Comal County Retirees Will Pay $610.50 a Month in 2027

Retirees will remain responsible for the entire premium, with no county contribution, when the renewed Silver Choice rates take effect Jan. 1.

By Comal.News Government Desk · Source-linked local reporting

Published September 26, 2026 at 12:43 PM CDT2 min read

Approved Sept. 24

Listen to this articleComal.News narrated edition

Ready · 0:00 / 2:32

Stylized cream and navy illustration of an empty commissioners courtroom with medical paperwork, a prescription bottle, eyeglasses and a red-tipped chart rising from the table. — Illustration: A rising cost chart, prescription bottle and paperwork sit before an empty county dais.Original editorial illustration; not a photograph and does not depict the reported event or an exact property.Comal.News Visual Desk · Original illustration · Source ↗ · Comal.News original illustration ↗

Retirees who keep the county’s current Plan G and prescription option will pay $610.50 a month beginning Jan. 1, 2027, up $17.66 monthly or $211.92 a year.

The court approved the 2027 Silver Choice retiree health-care program renewal and authorized the county judge to sign.

The renewal packet raises the combined monthly premium from $592.84 to $610.50, a $17.66 increase.

Retirees keep the full bill

The approved renewal keeps direct billing, with retirees invoiced for 100% of the cost and the county contributing $0 toward premiums. The program is for retirees who meet the county’s retirement qualifications and are enrolled in Medicare Parts A and B.

The prescription rate drives the increase

For Package 1, the 2027 rate table holds the medical portion at $298.51 while raising the prescription portion from $294.33 to $311.99.

The packet also lists two lower-priced medical-and-prescription packages. Package 2 costs $278.03 a month, while Package 3 costs $568.01; each carries different medical and prescription benefits from the continued option.

Before the vote, Comal.News detailed the proposed 2027 retiree health-rate change. The county’s full meeting recap records the renewal among the actions approved Sept. 24.

What happens next

The next decision window is open enrollment from Oct. 15 through Dec. 7, before the new rate takes effect Jan. 1, 2027.

A future county enrollment record could show how many retirees remain in the current option and how many select another package. Readers can inspect the county agenda to verify that the renewal was action item 11 and compare the rates, billing method and package choices in the renewal packet.

From the source record

2027 renewal receiptComal County Silver Choice renewal

Current Medical + Rx Rate $592.84; New Medical + Rx Rate Effective 1/1/2027 $610.50.

Comal County Commissioners Court ↗

The approved renewal packet lists the current and 2027 monthly premiums and preserves direct billing to retirees.

Comal County Retirees Will Pay $610.50 a Month in 2027

Retirees keep the full bill

The prescription rate drives the increase

What happens next

Related coverage

Comal County Retiree Health Rate Could Rise $17.66 a Month

County Clears Sports Projects, Jail Backup and Higher Retiree Rate