part A or Part B (or both) to join a Medicare Prescription Drug plan. Members may enroll in the plan only during specific times of the year. Contact the plan for more information.
  • For plans with Part D Coverage: You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778 or consult www.socialsecurity.gov; or your Medicaid Office.
  • Every year, Medicare evaluates plans based on a 5-star rating system.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days a week or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696 (or equivalent written notice).
  • Other Pharmacies, Physicians, and Providers are available in the network.
  • Pharmacies, Physicians, and Providers may also contract with other Plan Sponsors.
  • Out-of-network/non-contracted providers are under no obligation to treat Plan members, except in emergency situations. Please call the Plan’s customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
  • The purpose of this communication is the solicitation of insurance. Contact may be made by an insurance agent/producer or insurance company. For Medicare Supplement Insurance Only: Open enrollment lasts 6 months and begins the first day of the month in which you are 65 or older and enrolled in Medicare Part B. Some states have an open enrollment period for eligible individuals under the age of 65, and a second enrollment period when they turn 65. If you are under 65, check with your state insurance department for guidelines.
  • Under a contractual relationship between our insurance agency partners and each insurance company issuing a policy offered by our agency partners, our agency partners earn a commission paid by the insurance company for each policy the agency partner sells. The commission rate varies by policy and may increase as the agency partner sells more policies. In some cases, our agency partners may earn bonus commission amounts based on criteria such as the number of policies sold.
  • Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
  • Partner Disclosure: We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE (TTY users should call 1-877-486-2048) 24 hours a day/7 days a week to get information on all of your options.
Low-Income Subsidy   

For more information on Low-Income Subsidy — Medicare Extra Help Program, please visit:
https://www.medicare.gov/basics/costs/help/drug-costs
https://www.ssa.gov/benefits/medicare/prescriptionhelp.html

Health Insurance Companies Offering Plans

Medicare Advantage and Part D plans and benefits offered by the following insurance companies:

  • Aetna Medicare
  • Anthem Blue Cross Blue Shield
  • Anthem Blue Cross
  • Anthem Blue Cross and Blue Shield
  • Aspire Health Plan
  • Baylor Scott & White Health Plan
  • Capital Blue Cross
  • Cigna Healthcare
  • Dean Health Plan
  • Devoted Health
  • Florida Blue Medicare
  • Freedom Health
  • GlobalHealth
  • Health Care Service Corporation
  • Healthy Blue
  • HealthSun
  • Humana
  • Molina Healthcare
  • Mutual of Omaha
  • Medica Central Health Plan
  • Optimum HealthCare
  • Premera Blue Cross
  • SCAN Health Plan
  • Simply
  • UnitedHealthcareⓇ
  • Wellcare
  • WellPoint