National | Licensed to Serve YouWealth with Purpose: Representing 25+ top-rated carriers from DFW to nationwide.
Wealth with Purpose
Statewide Texas Medicare Advisory

Get personal Medicare help from home anywhere in Texas.

Wealth with Purpose serves Medicare beneficiaries throughout Texas by phone or secure video. In-person meetings are available by appointment where practical. Work directly with licensed Texas broker Gianna Sgambelluri to create a personalized Next-Step and Comparison Checklist, evaluate represented plans in your county, and understand the trade-offs before deciding.

All 254 Texas Counties: Remote Phone & Video Guidance
Licensed Texas Broker: TDI #21682074, NPN #21682074
Independent Advisory: Multi-Carrier Market Access
Confidential Advisory: A consultation does not obligate you to buy a policy or change coverage. We provide objective advisory across Texas with zero high-pressure sales.
Confirmed Texas Medicare Carriers Include
UnitedHealthcare Medicare
Aetna Medicare
Cigna Healthcare
Humana Medicare
Devoted Health
Prominence Health Plan
Wellcare by Centene
UnitedHealthcare Medicare
Aetna Medicare
Cigna Healthcare
Humana Medicare
Devoted Health
Prominence Health Plan
Wellcare by Centene
UnitedHealthcare Medicare
Aetna Medicare
Cigna Healthcare
Humana Medicare
Devoted Health
Prominence Health Plan
Wellcare by Centene
UnitedHealthcare Medicare
Aetna Medicare
Cigna Healthcare
Humana Medicare
Devoted Health
Prominence Health Plan
Wellcare by Centene
UnitedHealthcare Medicare
Aetna Medicare
Cigna Healthcare
Humana Medicare
Devoted Health
Prominence Health Plan
Wellcare by Centene
UnitedHealthcare Medicare
Aetna Medicare
Cigna Healthcare
Humana Medicare
Devoted Health
Prominence Health Plan
Wellcare by Centene
UnitedHealthcare Medicare
Aetna Medicare
Cigna Healthcare
Humana Medicare
Devoted Health
Prominence Health Plan
Wellcare by Centene
UnitedHealthcare Medicare
Aetna Medicare
Cigna Healthcare
Humana Medicare
Devoted Health
Prominence Health Plan
Wellcare by Centene
Regional Focus

Where do you live in Texas?

Medicare Advantage and Part D plans are county-specific. We understand the major hospital networks and carrier footprints across each Texas region:

Houston & Southeast Texas

Auditing Texas Medical Center systems, Memorial Hermann, Houston Methodist, and Harris/Fort Bend county plan options.

Houston & Gulf Coast

Dallas-Fort Worth Metroplex

Benchmarking Baylor Scott & White, Texas Health Resources, UT Southwestern, and regional DFW carrier networks.

Dallas-Fort Worth

Austin & Central Texas

Aligning Ascension Seton, St. David’s, and Austin regional physician groups across Medicare Advantage and Medigap.

Austin & Central TX

San Antonio & South Texas

Evaluating University Health, Baptist Health System, and Bexar County Medicare Advantage networks and formularies.

San Antonio & Alamo

West Texas & The Panhandle

Evaluating nationwide Medigap freedom for rural and West Texas residents requiring travel to regional medical centers.

West Texas & Panhandle

The Rio Grande Valley

Cross-referencing border county Medicare Advantage and Part D plans across Cameron, Hidalgo, and Starr counties.

Rio Grande Valley
Immediate Texas Medicare Guidance Needed?Independent Broker Support

Need personalized Medicare advice from an independent Texas broker?

Skip the aggressive out-of-state call centers. Call Gianna Sgambelluri directly for a dedicated statewide phone or video review session tailored to your local Texas doctors and medications.

Our Texas Advisory Model

Independent Medicare help across Texas.

You get face-forward broker authority without ever having to travel to an office:

Statewide Remote Consultations (Phone & Video)

Connect from home anywhere in Texas. We screen-share provider directories and formularies in real time so you see the exact details.

Deep Knowledge of Texas Healthcare Networks

We understand hospital network affiliations from Baylor Scott & White and Memorial Hermann to Ascension Seton and Methodist.

County-Specific Plan Availability Auditing

We evaluate options specifically contracted for your Texas county and ZIP code, avoiding invalid plans advertised on national television.

Zero Advisory Fees or Consultation Costs

Our reviews are 100% free of charge. We are compensated directly by insurance carriers if you choose to enroll through Wealth with Purpose.

Official Disclosures

Regulatory standards & resources.

Wealth with Purpose operates with complete regulatory transparency across Texas:

Federal Non-AffiliationGovernment Notice

Wealth with Purpose is an independent agency and is not connected with or endorsed by the U.S. government, CMS, or the federal Medicare program.

Confirmed Texas Carrier Roster7 Represented

We represent 7 major organizations in Texas: Aetna, Cigna Healthcare, Devoted Health, Humana, Prominence Health Plan, UnitedHealthcare, and Wellcare.

Texas HICAP / SHIP AssistanceState Resource

Free, impartial Medicare counseling is also provided by the state through the Texas Health Information, Counseling and Advocacy Program (HICAP).

Texas Licensure AuthorityTDI #21682074

Licensed by the Texas Department of Insurance (TDI #21682074, NPN #21682074, Gianna Sgambelluri). All insurance services offered exclusively in Texas.

Disciplined Texas Medicare Method

How our statewide Medicare review works

A structured 5-stage roadmap that connects you directly with Gianna Sgambelluri to audit county-specific plans, verify networks, and secure enrollment.

01
Phase 1: Discover

Profile

County & Healthcare Intake

Identify your Texas county, ZIP code, non-negotiable doctors, hospital preferences, and initial Medicare milestones.

Deliverable: Texas Service-Area Profile
02
Phase 2: Market Scan

Benchmark

County-Specific Plan Audit

Cross-reference represented carrier plans, provider directories, and formularies available in your specific Texas county.

Deliverable: County-Specific Plan Matrix
03
Phase 3: Clarity

Consult

Remote Phone or Video Review

Conduct a comprehensive review via secure phone or video screen share, comparing clinical and financial trade-offs in plain English.

Deliverable: Plain-English Trade-Off Report
04
Phase 4: Onboard

Enroll

Compliant Carrier Filing

Execute application submission through authorized carrier portals with complete electronic Scope of Appointment documentation.

Deliverable: Active Policy Confirmation
05
Phase 5: Defend

Defend

Annual Statewide Coverage Audit

Review your plan every fall during AEP to verify ongoing physician network participation and medication formulary stability.

Deliverable: Annual Texas Coverage Audit
The Coordinated Advantage

Get direct broker guidance anywhere in Texas.

Work directly with licensed Texas broker Gianna Sgambelluri. No call centers, no high-pressure sales tactics, and no missing enrollment windows.

* Submitting a review request does not bind, issue, change, renew, or cancel any insurance policy.
Explore Wealth with Purpose advisory methodology in full→
Texas Review Preparation Dossier

What to have ready for your review

Having these details organized allows Gianna to audit provider networks and drug formularies immediately during your session:

  • 1Texas Residential County & ZIP Code: Essential for determining exact carrier service area and plan availability.
  • 2Medicare Red, White & Blue Card: Medicare Beneficiary Identifier (MBI) and Part A/B effective dates.
  • 3Complete Medication Dossier: Brand/generic prescription names, dosages, and monthly refill volumes.
  • 4Priority Doctor & Hospital List: Primary physicians, treating specialists, and regional medical facilities.
  • 5Current Insurance Policy Summary: If currently covered under an employer group health plan or individual policy.
Privacy Guarantee: We do not collect health histories, medical records, or Medicare identifiers on web inquiry forms.
Direct Texas Medicare Carrier Footprint
View All Carriers & Providers →

Supported Texas Medicare organizations

Wealth with Purpose is contracted and appointed with top-rated Medicare Advantage, Medigap, and Part D carrier partners across Texas:

UnitedHealthcare MedicareUnitedHealthcare
Aetna MedicareAetna
Cigna HealthcareCigna Healthcare
Humana MedicareHumana
Devoted HealthDevoted Health
Prominence Health PlanProminence Health Plan
Wellcare by CenteneWellcare by Centene
Medicare Advantage (Part C): UnitedHealthcare, Aetna, Cigna Healthcare, Humana, Devoted Health, Prominence Health Plan, Wellcare.
Medicare Supplement (Medigap): Standardized Plans G & N across top Texas licensed insurers.
Prescription Drug Plans (Part D): Standalone Part D formularies from CMS-contracted Texas sponsors.
* We do not offer every plan available in your area. Currently we represent 7 organizations in Texas: Aetna, Cigna Healthcare, Devoted Health, Humana, Prominence Health Plan, UnitedHealthcare, and Wellcare by Centene. Please contact Medicare.gov, 1-800-MEDICARE, or your local SHIP to get information on all of your options.
Gianna Sgambelluri, Licensed Insurance Broker & Independent Advisor
National Licensed Broker

Gianna Sgambelluri

Licensed Insurance Broker | Independent Wealth & Life Advisor
NPN #21682074 · Dallas-Fort Worth & Nationwide
Texas Medicare Broker Authority
"Whether you live in Houston, the Hill Country, Lubbock, or the Valley, you deserve an independent Texas broker who knows our state's hospital systems and takes the time to listen. I work with Texans statewide from my home base."

Gianna Sgambelluri is an independent Texas insurance broker licensed by the Texas Department of Insurance (TDI #21682074). He provides objective, 1-on-1 Medicare guidance statewide by phone and video.

Straightforward Answers

Frequently Asked Questions About Texas Medicare Help

Key facts about remote advisory, county availability, and state resources.

Do I need to live near Gianna to get personal Medicare help?

No. Wealth with Purpose provides personalized Medicare advisory services throughout the entire state of Texas by phone and secure video conference. In-person meetings are available by advance appointment where geographically practical.

Are the same Medicare plans available everywhere in Texas?

No. Medicare Advantage and Part D plans are county-specific. A plan available in Harris County (Houston) may not be available in Dallas County or Travis County. Medigap policies are standardized statewide, but premiums vary by location and age.

Can I send my prescription list through the general contact form?

No. To protect your medical privacy, please do not include prescription names, health conditions, or Medicare numbers on initial inquiry forms. Gianna provides an approved secure channel for sharing medication details prior to your review.

Does booking a meeting commit me to an insurance plan?

No. A consultation is entirely educational and evaluative. You are under zero obligation to enroll in a plan or change your coverage. If you decide to proceed, we facilitate enrollment through authorized carrier channels.

What other free Medicare resources are available in Texas?

You can also obtain free, impartial information through Medicare.gov (1-800-MEDICARE) or the Texas Health Information, Counseling and Advocacy Program (HICAP), funded through local Texas Area Agencies on Aging.

Ready for Personal Texas Medicare Guidance?

Start with a Texas Medicare conversation and a useful takeaway.

Choose phone or video and tell Gianna which broad Medicare question you want to solve. Keep sensitive details for the secure review process. Leave with a concrete plan.

A consultation does not enroll you in a plan or obligate you to change coverage. Wealth with Purpose is not connected with or endorsed by the U.S. government or Medicare.
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