Military City USA has one of the highest Medicare Advantage enrollment rates in the country, a large TRICARE For Life population, and four hospital systems that each contract on their own terms.
What to know before you compare plans in Bexar County
Bexar County’s Advantage menu is deep and its care is split among University Health, Methodist Healthcare, Baptist Health System and Christus Santa Rosa. A plan that includes Methodist may exclude University, and Brooke Army Medical Center at Fort Sam Houston serves military retirees under TRICARE rules that Medicare plans do not change.
Because so many San Antonians carry TRICARE For Life, the “best” plan here is often an MA-only Advantage plan for dental and vision, or simply Original Medicare with TFL and nothing else. For everyone else we compare Advantage against a Medigap policy with your doctors, prescriptions and travel in front of us.
Care close to home
Major care in the area includes:
University Health
Methodist Healthcare
Baptist Health System
Christus Santa Rosa
Brooke Army Medical Center (TRICARE)
Audie L. Murphy VA Hospital
Plan networks differ — we check that your doctors and hospital are covered before you enroll.
Communities we serve
Alamo Heights, Stone Oak, Universal City, Converse, Helotes, Leon Valley, Schertz, Boerne, New Braunfels, Seguin.
When you can enroll
Turning 65? Your Initial Enrollment Period is the 7 months around your birthday. Already on Medicare? The Annual Election Period is Oct 15–Dec 7, and Medicare Advantage Open Enrollment runs Jan 1–Mar 31. A plan leaving your county opens a Special Enrollment Period.
Your options
Which kind of plan fits you in San Antonio?
Medicare Advantage
All-in-one Part C plans, often $0 premium, that use a local network — so your providers, your county and your prescriptions matter.
Which Medicare plans are available in San Antonio?
Bexar County typically offers a wide Medicare Advantage menu, every Medigap carrier in Texas, and the full Part D lineup. Availability is set by ZIP code and changes each plan year.
I have TRICARE For Life. Do I need a Medigap policy or Part D?
Usually neither. TFL pays secondary to Medicare and its pharmacy is creditable drug coverage. An MA-only Advantage plan can add dental or vision without duplicating your drug benefit. See our Joint Base San Antonio page.
How much does your help cost?
Nothing. Independent agents are paid by the carriers when you enroll, so comparing plans and reviewing your coverage each year is free to you.
Written and reviewed by Darin Weidauer — licensed insurance agent (NPN 18580338, TX License #2514981), Gerontologist (USC Leonard Davis School of Gerontology), MBA, Registered Social Security Analyst, and 22-year U.S. Air Force veteran.Last reviewed September 4, 2026. Plan availability, benefits and costs change every plan year — verify current details at Medicare.gov, 1-800-MEDICARE, or Texas HICAP at 800-252-9240.