Compare & Enroll — Part C & Part D

Compare & Enroll in Medicare Plans in 79380, TX

With 35 Medicare Advantage options from 7 insurers, 79380, TX has fewer plan options than the national average, suggesting a competitive market with meaningful insurer variety. Approximately 86% of local MA plans charge $0 beyond the standard Part B premium, reflecting strong price competition. With 4 hospitals within 25.0 miles, verifying your preferred hospital is in-network is especially important here. We've organized the CMS data below to help you cross-reference plan costs, quality ratings, and local provider access. Compare plans below, and when you're ready, enroll directly at Medicare.gov.

📊 Direct from CMS 🚫 No agents or commissions ✓ Just the data, no sales pitch
Compare Plans at Medicare.gov →

Data freshness: CMS data as of February 2026 • ACS data as of 2023 • Reviewed & approved on 2026-02-16
Reviewed by: Wes Ward, Founder & Data Lead • View our methodology

Important: We are not affiliated with Medicare or any government agency. This site displays publicly available CMS data to help you compare plans. We do not sell insurance or represent any insurance company. For official enrollment and complete plan information, visit Medicare.gov or call 1-800-MEDICARE (1-800-633-4227).

Important: Plan availability, benefits, and CMS Star Ratings shown here come directly from CMS public files. Plan details can change—always verify with the insurer and at Medicare.gov.
Part C Plans
35
Part D Plans
12
Top MA Star
4.5
Top Drug Star
3.5
Happy senior couple reviewing Medicare plan options together

Medicare Eligibility in 79380, TX

Approximately 82 residents (21.8% of the population) in 79380, TX are 65 or older and likely Medicare-eligible. Whether you're approaching 65, already enrolled, or a caregiver comparing options, the plan data below is organized to help you evaluate Part C (Medicare Advantage) and Part D (prescription drug) coverage side by side.

The median household income in 79380, TX is $90,588 (20.5% above the National Average), which may affect eligibility for Extra Help with Part D drug costs.

Part C: Medicare Advantage Plans

Medicare Advantage (Part C) replaces Original Medicare through private insurers who bundle hospital, medical, and often drug coverage into a single plan. 79380, TX's 35 Medicare Advantage plans are a mix leaning toward HMO networks (19 HMO, 16 PPO). 30 plans offer $0 monthly premiums. Quality ratings are mixed—the average is 3.4 stars, so comparing plans carefully is important.

Top Medicare Advantage Plans in 79380, TX

We organize CMS plan data into separate leaderboards so you can compare based on what matters most to you. Part C premiums in 79380, TX range from $0 to $37/month. Among rated plans, 3 plans rated 4+ stars.

Highest CMS Star Ratings

Star Ratings are assigned by CMS based on quality measures including customer service, preventive care, and managing chronic conditions.

Plan NameInsurerStar RatingPremiumType
Humanachoice H7617-027 (PPO)Humana4.5 ★$10.20/moPPOEnroll
Humana Usaa Honor Giveback (PPO)Humana4.5 ★$0.00/moPPOEnroll
Bsw Seniorcare Advantage (PPO)Baylor Scott & White Health Plan4.0 ★$0.00/moPPOEnroll
Humanachoice H0473-004 (PPO)Humana3.5 ★$0.00/moPPOEnroll
Aarp Medicare Advantage From Uhc Tx-0001 (PPO)Unitedhealthcare3.5 ★$0.00/moPPOEnroll

Lowest Monthly Premium

Lower premiums can save money, but check total costs including deductibles, copays, and MOOP.

Plan NameInsurerMonthly PremiumMOOPStar Rating
Humanachoice H0473-004 (PPO)Humana$0.00/mo$7,0503.5 ★
Aarp Medicare Advantage From Uhc Tx-0001 (PPO)Unitedhealthcare$0.00/mo$6,7003.5 ★
Uhc Dual Complete Tx-D007 (HMO-POS D-SNP)Unitedhealthcare$0.00/mo$9,2503.5 ★
Wellcare Simple (HMO)Wellcare$0.00/mo$4,5003.5 ★
Humana Gold Plus H0783-004 (HMO)Humana$0.00/mo$3,9503.0 ★

Lowest Maximum Out-of-Pocket (MOOP)

MOOP caps your financial risk. Once you hit this limit, the plan covers 100% of covered services for the rest of the year.

Plan NameInsurerMOOP (In-Network)PremiumStar Rating
Wellpoint Kidney Care (HMO-POS C-SNP)Wellpoint$2,900$0.00/mo3.0 ★
Wellcare Patriot Simple (HMO)Wellcare$3,400$0.00/mo3.5 ★
Wellcare Assist (HMO)Wellcare$3,900$0.00/mo3.5 ★
Humana Gold Plus H0783-004 (HMO)Humana$3,950$0.00/mo3.0 ★
Uhc Dual Complete Tx-V010 (HMO-POS D-SNP)Unitedhealthcare$4,200$0.00/mo3.5 ★

Plan Type Mix in 79380, TX

HMO plans require referrals and in-network care. PPO plans offer more flexibility. SNP (Special Needs Plans) serve specific populations. MAPD plans include drug coverage.

Plan TypeCountPercentageDescription
PPO822.9%No referrals; in and out-of-network
HMO D-SNP720.0%Medicare Advantage plan
HMO720.0%Requires referrals; in-network only
Regional PPO411.4%Medicare Advantage plan
HMO-POS D-SNP38.6%Medicare Advantage plan
Regional PPO C-SNP25.7%Medicare Advantage plan
Regional PPO D-SNP12.9%Medicare Advantage plan
PPO I-SNP12.9%Medicare Advantage plan
HMO-POS12.9%HMO with some out-of-network options
HMO-POS C-SNP12.9%Medicare Advantage plan

Choosing the Right Medicare Advantage Plan

The best Part C plan depends on your doctors, medications, and budget. Key factors to evaluate:

  • Provider network: Verify your doctors and hospitals near 79380, TX are in-network before enrolling
  • Total cost: A $0 premium may have higher copays—calculate your annual cost
  • Star Ratings: 4+ stars indicate above-average quality and member satisfaction

Read our full guide on choosing Medicare Advantage → · Print our enrollment checklist →
Medicare Glossary: HMO, PPO, MOOP & more →

Medicare Advantage Insurers in 79380, TX

7 insurance companies offer Medicare Advantage plans in 79380, TX. Below, we group plans by insurer so you can compare options from each company. More insurers generally means more competition and better benefits for consumers.

Baylor Scott & White Health Plan
Avg Star Rating
4.0 ★
1 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Bsw Seniorcare Advantage (PPO)
$0.00/mo
$6,400
4.0 ★
PPO
Humana
Avg Star Rating
3.7 ★
10 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Humanachoice H0473-004 (PPO)
$0.00/mo
$7,050
3.5 ★
PPO
Humana Usaa Honor Giveback (PPO)
$0.00/mo
$6,750
3.5 ★
PPO
Humana Usaa Honor Giveback (PPO)
$0.00/mo
$7,900
3.5 ★
PPO
Humana Gold Plus H0783-004 (HMO)
$0.00/mo
$3,950
3.0 ★
HMO
Humanachoice R4182-003 (REGIONAL PPO)
$0.00/mo
$7,650
3.5 ★
Regional PPO
Humanachoice R4182-001 (REGIONAL PPO)
$0.00/mo
$5,950
3.5 ★
Regional PPO
Humana Usaa Honor Giveback (PPO)
$0.00/mo
$7,900
4.5 ★
PPO
Humana Together In Health (PPO I-SNP)
$0.00/mo
$9,250
3.5 ★
PPO I-SNP
Humanachoice R4182-004 (REGIONAL PPO)
$3.90/mo
$7,650
3.5 ★
Regional PPO
Humanachoice H7617-027 (PPO)
$10.20/mo
$7,650
4.5 ★
PPO
Unitedhealthcare
Avg Star Rating
3.5 ★
8 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Aarp Medicare Advantage From Uhc Tx-0001 (PPO)
$0.00/mo
$6,700
3.5 ★
PPO
Uhc Dual Complete Tx-S5 (HMO-POS D-SNP)
$0.00/mo
$9,250
3.5 ★
HMO-POS D-SNP
Uhc Dual Complete Tx-D007 (HMO-POS D-SNP)
$0.00/mo
$9,250
3.5 ★
HMO-POS D-SNP
Uhc Dual Complete Tx-V010 (HMO-POS D-SNP)
$0.00/mo
$4,200
3.5 ★
HMO-POS D-SNP
Uhc Complete Care Support Tx-1a (REGIONAL PPO C-SNP)
$0.00/mo
$9,250
3.5 ★
Regional PPO C-SNP
Uhc Dual Complete Tx-S001 (REGIONAL PPO D-SNP)
$0.00/mo
$9,250
3.5 ★
Regional PPO D-SNP
Uhc Complete Care Tx-29 (REGIONAL PPO C-SNP)
$9.10/mo
$7,900
3.5 ★
Regional PPO C-SNP
Uhc Medicare Advantage Tx-0030 (REGIONAL PPO)
$14.60/mo
$8,200
3.5 ★
Regional PPO
Wellcare
Avg Star Rating
3.5 ★
6 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Wellcare Patriot Simple (HMO)
$0.00/mo
$3,400
3.5 ★
HMO
Wellcare Dual Access (HMO D-SNP)
$0.00/mo
$9,250
3.5 ★
HMO D-SNP
Wellcare Assist (HMO)
$0.00/mo
$3,900
3.5 ★
HMO
Wellcare Simple (HMO)
$0.00/mo
$4,500
3.5 ★
HMO
Wellcare Giveback (HMO)
$0.00/mo
$8,200
3.5 ★
HMO
Wellcare Dual Liberty Sync (HMO D-SNP)
$0.00/mo
$9,250
3.5 ★
HMO D-SNP
Wellpoint
Avg Star Rating
3.2 ★
6 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Wellpoint Full Dual Advantage (HMO D-SNP)
$0.00/mo
$9,250
3.5 ★
HMO D-SNP
Wellpoint Dual Advantage (HMO D-SNP)
$0.00/mo
$9,250
3.5 ★
HMO D-SNP
Wellpoint Kidney Care (HMO-POS C-SNP)
$0.00/mo
$2,900
3.0 ★
HMO-POS C-SNP
Wellpoint Dual Advantage 2 (HMO D-SNP)
$0.00/mo
$9,250
3.0 ★
HMO D-SNP
Wellpoint Medicare Advantage 2 (HMO-POS)
$0.00/mo
$9,250
3.0 ★
HMO-POS
Wellpoint Full Dual Advantage Aligned (HMO D-SNP)
$0.00/mo
$9,250
3.0 ★
HMO D-SNP
Blue Cross And Blue Shield Of Texas
Avg Star Rating
3.0 ★
3 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Blue Cross Medicare Advantage Dental Value (HMO)
$0.00/mo
$5,200
3.0 ★
HMO
Blue Cross Medicare Advantage Secure (HMO)
$0.00/mo
$4,200
3.0 ★
HMO
Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)
$0.00/mo
$9,250
3.0 ★
HMO D-SNP
Blue Cross And Blue Shield Of Il, Nm, Ok, Tx
Avg Star Rating
3.0 ★
1 plans
From $37.30/mo
Plan
Premium
MOOP
Stars
Type
Blue Cross Medicare Advantage Preferred (PPO)
$37.30/mo
$8,000
3.0 ★
PPO

Plan availability, premiums, and benefits shown are based on CMS data and may change. Always verify current details with the insurer and at Medicare.gov before enrolling.

Part D: Prescription Drug Plans (PDP)

Part D covers prescription drugs through standalone plans for those on Original Medicare, or as part of a Medicare Advantage bundle. Among the 12 standalone Part D plans in 79380, TX, some offer $0 annual deductibles while others charge up to the 2026 maximum of $590. 1 plans are at or below the regional premium benchmark, making them eligible for Low Income Subsidy auto-enrollment. The 2026 $2,000 out-of-pocket cap means drug costs are now more predictable regardless of which plan you choose, but formulary coverage still varies significantly—always verify your medications are covered before enrolling.

Part D Formulary Notice: Each Part D plan has its own formulary (list of covered drugs). The same medication may be on different tiers—or not covered at all—depending on the plan. Always check that your specific medications are covered before enrolling.
2026 Out-of-Pocket Cap: Thanks to the Inflation Reduction Act, your total out-of-pocket drug costs are capped at $2,000 per year in 2026. Once you reach this limit, you pay nothing more for covered Part D drugs for the rest of the year. This eliminates the old "donut hole" coverage gap that previously caused higher costs.
Low Income Subsidy (LIS / Extra Help): If you have limited income and resources, you may qualify for Extra Help paying Part D costs. Visit SSA.gov or call 1-800-MEDICARE.

Top Part D Drug Plans in 79380, TX

We organize Part D plans by CMS Star Ratings, premiums, and deductibles so you can find the best fit for your prescription needs. Part D premiums in 79380, TX range from $0 to $167/month. Remember: all Part D plans now cap your annual out-of-pocket drug costs at $2,000 thanks to the Inflation Reduction Act.

Highest CMS Star Ratings (Part D)

Part D Star Ratings measure drug pricing, customer service, member complaints, and pharmacy access.

Plan NameInsurerStar RatingPremiumDeductible
Wellcare Value Script (PDP)Wellcare3.5 ★$0.00/mo$615Enroll
Wellcare Classic (PDP)Wellcare3.5 ★$0.00/mo$615Enroll
Silverscript Choice (PDP)Aetna Medicare3.0 ★$94.80/mo$615Enroll
Humana Value Rx Plan (PDP)Humana3.0 ★$22.90/mo$601Enroll
Humana Premier Rx Plan (PDP)Humana3.0 ★$118.20/mo$0Enroll

Lowest Monthly Premium

Lower premiums help with monthly cash flow, but check drug tier costs and the deductible.

Plan NameInsurerMonthly PremiumDrug DeductibleStar Rating
Wellcare Value Script (PDP)Wellcare$0.00/mo$6153.5 ★
Wellcare Classic (PDP)Wellcare$0.00/mo$6153.5 ★
Humana Value Rx Plan (PDP)Humana$22.90/mo$6013.0 ★
Humana Basic Rx Plan (PDP)Humana$41.70/mo$6153.0 ★
Healthspring Extra Rx (PDP)Healthspring$70.00/mo$6152.5 ★

Lowest Annual Drug Deductible

The deductible is what you pay out-of-pocket before the plan starts covering drug costs. The 2026 maximum Part D deductible is $590. Many plans offer $0 deductible options.

Plan NameInsurerDrug DeductibleMonthly PremiumStar Rating
Humana Premier Rx Plan (PDP)Humana$0$118.20/mo3.0 ★
Aarp Medicare Rx Preferred From Uhc (PDP)Unitedhealthcare$130$114.80/mo2.0 ★
Humana Value Rx Plan (PDP)Humana$601$22.90/mo3.0 ★
Wellcare Value Script (PDP)Wellcare$615$0.00/mo3.5 ★
Wellcare Classic (PDP)Wellcare$615$0.00/mo3.5 ★
Understanding drug tiers: Part D plans organize medications into 5 cost tiers — Tier 1 (Preferred Generic) is cheapest; Tier 5 (Specialty) is most expensive. Two plans with the same premium can have very different costs for your drugs depending on tier placement. Learn more about drug tiers →

Choosing the Right Part D Drug Plan

The right Part D plan depends on your specific medications. Key factors to evaluate:

  • Formulary: Verify your drugs are covered before enrolling
  • Preferred pharmacies: Lower copays at certain locations—check your pharmacy is in-network
  • Total annual cost: Premium + deductible + copays for your drugs

Read our full guide on choosing Part D →
What is a formulary? See our Medicare Glossary →

Part D Drug Plan Insurers in 79380, TX

6 insurance companies offer standalone Part D drug plans in 79380, TX. Below, we group plans by insurer.

Wellcare
Avg Star Rating
3.5 ★
2 plans
From $0.00/mo
Plan
Premium
Deductible
Stars
Type
Wellcare Classic (PDP)
$0.00/mo
$615
3.5 ★
PDP
Wellcare Value Script (PDP)
$0.00/mo
$615
3.5 ★
PDP
Humana
Avg Star Rating
3.0 ★
3 plans
From $22.90/mo
Plan
Premium
Deductible
Stars
Type
Humana Value Rx Plan (PDP)
$22.90/mo
$601
3.0 ★
PDP
Humana Basic Rx Plan (PDP)
$41.70/mo
$615
3.0 ★
PDP
Humana Premier Rx Plan (PDP)
$118.20/mo
$0
3.0 ★
PDP
Aetna Medicare
Avg Star Rating
3.0 ★
1 plans
From $94.80/mo
Plan
Premium
Deductible
Stars
Type
Silverscript Choice (PDP)
$94.80/mo
$615
3.0 ★
PDP
Healthspring
Avg Star Rating
2.5 ★
2 plans
From $70.00/mo
Plan
Premium
Deductible
Stars
Type
Healthspring Extra Rx (PDP)
$70.00/mo
$615
2.5 ★
PDP
Healthspring Assurance Rx (PDP)
$111.40/mo
$615
2.5 ★
PDP
Unitedhealthcare
Avg Star Rating
2.0 ★
2 plans
From $89.20/mo
Plan
Premium
Deductible
Stars
Type
Aarp Medicare Rx Saver From Uhc (PDP)
$89.20/mo
$615
2.0 ★
PDP
Aarp Medicare Rx Preferred From Uhc (PDP)
$114.80/mo
$130
2.0 ★
PDP
Blue Cross And Blue Shield Of Il, Nm, Ok, Tx
Avg Star Rating
2.0 ★
2 plans
From $104.70/mo
Plan
Premium
Deductible
Stars
Type
Blue Cross Medicarerx Basic (PDP)
$104.70/mo
$615
2.0 ★
PDP
Blue Cross Medicarerx Value (PDP)
$167.40/mo
$615
2.0 ★
PDP

Plan availability, premiums, and benefits shown are based on CMS data and may change. Always verify current details with the insurer and at Medicare.gov before enrolling.

Ready to Enroll in 79380, TX?

Compare plans side-by-side at Medicare.gov or speak with a licensed Medicare specialist.

Compare Plans at Medicare.gov Call 1-800-MEDICARE

📋 Print our Medicare Enrollment Checklist — gather your info before you compare.

📅 Enrollment Dates & Deadlines · 🩺 Questions to Ask Your Doctor

Medicare.gov is the official U.S. government site for Medicare. Available 24/7.

Pharmacy Access in 79380, TX

Part D plans have preferred pharmacy networks where you'll pay lower copays. Here's a look at pharmacy options in and around 79380, TX.

Total Pharmacies

3
within 10.0 miles

Chain Pharmacies

2
CVS, Walgreens, etc.

Independent Pharmacies

1
locally owned
PharmacyAddress & PhoneDistanceType
UNITED SUPERMARKETS LLC511 COLLEGE AVE LEVELLAND, TX 793364805📞 806-689-73159.3 miIndependent
CVS PHARMACY INC402 COLLEGE AVE LEVELLAND, TX 79336📞 806-689-85219.3 miChain
WAL-MART STORES TEXAS LLC407 E HIGHWAY 114 LEVELLAND, TX 793362629📞 806-689-75839.6 miChain
PAY AND SAVE INC102 W WAYLON JENNINGS BLVD LITTLEFIELD, TX 793393806📞 806-638-425013.8 miIndependent
THORNHILL HEALTHCARE II, INC600 8TH ST SHALLOWATER, TX 793635726📞 806-683-030018.6 miIndependent
SHALLOWATER PHARMACY, LLC1502 12TH ST STE B SHALLOWATER, TX 793635651📞 806-683-025019.0 miIndependent
UNITED SUPERMARKETS, LLC6313 4TH ST LUBBOCK, TX 794164006📞 806-678-151522.8 miIndependent
CVS PHARMACY INC6420 19TH ST LUBBOCK, TX 794071406📞 806-679-387723.1 miChain
WAL-MART STORES TEXAS LLC702 W LOOP 289 LUBBOCK, TX 794164200📞 806-679-300123.8 miChain
COSTCO WHOLESALE CORPORATION6020 34TH ST LUBBOCK, TX 79407📞 806-678-146024.0 miChain

Pharmacy data from CMS. Network participation varies by plan—always verify with your specific Part D plan.

Local Healthcare Access in 79380, TX

Before choosing a plan, consider the healthcare infrastructure in 79380, TX. Medicare Advantage plans restrict you to in-network hospitals, so understanding local hospital quality helps you pick the right plan — not just the cheapest one.

Note: The facilities below do not indicate which providers are in-network for any specific plan. Always verify network status with your plan before enrolling.

Hospitals Nearby

4
within 25.0 miles

Top-Rated Hospitals near 79380, TX

If hospital access matters to your plan choice, check quality ratings before you enroll. These are the highest CMS-rated hospitals near 79380, TX — click a hospital name to see its full profile and verify it's in your plan's network.

HospitalCMS RatingDistanceBeds
University Medical Center3 ★26.5 mi503
Grace Surgical Hospital3 ★28.5 mi123
Lubbock Heart Hospital Lp2 ★24.6 mi74
Covenant Medical Center2 ★26.6 mi470
Covenant Hospital LevellandNot Rated10.4 mi48
Lamb Healthcare CenterNot Rated13.5 mi75
Exceptional Community Hospital LubbockNot Rated24.5 mi7
Oceans Behavioral Hospital Of LubbockNot Rated25.2 mi32
Covenant Childrens HospitalNot Rated26.2 mi212
Starcare Specialty Health /Sunrise Canyon HospitalNot Rated31.2 mi30

View all 4 hospitals near 79380, TX to check quality before you enroll →

Hospital data from CMS Hospital Compare and Provider of Services file. Distance calculated from center of 79380, TX.

Questions to ask your doctor about Medicare coverage →

Telehealth in 79380, TX: Is Your Internet Ready?

Many Medicare Advantage and some Part D plans now include telehealth benefits, making routine check-ins and prescription refills easier from home. But telehealth requires reliable internet—here's a look at connectivity in 79380, TX. For official guidance on virtual visits, see Telehealth.HHS.gov from the U.S. Department of Health & Human Services.

Internet Coverage in 79380, TX

Fiber Available
51.6%
of households
Cable/DSL Available
87.1%
of households
Top Provider
MetroNet
35.5% coverage
No Broadband
1.4%
of households

Internet coverage data from ISP Reports. View full internet report for 79380, TX.

Medicare-Relevant Demographics in 79380, TX

Understanding 79380, TX's demographics helps contextualize why insurers offer the plans they do. Areas with more seniors and higher incomes tend to attract more insurer competition, while areas with higher Medicaid enrollment may have more Dual-Eligible Special Needs Plans (D-SNP) available.

Total Population
374
Population 65+
82
21.8% of total
Median Age
41
2.6 years older than the national average
Median Income
$90,588
20.5% above the National Average
On Medicare
62
16.7% of residents
On Medicaid
47
12.7% of residents
Uninsured
48
12.7% of residents
Social Security Recipients
150
40.1% of population

Demographic data from U.S. Census Bureau American Community Survey (2023). View full 79380, TX demographics (BestNeighborhood.org).

Local Medicare FAQ: 79380, TX

Common decision points based on 79380, TX's specific plan market and local healthcare landscape.

How does 79380, TX's Medicare Advantage market compare?

79380, TX has 35 Medicare Advantage plans from 7 insurers. This is below the national average of approximately 57 plans. In areas with fewer competing plans, it's especially important to compare the available options carefully. The local mix includes 19 HMO and 16 PPO plans. Plan availability updates annually during the Medicare Annual Enrollment Period (October 15 – December 7).

Should I choose an HMO or PPO Medicare Advantage plan in 79380, TX?

With 4 hospitals nearby, a PPO plan may offer valuable flexibility if your preferred providers aren't all in the same network. HMO plans (19 available) cost less but limit your choices. In 79380, TX, HMO plans dominate the market, which often means more competitive HMO pricing. Always verify your doctors are in-network before enrolling in any plan.

What's the real cost of $0 premium plans in 79380, TX?

30 plans (86% of available options) in 79380, TX charge $0 beyond the standard Part B premium. This high percentage reflects strong insurer competition in the area. However, $0 premium doesn't mean $0 cost. These plans may have higher copays, coinsurance, or out-of-pocket maximums. In 79380, TX, maximum out-of-pocket limits range from $2,900 to an average of $7,326. We recommend calculating your total expected annual cost (premium + copays + drug costs) rather than choosing based on premium alone.

How does the 2026 $2,000 drug cap affect 79380, TX beneficiaries?

The Inflation Reduction Act capped annual out-of-pocket drug spending at $2,000 starting in 2025, eliminating the old "donut hole" coverage gap. This applies to all 12 standalone Part D plans in 79380, TX.

What this means locally:

  • Cost predictability — No matter which of the 12 Part D plans you choose, your drug costs are capped at $2,000/year
  • $0 deductible options — Some local plans offer $0 deductibles, meaning coverage starts immediately
  • Low-income options — 1 plans meet the regional benchmark for Extra Help/LIS eligibility

While the out-of-pocket cap standardizes maximum costs, formulary coverage still varies significantly between plans. A drug that costs $5/month on one plan's formulary might cost $50 on another. Always check that your specific medications are covered and compare tier placement before enrolling.

See all Medicare FAQs in our complete guide → · Enrollment checklist →
Medicare Glossary · Enrollment Dates & Deadlines · Doctor Questions

About the Data & Editorial Team

Wes Ward

Wes Ward

Founder & Data Lead

Wes Ward is the founder of InsuranceDataNow.org and reviews all content for data accuracy and methodology compliance.

With 25+ years in data analytics — including work with highly regulated genomic data at Ancestry.com — Wes brings enterprise-level rigor to consumer data tools. He is also a co-founder of BestNeighborhood.org, CrimeGrade.org, and ISPReports.org.

Role: Reviews and approves all content for data accuracy, source verification, and methodology compliance.

View full profile →LinkedIn

Transparency & Disclosures

InsuranceDataNow is an advertising-supported publisher based in South Jordan, Utah. We are not affiliated with or endorsed by Medicare or the U.S. government.

TPMO Disclaimer: 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 (24 hours a day/7 days a week) to get information on all of your options.

Sources

All data is sourced from official government databases and trusted third-party providers. Data is updated regularly—see page header for last refresh dates.

Ready to compare Medicare plans in 79380, TX?

Compare & Enroll →