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.
























































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.
Dallas-Fort Worth Metroplex
Benchmarking Baylor Scott & White, Texas Health Resources, UT Southwestern, and regional DFW carrier networks.
Austin & Central Texas
Aligning Ascension Seton, St. David’s, and Austin regional physician groups across Medicare Advantage and Medigap.
San Antonio & South Texas
Evaluating University Health, Baptist Health System, and Bexar County Medicare Advantage networks and formularies.
West Texas & The Panhandle
Evaluating nationwide Medigap freedom for rural and West Texas residents requiring travel to regional medical centers.
The Rio Grande Valley
Cross-referencing border county Medicare Advantage and Part D plans across Cameron, Hidalgo, and Starr counties.
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.
Independent Medicare help across Texas.
You get face-forward broker authority without ever having to travel to an office:
Connect from home anywhere in Texas. We screen-share provider directories and formularies in real time so you see the exact details.
We understand hospital network affiliations from Baylor Scott & White and Memorial Hermann to Ascension Seton and Methodist.
We evaluate options specifically contracted for your Texas county and ZIP code, avoiding invalid plans advertised on national television.
Our reviews are 100% free of charge. We are compensated directly by insurance carriers if you choose to enroll through Wealth with Purpose.
Regulatory standards & resources.
Wealth with Purpose operates with complete regulatory transparency across Texas:
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.
We represent 7 major organizations in Texas: Aetna, Cigna Healthcare, Devoted Health, Humana, Prominence Health Plan, UnitedHealthcare, and Wellcare.
Free, impartial Medicare counseling is also provided by the state through the Texas Health Information, Counseling and Advocacy Program (HICAP).
Licensed by the Texas Department of Insurance (TDI #21682074, NPN #21682074, Gianna Sgambelluri). All insurance services offered exclusively in Texas.
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.
Profile
Identify your Texas county, ZIP code, non-negotiable doctors, hospital preferences, and initial Medicare milestones.
Benchmark
Cross-reference represented carrier plans, provider directories, and formularies available in your specific Texas county.
Consult
Conduct a comprehensive review via secure phone or video screen share, comparing clinical and financial trade-offs in plain English.
Enroll
Execute application submission through authorized carrier portals with complete electronic Scope of Appointment documentation.
Defend
Review your plan every fall during AEP to verify ongoing physician network participation and medication formulary stability.
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.
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.
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
Aetna
Cigna Healthcare
Humana
Devoted Health
Prominence Health Plan
Wellcare by Centene
Gianna Sgambelluri
"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.
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.
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.

