2026 Medicare Advantage Plans in Austin County, TX
Last update: . Enrollment data updated: June 13, 2026
For 2026, Austin County, TX includes 29 Medicare Advantage plans. Enrollment across these plans totals approximately 2,087, with 22 $0 premium options and 45% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Austin County, TX are summarized separately. Visit Medicare Options in Austin County, TX to see more options.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to choose care from both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in how members access care.
- Total PPO Plans
- 18
- Average Monthly Premium
- $23.21/mo
- Total PPO Enrollment
- 1,011
- $0 Premium PPO Plans
- 12
- Average MOOP
- $7,133
- Top PPO by Enrollment
- HumanaChoice H5216-043 (PPO) — 234 enrollees
- PPO Plans Without Drug Coverage
- 5
- What is the average monthly premium for PPO plans in Austin?
- PPO plans in Austin cost $23.21 per month on average.
- Which PPO plan has the highest enrollment in Austin?
- The most popular PPO plan in Austin is HumanaChoice H5216-043 (PPO), with 234 enrollees.
- How many PPO plans in Austin do not include prescription drug coverage?
- 5 PPO plans in Austin do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans are built around a defined network of doctors and hospitals. Care is generally covered only within the network, except in emergencies, but this structure often results in lower premiums and out-of-pocket costs.
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| KelseyCare Advantage Core | $0 | $4,500 | N/A | H0332-001-0 | |
| Wellcare Assist | $5 | $3,450 | $615 | H0174-009-0 | |
| Wellcare Giveback | $0 | $6,900 | $615 | H0174-019-0 | |
| Wellcare Simple | $0 | $3,500 | $615 | H0174-010-0 |
What is the total number of HMO plans offered in Austin?
There are 4 HMO plans in 2026, covering 173 enrollees.
How much do HMO plans cost in Austin?
The average HMO premium in Austin is $1.20 per month, with 3 plans offering $0 premiums.
What is the top HMO by enrollment in Austin?
Wellcare Simple (HMO) is the top HMO in Austin, with 93 enrollees.
What is the number of HMO plans without Part D coverage in Austin?
1 HMO plans in Austin do not include prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO-POS plans are structured like HMOs, requiring in-network care for the lowest costs, while allowing limited out-of-network access at higher cost. This provides added flexibility compared with standard HMO plans.
- Total HMO-POS Plans
- 7
- Average Monthly Premium
- $0.00/mo
- Total HMO-POS Enrollment
- 903
- $0 Premium HMO-POS Plans
- 7
- Average MOOP
- $5,800
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC TX-0015 (HMO-POS) — 654 enrollees
- HMO-POS Plans Without Drug Coverage
- 2
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC TX-0015 | $0 | $4,800 | $520 | H4527-037-0 | |
| AARP Medicare Advantage Patriot No Rx TX-MA01 | $0 | $6,700 | N/A | H4527-024-0 | |
| KelseyCare Advantage Freedom | $0 | $6,750 | $200 | H0332-004-0 | |
| AARP Medicare Advantage from UHC TX-0009 | $0 | $6,700 | $520 | H4514-007-0 | |
| Wellcare TexanPlus Classic Simple | $0 | $3,400 | $615 | H4506-003-0 | |
| Wellcare TexanPlus Patriot Giveback | $0 | $3,000 | N/A | H4506-010-0 | |
| Wellpoint Medicare Advantage 2 | $0 | $9,250 | $300 | H2593-029-0 |
What is the average monthly premium for HMO-POS plans?
HMO-POS plans in Austin cost $0.00 per month on average.
Which HMO-POS plan is most popular in Austin?
The most popular HMO-POS plan in Austin is AARP Medicare Advantage from UHC TX-0015 (HMO-POS), with 654 enrollees.
How many HMO-POS plans in Austin do not include drug coverage?
There are 2 HMO-POS plans in Austin without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Austin County, TX (2026) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 13 | 45% |
| 3 Stars | 16 | 55% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.81 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed June 13, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed June 13, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed June 13, 2026
All plan counts, enrollment totals, averages, and percentage distributions are calculated at the county level using CMS data and include standard Medicare Advantage (MA/MAPD) plans only, based on a consistent aggregation methodology.
Data sources and methodology documentation .
- Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Compare Original Medicare & Medicare Advantage" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 25 May, 2025
MedicarePlans.com is an independent informational resource and has no affiliation with, or endorsement from, the U.S. Government or the federal Medicare program.
Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard .
Page content independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate, non-commercial Medicare plan interpretation and resolution.