Compare & Enroll — Part C & Part D

Compare & Enroll in Medicare Plans in La Salle County, TX

With 43 Medicare Advantage options from 10 insurers, La Salle County, TX has plan availability roughly in line with the national average, suggesting a highly competitive market where insurers often lower premiums to attract members. Approximately 91% of local MA plans charge $0 beyond the standard Part B premium, reflecting strong price competition. With 2 hospitals within 50.0 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
43
Part D Plans
12
Top MA Star
5.0
Top Drug Star
3.5
Happy senior couple reviewing Medicare plan options together

Medicare Eligibility in La Salle County, TX

Approximately 1,136 residents (18.4% of the population) in La Salle County, 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 La Salle County, TX is $50,203 (33.2% below 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. La Salle County, TX's 43 Medicare Advantage plans are predominantly HMO-based (31 HMO vs. 12 PPO), meaning most require referrals and in-network care. 39 plans offer $0 monthly premiums. The average local star rating is 3.9 out of 5, with the top plan earning 5.0 ★.

Top Medicare Advantage Plans in La Salle County, TX

We organize CMS plan data into separate leaderboards so you can compare based on what matters most to you. Part C premiums in La Salle County, TX range from $0 to $15/month. Among rated plans, 16 plans rated 4+ stars, including 10 with perfect 5-star ratings.

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
Devoted Giveback 021 Tx (HMO)Devoted Health5.0 ★$0.00/moHMOEnroll
Devoted C-Snp 046 Tx (HMO C-SNP)Devoted Health5.0 ★$0.00/moHMO C-SNPEnroll
Devoted Dual Full 041 Tx (HMO D-SNP)Devoted Health5.0 ★$0.00/moHMO D-SNPEnroll
Devoted C-Snp Plus 033 Tx (HMO C-SNP)Devoted Health5.0 ★$0.00/moHMO C-SNPEnroll
Devoted Ma Only 020 Tx (HMO)Devoted Health5.0 ★$0.00/moHMOEnroll

Lowest Monthly Premium

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

Plan NameInsurerMonthly PremiumMOOPStar Rating
Uhc Complete Care Tx-19 (HMO-POS C-SNP)Unitedhealthcare$0.00/mo$3,6004.5 ★
Aetna Medicare Signature (PPO)Aetna Medicare$0.00/mo$6,7503.5 ★
Aarp Medicare Advantage Essentials From Uhc Tx-14 (HMO-POS)Unitedhealthcare$0.00/mo$3,6004.5 ★
Uhc Dual Complete Tx-D007 (HMO-POS D-SNP)Unitedhealthcare$0.00/mo$9,2503.5 ★
Uhc Dual Complete Tx-S5 (HMO-POS D-SNP)Unitedhealthcare$0.00/mo$9,2503.5 ★

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
Wellcare Patriot Simple (HMO)Wellcare$3,400$0.00/mo3.5 ★
Uhc Complete Care Tx-19 (HMO-POS C-SNP)Unitedhealthcare$3,600$0.00/mo4.5 ★
Aarp Medicare Advantage Essentials From Uhc Tx-14 (HMO-POS)Unitedhealthcare$3,600$0.00/mo4.5 ★
Aarp Medicare Advantage From Uhc Tx-51 (HMO-POS)Unitedhealthcare$3,600$13.10/mo4.5 ★
Wellcare Assist (HMO)Wellcare$3,900$0.00/mo3.5 ★

Plan Type Mix in La Salle County, 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
HMO D-SNP920.9%Medicare Advantage plan
HMO716.3%Requires referrals; in-network only
HMO-POS614.0%HMO with some out-of-network options
PPO511.6%No referrals; in and out-of-network
Regional PPO49.3%Medicare Advantage plan
HMO-POS D-SNP37.0%Medicare Advantage plan
HMO C-SNP24.7%Medicare Advantage plan
Regional PPO C-SNP24.7%Medicare Advantage plan
HMO I-SNP24.7%Medicare Advantage plan
Regional PPO D-SNP12.3%Medicare Advantage plan
HMO-POS C-SNP12.3%Medicare Advantage plan
HMO-POS I-SNP12.3%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 La Salle County, 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 La Salle County, TX

10 insurance companies offer Medicare Advantage plans in La Salle County, 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.

Devoted Health
Avg Star Rating
5.0 ★
8 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Devoted Core 003 Tx (HMO)
$0.00/mo
$3,900
5.0 ★
HMO
Devoted Core 004 Tx (HMO)
$0.00/mo
$3,900
5.0 ★
HMO
Devoted Dual 012 Tx (HMO D-SNP)
$0.00/mo
$9,250
5.0 ★
HMO D-SNP
Devoted Ma Only 020 Tx (HMO)
$0.00/mo
$9,250
5.0 ★
HMO
Devoted Giveback 021 Tx (HMO)
$0.00/mo
$9,250
5.0 ★
HMO
Devoted C-Snp Plus 033 Tx (HMO C-SNP)
$0.00/mo
$9,250
5.0 ★
HMO C-SNP
Devoted Dual Full 041 Tx (HMO D-SNP)
$0.00/mo
$9,250
5.0 ★
HMO D-SNP
Devoted C-Snp 046 Tx (HMO C-SNP)
$0.00/mo
$4,450
5.0 ★
HMO C-SNP
Texas Independence Health Plan
Avg Star Rating
4.5 ★
2 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Texas Independence Community Plan (HMO I-SNP)
$0.00/mo
$9,250
4.5 ★
HMO I-SNP
Texas Independence Health Plan, Inc. (HMO I-SNP)
$0.00/mo
$9,250
4.5 ★
HMO I-SNP
Unitedhealthcare
Avg Star Rating
4.0 ★
13 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Uhc Dual Complete Tx-S001 (REGIONAL PPO D-SNP)
$0.00/mo
$9,250
3.5 ★
Regional PPO D-SNP
Aarp Medicare Advantage Essentials From Uhc Tx-14 (HMO-POS)
$0.00/mo
$3,600
4.5 ★
HMO-POS
Aarp Medicare Advantage Patriot No Rx Tx-Ma01 (HMO-POS)
$0.00/mo
$6,700
4.5 ★
HMO-POS
Uhc Complete Care Tx-19 (HMO-POS C-SNP)
$0.00/mo
$3,600
4.5 ★
HMO-POS C-SNP
Aarp Medicare Advantage Giveback From Uhc Tx-38 (HMO-POS)
$0.00/mo
$7,900
4.5 ★
HMO-POS
Aarp Medicare Advantage Extras From Uhc Tx-50 (HMO-POS)
$0.00/mo
$4,200
4.5 ★
HMO-POS
Uhc Dual Complete Tx-D007 (HMO-POS D-SNP)
$0.00/mo
$9,250
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-S5 (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 Tx-29 (REGIONAL PPO C-SNP)
$9.10/mo
$7,900
3.5 ★
Regional PPO C-SNP
Aarp Medicare Advantage From Uhc Tx-51 (HMO-POS)
$13.10/mo
$3,600
4.5 ★
HMO-POS
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 Assist (HMO)
$0.00/mo
$3,900
3.5 ★
HMO
Wellcare Simple (HMO)
$0.00/mo
$4,500
3.5 ★
HMO
Wellcare Dual Liberty Sync (HMO D-SNP)
$0.00/mo
$9,250
3.5 ★
HMO D-SNP
Wellcare Dual Liberty (HMO D-SNP)
$0.00/mo
$9,250
3.5 ★
HMO D-SNP
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
Humana
Avg Star Rating
3.5 ★
3 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
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
Humanachoice R4182-004 (REGIONAL PPO)
$3.90/mo
$7,650
3.5 ★
Regional PPO
Aetna Medicare
Avg Star Rating
3.5 ★
1 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Aetna Medicare Signature (PPO)
$0.00/mo
$6,750
3.5 ★
PPO
Wellpoint
Avg Star Rating
3.1 ★
4 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
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
Wellpoint Dual Advantage 2 (HMO D-SNP)
$0.00/mo
$9,250
3.0 ★
HMO D-SNP
Wellpoint Dual Advantage (HMO D-SNP)
$0.00/mo
$9,250
3.5 ★
HMO D-SNP
Blue Cross And Blue Shield Of Il, Nm, Ok, Tx
Avg Star Rating
3.0 ★
4 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Blue Cross Medicare Advantage Protect (PPO)
$0.00/mo
$6,950
3.0 ★
PPO
Blue Cross Medicare Advantage Health Choice (PPO)
$0.00/mo
$9,250
3.0 ★
PPO
Blue Cross Medicare Advantage Complete (PPO)
$0.00/mo
$6,750
3.0 ★
PPO
Blue Cross Medicare Advantage Dental Premier (PPO)
$0.00/mo
$6,750
3.0 ★
PPO
Blue Cross And Blue Shield Of Texas
Avg Star Rating
3.0 ★
1 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)
$0.00/mo
$9,250
3.0 ★
HMO D-SNP
Procare Advantage
Avg Star Rating
N/A
1 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Procare Advantage (HMO-POS I-SNP)
$0.00/mo
$9,250
N/A
HMO-POS I-SNP

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 La Salle County, 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 La Salle County, 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 La Salle County, 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 Classic (PDP)Wellcare3.5 ★$0.00/mo$615Enroll
Wellcare Value Script (PDP)Wellcare3.5 ★$0.00/mo$615Enroll
Silverscript Choice (PDP)Aetna Medicare3.0 ★$94.80/mo$615Enroll
Humana Premier Rx Plan (PDP)Humana3.0 ★$118.20/mo$0Enroll
Humana Basic Rx Plan (PDP)Humana3.0 ★$41.70/mo$615Enroll

Lowest Monthly Premium

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

Plan NameInsurerMonthly PremiumDrug DeductibleStar Rating
Wellcare Classic (PDP)Wellcare$0.00/mo$6153.5 ★
Wellcare Value Script (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 La Salle County, TX

6 insurance companies offer standalone Part D drug plans in La Salle County, 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 La Salle County, 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.

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

Pharmacy Access in La Salle County, TX

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

Total Pharmacies

1
within 10.0 miles

Chain Pharmacies

0
CVS, Walgreens, etc.

Independent Pharmacies

1
locally owned
PharmacyAddress & PhoneDistanceType
SHRI DIVYA DRUGS LLC302 N MAIN ST COTULLA, TX 780142153📞 830-087-23235.9 miIndependent
DILLEY PHARMACY, LLC801 WEST FM 117 DILLEY, TX 78017📞 830-032-312722.4 miIndependent
SHRI DIVYA DRUGS LLC223 S OAK ST PEARSALL, TX 78061📞 830-026-202037.7 miIndependent
H-E-B, LP225 SOUTH IH35 PEARSALL, TX 78061📞 830-033-323738.3 miChain
WAL-MART STORES TEXAS LLC819 N OAK ST PEARSALL, TX 780613422📞 830-033-418538.8 miChain
WAL-MART STORES TEXAS LLC2214 N 1ST ST CARRIZO SPRINGS, TX 788342036📞 830-087-350638.9 miChain
H-E-B, LP2030 N 1ST ST CARRIZO SPRINGS, TX 78834📞 830-087-910938.9 miChain
CENTRAL PHARMACY, INC.314 N 5TH ST CARRIZO SPRINGS, TX 788343106📞 830-087-251639.1 miIndependent
CRYSTAL CITY PHARMACY LLC1313 VETERANS AVE STE I CRYSTAL CITY, TX 788391651📞 830-025-220142.0 miIndependent
CRYSTAL DRUG LP224 E ZAVALA ST CRYSTAL CITY, TX 788393512📞 830-037-343642.1 miIndependent

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

Local Healthcare Access in La Salle County, TX

Before choosing a plan, consider the healthcare infrastructure in La Salle County, 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

2
within 50.0 miles

Top-Rated Hospitals near La Salle County, TX

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

HospitalCMS RatingDistanceBeds
Christus Spohn Hospital Alice5 ★84.0 mi135
Doctors Hospital Of Laredo3 ★53.5 mi183
Uvalde Memorial Hospital3 ★67.4 mi25
Fort Duncan Medical Center3 ★80.2 mi101
Laredo Medical Center2 ★58.4 mi326
Frio Regional HospitalNot Rated38.3 mi22
Dimmit Regional HospitalNot Rated39.2 mi25
Methodist Hospital AtascosaNot Rated57.7 mi67
Connally Memorial Medical CenterNot Rated85.5 mi44
Otto Kaiser Memorial HospitalNot Rated89.8 mi25

View all 2 hospitals near La Salle County, TX to check quality before you enroll →

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

Questions to ask your doctor about Medicare coverage →

Telehealth in La Salle County, 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 La Salle County, TX. For official guidance on virtual visits, see Telehealth.HHS.gov from the U.S. Department of Health & Human Services.

Internet Coverage in La Salle County, TX

Fiber Available
6.2%
of households
Cable/DSL Available
84.5%
of households
Top Provider
Spectrum
70.0% coverage
No Broadband
1.0%
of households

Internet coverage data from ISP Reports. View full internet report for La Salle County, TX.

Medicare-Relevant Demographics in La Salle County, TX

Understanding La Salle County, 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
6,191
Population 65+
1,136
18.4% of total
Median Age
38
0.0 years younger than the national average
Median Income
$50,203
33.2% below the National Average
On Medicare
1,340
21.6% of residents
On Medicaid
1,110
17.9% of residents
Uninsured
1,151
18.6% of residents
Social Security Recipients
3,715
60.0% of population

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

Local Medicare FAQ: La Salle County, TX

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

How does La Salle County, TX's Medicare Advantage market compare?

La Salle County, TX has 43 Medicare Advantage plans from 10 insurers. This is roughly in line with the national average of approximately 57 plans per area. The local mix includes 31 HMO and 12 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 La Salle County, TX?

With limited hospital access nearby, a PPO plan (12 available) could be worth the extra cost for out-of-network coverage, especially if you need to travel for specialized care. In La Salle County, 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 La Salle County, TX?

39 plans (91% of available options) in La Salle County, 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 La Salle County, TX, maximum out-of-pocket limits range from $3,400 to an average of $7,364. 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 La Salle County, 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 La Salle County, 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.

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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.

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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.

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