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Blue Cross Medicare Advantage Dual Care Plus (HMO SNP) Plan

A Special Needs Plan for Those Eligible for Medicare and Medicaid

A Dual-Eligible Special Needs Plan is a Medicare Advantage plan that is offered to beneficiaries who qualify both for Medicare and Medicaid. A Medicare Advantage Plan (like an HMO) is sometimes called "Part C" or "an MA Plan," and is offered by private insurance companies approved by Medicare.

Whether you're new to Medicare or thinking about switching plans, here are some important things to consider before choosing Blue Cross Medicare Advantage Dual Care Plus (HMO SNP).

  • Be sure you are eligible for Medicaid benefits with the State of Texas.
  • Have a primary residence in a county Blue Cross Medicare Advantage Dual Care Plus (HMO SNP) plan is offered. These counties include: Anderson, Andrews, Archer, Armstrong, Atascosa, Austin, Bailey Bandera, Bastrop, Baylor, Bee, Bell, Bend, Bexar, Blanco, Borden, Bosque, Bowie, Brazoria, Brazos, Brewster, Briscoe, Brooks, Burleson, Burnet, Caldwell, Cameron, Camp, Carson, Cass, Castro, Chambers, Cherokee, Clay, Cochran, Coke, Coleman, Collin, Concho, Colorado, Comal, Cooke, Coryell, Crane, Crosby, Culberson, Dallam, Dallas, Dawson, Deaf Smith, Delta, Denton, Dewitt, Dickens, Dimmit, Donley, Duval, El Paso, Ellis, Erath, Falls, Fannin, Fayette, Fisher, Floyd, Fort, Foard, Franklin, Freestone, Frio, Galveston, Gaines, Garza, Gillespie, Glasscock, Goliad, Gonzales, Grayson, Gregg, Grimes, Guadalupe, Hale, Hall, Hamilton, Hansford, Hardeman, Hardin, Harris, Harrison, Hartley, Haskell, Hays, Henderson, Hidalgo, Hill, Hockley, Hood, Hopkins, Houston, Howard, Hudspeth, Hutchinson, Irion, Jack, Jackson, Jeff Davis, Jefferson, Jim Hogg, Jim Wells, Johnson, Karnes, Kaufman, Kendall, Kenedy, Kent, Kimble, King, Kinney, Kleberg, Knox, La Salle, Lamar, Lamb, Lampasas, Lavaca, Lee, Leon, Liberty, Limestone, Live Oak, Llano, Loving, Lubbock, Lynn, Madison, Marion, Martin, Mason, Matagorda, McCulloch, McLennan, McMullen, Medina, Menard, Midland, Milam, Mills, Mitchell, Montague, Montgomery, Moore, Morris, Motley, Nacogdoches, Navarro, Oldham, Orange, Palo, Panola, Pecos, Pinto, Parker, Polk, Potter, Presidio, Rains, Randall, Reagan, Real, Red River, Reeves, Refugio, Roberts, Robertson, Rockwall, Runnels, Rusk, San Jacinto, San Augustine, San Saba, Schleicher, Shackelford, Shelby, Sherman, Smith, Somervell, Stephens, Sterling, Stonewall, Sutton, Swisher, Tarrant, Terry, Throckmorton, Titus, Tom Green, Travis, Trinity, Tyler, Upshur, Upton, Victoria, Van Zandt, Walker, Waller, Washington, Webb, Wharton, Willacy, Williamson, Wilson, Winkler, Wise, Wood, Yoakum, Young, Zapata, and Zavala.
  • Depending on your level of Medicaid eligibility, you may not have any cost-sharing responsibility.
  • Read the plan benefits and built-in drug coverage listed in the chart.
  • If you'd like to enroll in a Medicare Advantage plan, make sure you're aware of enrollment periods. Members may enroll in the plan only during specific times of the year.
2024 Blue Cross Medicare Advantage Plans
Blue Cross Medicare Advantage Dual Care Plus (HMO SNP)
Monthly Premium $0
Medical Deductible $0 copay
Doctors Office Visits
(Primary Care and Physician Specialist)
$0 copay
Dental Covered
Routine Vision Covered
Outpatient Services/Surgery $0 copay
Prescription Copays and Coinsurances
For Generic Drugs
(depending on your Extra Help)
$0 copay; or
$1.55 copay; or
$4.50 copay
For All Other Drugs 
(depending on your Extra Help)
$0 copay; or
$4.60 copay; or 
$11.20 copay

*Dependent on member’s Medicaid eligibility.

Premiums and deductibles are subject to change.

Blue Cross®, Blue Shield® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans.

This plan is available to anyone who has both Medicare and Medicaid.

Help Me Choose a Plan

If you’re not sure what plan you need, answer a few questions to help you decide.

Now that you’ve picked a plan, it’s time to enroll.

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