Texas Medicare Coverage Guide
Find dental, vision, hearing aid, and nursing home Medicare benefits available to Texas residents.
Texas Dental Coverage
Texas Medicaid covers limited dental for dual-eligible beneficiaries. Texas has multiple dental schools including UT Health San Antonio and Texas A&M College of Dentistry.
Available Programs
- Texas Medicaid Dental
- Medicare Advantage dental plans
- UT Health San Antonio Dental School
- Texas A&M College of Dentistry (Dallas)
Typical Out-of-Pocket Cost
$700–$2,500/year
Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.
Tips for Texas Residents
- UT and Texas A&M dental schools offer quality low-cost care
- Texas SHIP (1-800-252-9240) for plan guidance
- Competitive MA markets in Houston, Dallas, Austin, and San Antonio
Texas Vision Coverage
Texas Medicaid covers vision for dual-eligible members. Texas has a large but varied MA market across its many regions.
Available Programs
- Texas Medicaid vision
- Medicare Advantage vision
- Texas Division for Blind Services
Typical Out-of-Pocket Cost
$200–$450/year
Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.
Tips for Texas Residents
- DBS: 1-800-628-5115 for vision rehabilitation
- Annual diabetic eye exam very important given high TX diabetes rates
- Texas SHIP: 1-800-252-9240
Texas Hearing Aids Coverage
Medicare does not cover hearing aids. Texas has good audiology resources in major cities but rural access is limited.
Available Programs
- Medicare Advantage hearing plans
- Texas Commission for the Deaf and Hard of Hearing
- Texas Assistive Technology Network
Typical Out-of-Pocket Cost
$1,000–$7,000 per pair
Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.
Tips for Texas Residents
- TCDHH: 512-407-3251 for resources
- TATN: 1-866-372-0022 for assistive technology
- Texas SHIP: 1-800-252-9240
Texas Nursing Home Coverage
Medicare Part A covers SNF. Texas Medicaid covers long-term care. Texas has a very large nursing home industry with quality varying widely.
Available Programs
- Medicare Part A SNF
- Texas Medicaid LTC
- PACE Texas (Dallas, San Antonio, El Paso)
- Texas SHIP (1-800-252-9240)
Typical Out-of-Pocket Cost
$200–$270/day semi-private
Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.
Tips for Texas Residents
- PACE programs in major Texas cities
- Check TX nursing home ratings at Medicare Care Compare
- SHIP: 1-800-252-9240
📊 Live CMS Data Texas Medicare Snapshot
Source: CMS Medicare Monthly Enrollment 2024 & CMS MA Landscape 2025 — public data from data.cms.gov
- UnitedHealth
- Humana
- Centene/WellCare
Get Free Help in Texas
SHIP Counseling
Your state's State Health Insurance Assistance Program (SHIP) offers free, unbiased Medicare counseling from trained volunteers. They can help you compare plans and enroll.
Find Texas SHIP →1-800-MEDICARE
Call 1-800-633-4227 (TTY: 1-877-486-2048) 24/7 for Medicare questions, plan comparisons, and enrollment help. Free and official.
Medicare.gov →Medicare Plan Finder
Use the official Medicare Plan Finder tool at Medicare.gov to compare all Medicare Advantage, Part D, and Medigap plans available in Texas by ZIP code.
Compare Plans →Nursing Home Compare
Research and compare nursing home quality ratings, staffing levels, health inspection results, and more for facilities across Texas.
Care Compare →