2027 plan year · Texas
2027 Medicare Advantage plans in Falls County, TX
41 plans from 7 insurers for 2027. 11 general plans have a $0 monthly premium. The lowest in-network out-of-pocket limit is $4,500.
- 22general plans
- 11$0-premium plans
- $4,500lowest out-of-pocket max
- 4.5 ★top star rating
- 19Special Needs Plans
2027 Medicare Advantage plans in Falls County, TX
Sorted by Medicare star rating, then monthly premium and out-of-pocket limit. Premiums shown are the plan's own premium; you also keep paying your Part B premium.
| Plan | Monthly premium | Out-of-pocket max | Drug deductible | Star rating |
|---|---|---|---|---|
| BSW SeniorCare Advantage Select (HMO-POS) Baylor Scott & White Health Plan · HMO-POS · no drug coverage | $0 | $6,400 | — | ★★★★★4.5 |
| BSW SeniorCare Advantage Select Rx (HMO-POS) Baylor Scott & White Health Plan · HMO-POS · includes drug coverage | $0 | $7,150 | $500 | ★★★★★4.5 |
| Humana USAA Honor Giveback (PPO) Humana · PPO · no drug coverage | $0 | $7,900 | — | ★★★★★4.5 |
| HumanaChoice H7617-027 (PPO) Humana · PPO · includes drug coverage | $48 | $7,650 | $700 | ★★★★★4.5 |
| BSW SeniorCare Advantage Preferred (HMO-POS) Baylor Scott & White Health Plan · HMO-POS · no drug coverage | $65 | $4,500 | — | ★★★★★4.5 |
| BSW SeniorCare Advantage Preferred Rx (HMO-POS) Baylor Scott & White Health Plan · HMO-POS · includes drug coverage | $152 | $5,400 | $250 | ★★★★★4.5 |
| BSW SeniorCare Advantage Premium (HMO-POS) Baylor Scott & White Health Plan · HMO-POS · no drug coverage | $170 | $4,500 | — | ★★★★★4.5 |
| BSW SeniorCare Advantage Premium Rx (HMO-POS) Baylor Scott & White Health Plan · HMO-POS · includes drug coverage | $258 | $5,000 | $250 | ★★★★★4.5 |
| AARP Medicare Advantage CareFlex from UHC TX-47 (HMO-POS) UnitedHealthcare · HMO-POS · includes drug coverage | $0 | $7,150 | $685 | ★★★★★4 |
| AARP Medicare Advantage Essentials from UHC TX-12 (HMO-POS) UnitedHealthcare · HMO-POS · includes drug coverage | $0 | $7,150 | $685 | ★★★★★4 |
| AARP Medicare Advantage Patriot No Rx TX-MA01 (HMO-POS) UnitedHealthcare · HMO-POS · no drug coverage | $0 | $7,150 | — | ★★★★★4 |
| Humana USAA Honor Giveback (PPO) Humana · PPO · no drug coverage | $0 | $7,900 | — | ★★★★★4 |
| Humana Gold Choice H8145-126 (PFFS) Humana · PFFS · no drug coverage | $0 | $9,850 | — | ★★★★★4 |
| AARP Medicare Advantage from UHC TX-46 (HMO-POS) UnitedHealthcare · HMO-POS · includes drug coverage | $31 | $5,500 | $355 | ★★★★★4 |
| BSW SeniorCare Advantage Basic (PPO) Baylor Scott & White Health Plan · PPO · includes drug coverage | $32 | $7,150 | $500 | ★★★★★4 |
| BSW SeniorCare Advantage Platinum (PPO) Baylor Scott & White Health Plan · PPO · includes drug coverage | $145 | $6,600 | $250 | ★★★★★4 |
| HumanaChoice R4182-001 (Regional PPO) Humana · Regional PPO · no drug coverage | $0 | $6,000 | — | ★★★★★3.5 |
| Aetna Medicare Signature (PPO) Aetna Medicare · PPO · includes drug coverage | $0 | $6,750 | $700 | ★★★★★3.5 |
| Wellcare Simple Value (HMO) Wellcare · HMO · includes drug coverage | $0 | $9,850 | $700 | ★★★★★3.5 |
| HumanaChoice R4182-004 (Regional PPO) Humana · Regional PPO · includes drug coverage | $46 | $8,200 | $700 | ★★★★★3.5 |
| HumanaChoice R4182-003 (Regional PPO) Humana · Regional PPO · includes drug coverage | $100 | $8,200 | $700 | ★★★★★3.5 |
| AARP Medicare Advantage from UHC TX-61 (Regional PPO) UnitedHealthcare · Regional PPO · includes drug coverage | $138 | $9,850 | $685 | ★★★★★3 |
Special Needs Plans (SNPs)
Only for people who qualify: Dual-Eligible plans need both Medicare and Medicaid, Chronic Condition plans need a qualifying condition, and Institutional plans are for nursing home residents.
| Plan | Monthly premium | Out-of-pocket max | Drug deductible | Star rating |
|---|---|---|---|---|
| Humana Together in Health (PPO I-SNP) Humana · PPO I-SNP (Special Needs: Institutional) · includes drug coverage | $0 | $9,850 | $250 | ★★★★★4.5 |
| UHC Complete Care TX-16 (HMO-POS C-SNP) UnitedHealthcare · HMO-POS C-SNP (Special Needs: Chronic or Disabling Condition) · includes drug coverage | $0 | $5,900 | $440 | ★★★★★4 |
| Humana Together in Health (PPO I-SNP) Humana · PPO I-SNP (Special Needs: Institutional) · includes drug coverage | $0 | $9,850 | $700 | ★★★★★4 |
| Provider Partners Texas Advantage Plan (HMO I-SNP) Provider Partners Health Plans · HMO I-SNP (Special Needs: Institutional) · includes drug coverage | $6.30 | $9,850 | $700 | ★★★★★4 |
| Wellcare Superior HealthPlan Dual Reserve (HMO D-SNP) Wellcare · HMO D-SNP (Special Needs: Dual-Eligible) · includes drug coverage | $0 | $3,450 | $700 | ★★★★★3.5 |
| Aetna Medicare Full Dual Care (HMO D-SNP) Aetna Medicare · HMO D-SNP (Special Needs: Dual-Eligible) · includes drug coverage | $0 | $9,850 | $700 | ★★★★★3.5 |
| Aetna Medicare QMB Only Care (HMO D-SNP) Aetna Medicare · HMO D-SNP (Special Needs: Dual-Eligible) · includes drug coverage | $0 | $9,850 | $700 | ★★★★★3.5 |
| Wellcare Superior HealthPlan Dual Access (HMO D-SNP) Wellcare · HMO D-SNP (Special Needs: Dual-Eligible) · includes drug coverage | $0 | $9,850 | $700 | ★★★★★3.5 |
| Wellcare Superior HealthPlan Dual Liberty Sync (HMO D-SNP) Wellcare · HMO D-SNP (Special Needs: Dual-Eligible) · includes drug coverage | $0 | $9,850 | $700 | ★★★★★3.5 |
| Aetna Medicare Full Dual Extra Care (HMO D-SNP) Aetna Medicare · HMO D-SNP (Special Needs: Dual-Eligible) · includes drug coverage | $0 | $9,850 | $700 | ★★★★★3 |
| Aetna Medicare QMB Only Extra Care (HMO D-SNP) Aetna Medicare · HMO D-SNP (Special Needs: Dual-Eligible) · includes drug coverage | $0 | $9,850 | $700 | ★★★★★3 |
| UHC Dual Complete TX-S001 (Regional PPO D-SNP) UnitedHealthcare · Regional PPO D-SNP (Special Needs: Dual-Eligible) · includes drug coverage | $0 | $9,850 | $400 | ★★★★★3 |
| UHC Complete Care TX-29 (Regional PPO C-SNP) UnitedHealthcare · Regional PPO C-SNP (Special Needs: Chronic or Disabling Condition) · includes drug coverage | $100 | $9,850 | $685 | ★★★★★3 |
| UHC Dual Advantage TX-V11 (HMO-POS D-SNP) UnitedHealthcare · HMO-POS D-SNP (Special Needs: Dual-Eligible) · includes drug coverage | $0 | $4,450 | $75 | Plan too new to be measured |
| ProCare Advantage (HMO-POS I-SNP) ProCare Advantage · HMO-POS I-SNP (Special Needs: Institutional) · includes drug coverage | $0 | $9,850 | $700 | Not enough data available |
| UHC Dual Complete TX-Q6 (HMO-POS D-SNP) UnitedHealthcare · HMO-POS D-SNP (Special Needs: Dual-Eligible) · includes drug coverage | $0 | $9,850 | $75 | Plan too new to be measured |
| UHC Dual Complete TX-S6 (HMO-POS D-SNP) UnitedHealthcare · HMO-POS D-SNP (Special Needs: Dual-Eligible) · includes drug coverage | $0 | $9,850 | $75 | Plan too new to be measured |
| UHC Dual Complete TX-YL2 (HMO-POS D-SNP) UnitedHealthcare · HMO-POS D-SNP (Special Needs: Dual-Eligible) · includes drug coverage | $0 | $9,850 | $700 | Plan too new to be measured |
| Wellcare Superior HealthPlan Dual Reserve Value (HMO D-SNP) Wellcare · HMO D-SNP (Special Needs: Dual-Eligible) · includes drug coverage | $0 | $9,850 | $700 | Not enough data available |
What changed from 2026 to 2027
- 10 plans are new here for 2027.
- 10 plans offered here in 2026 aren't listed for 2027 (for example Wellcare Simple Value (HMO-POS), UHC Dual Complete TX-S003 (HMO-POS D-SNP), Humana USAA Honor Giveback (PPO)). If yours is one of them, the plan should send you a notice explaining your options.
- Of the 31 plans offered both years, 11 raised the monthly premium and 7 lowered it.
Compared by plan ID. Plans that were renamed or merged into another plan may appear as new or ended.
Care quality in Falls County
Medicare Advantage plans use networks. Before choosing, check that the hospitals and nursing homes you'd want are in the plan's network, and how they're rated.
Other coverage options
- Stand-alone Part D drug plans in Texas (for people with Original Medicare)
- Marketplace health plans in Falls County (for people under 65 or not on Medicare)
- Medicare Advantage vs. Original Medicare
Frequently asked questions
How many Medicare Advantage plans are available in Falls County, TX for 2027?
41 plans from 7 insurers: 22 general plans open to anyone with Medicare Parts A and B who lives here, plus 19 Special Needs Plans for people who qualify.
Are there $0-premium Medicare Advantage plans in Falls County, TX?
Yes. 11 general plans have a $0 monthly plan premium for 2027. You still pay your Medicare Part B premium, and copays and coinsurance still apply.
What is the highest-rated Medicare Advantage plan in Falls County, TX?
BSW SeniorCare Advantage Select (HMO-POS) from Baylor Scott & White Health Plan has the top Medicare star rating here (4.5 stars). Star ratings are given to the insurer's contract, so several plans can share one.
Which plan has the lowest out-of-pocket maximum in Falls County, TX?
BSW SeniorCare Advantage Preferred (HMO-POS) caps in-network out-of-pocket costs at $4,500 for 2027.