2026 Medicare Advantage Plans in Bandera County, TX
Last update: . Enrollment data updated: May 2, 2026
For 2026, Bandera County, TX includes 51 Medicare Advantage plans. Enrollment across these plans totals approximately 2,521, with 38 $0 premium options and 39% rated 4 stars or higher.
Totals on this page exclude Medicare Advantage Special Needs Plans (SNPs). SNP plans for Bandera County, TX are provided separately. Or you can discover all Medicare Options in Bandera County, TX.
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
- 26
- Average Monthly Premium
- $21.80/mo
- Total PPO Enrollment
- 1,351
- $0 Premium PPO Plans
- 17
- Average MOOP
- $6,765
- Top PPO by Enrollment
- HumanaChoice H5216-360 (PPO) — 382 enrollees
- PPO Plans Without Drug Coverage
- 7
What is the typical premium for PPO plans available in Bandera?
PPO plans in Bandera cost $21.80 per month on average.
Which PPO plan do most beneficiaries choose in Bandera?
The most popular PPO plan in Bandera is HumanaChoice H5216-360 (PPO), with 382 enrollees.
How many PPO options are offered without drug coverage in Bandera?
7 PPO plans in Bandera do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans generally require members to use in-network doctors, hospitals, and other providers, except in emergencies. Because of this structure, HMOs often have lower premiums and out-of-pocket costs than other plan types.
- Total HMO Plans 16
- Average Monthly Premium $1.75/mo
- Total HMO Enrollment 741
- $0 Premium HMO Plans 14
- Average MOOP $4,778
- Top HMO by Enrollment Humana Gold Plus H0028-030 (HMO) — 438 enrollees
- HMO Plans Without Drug Coverage 3
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| DEVOTED CORE 003 TX | $0 | $3,900 | $0 | H7993-003-0 | |
| DEVOTED CORE 004 TX | $0 | $3,900 | $615 | H7993-004-0 | |
| DEVOTED GIVEBACK 021 TX | $0 | $9,250 | $605 | H7993-021-0 | |
| DEVOTED MA ONLY 020 TX | $0 | $9,250 | N/A | H7993-020-0 | |
| HealthSpring Courage | $0 | $4,300 | N/A | H4513-009-0 | |
| HealthSpring Preferred | $0 | $3,200 | $200 | H4513-061-4 | |
| HealthSpring Preferred Savings | $0 | $6,900 | $300 | H4513-083-4 | |
| Humana Gold Plus H4461-053 | $14 | $3,400 | $615 | H4461-053-0 | |
| Humana Gold Plus H4461-058 | $0 | $3,400 | $615 | H4461-058-0 | |
| Humana Gold Plus H0028-030 | $0 | $3,400 | $615 | H0028-030-0 | |
| Humana Gold Plus H0028-070 | $14 | $3,400 | $615 | H0028-070-0 | |
| Wellcare Patriot Simple | $0 | $3,400 | N/A | H5294-014-0 | |
| Wellcare Simple | $0 | $3,900 | $615 | H5294-017-0 | |
| Blue Cross Medicare Advantage Core | $0 | $4,900 | $450 | H8554-001-0 | |
| Blue Cross Medicare Advantage Dental Value | $0 | $5,200 | $615 | H9706-007-0 | |
| Blue Cross Medicare Advantage Value | $0 | $4,750 | $450 | H9706-009-0 |
What is the total number of HMO plans offered in Bandera?
In 2026, Bandera County has 16 HMO plans with 741 enrollees.
How much do HMO plans cost in Bandera?
The typical HMO premium in Bandera is $1.75, and 14 plans have no monthly premium.
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
- $3.86/mo
- Total HMO-POS Enrollment
- 429
- $0 Premium HMO-POS Plans
- 6
- Average MOOP
- $6,064
- Top HMO-POS by Enrollment
- AARP Medicare Advantage Essentials from UHC TX-21 (HMO-POS) — 205 enrollees
- HMO-POS Plans Without Drug Coverage
- 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage CareFlex from UHC TX-45 | $0 | $6,700 | $600 | H0609-078-0 | |
| AARP Medicare Advantage Essentials from UHC TX-21 | $0 | $4,200 | $440 | H0609-050-0 | |
| AARP Medicare Advantage Extras from UHC TX-28 | $0 | $4,700 | $520 | H0609-063-0 | |
| AARP Medicare Advantage from UHC TX-0043 | $27 | $4,200 | $440 | H0609-071-0 | |
| AARP Medicare Advantage Giveback from UHC TX-40 | $0 | $6,700 | $600 | H0609-067-0 | |
| AARP Medicare Advantage Patriot No Rx TX-MA03 | $0 | $6,700 | N/A | H0609-056-0 | |
| 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 Bandera cost $3.86 per month on average.
- Which HMO-POS plan is most popular in Bandera?
- The most popular HMO-POS plan in Bandera is AARP Medicare Advantage Essentials from UHC TX-21 (HMO-POS), with 205 enrollees.
- How many HMO-POS plans in Bandera do not include drug coverage?
- There are 1 HMO-POS plans in Bandera without prescription drug coverage.
Medicare Advantage PFFS Plans
Private Fee-for-Service (PFFS) plans allow members to visit any Medicare-approved provider that accepts the plan’s payment terms. This provides flexibility in choosing doctors and hospitals, but provider acceptance should be confirmed before receiving care.
- Total PFFS Plans 2
- Average Monthly Premium $14.50/mo
- Total PFFS Enrollment 0
- $0 Premium PFFS Plans 1
- Average MOOP $6,725
- Top PFFS by Enrollment — 0 enrollees
- PFFS Plans Without Drug Coverage 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana Gold Choice H8145-084 | $29 | $6,750 | $615 | H8145-084-0 | |
| Humana Gold Choice H8145-126 | $0 | $6,700 | N/A | H8145-126-0 |
What is the total number of PFFS plans in Bandera?
There are 2 PFFS plans in 2026, covering 0 enrollees.
How much do PFFS plans cost in Bandera?
The average PFFS premium in Bandera is $14.50 per month, with 1 plans offering $0 premiums.
What is the top PFFS plan in Bandera?
is the top PFFS in Bandera, with 0 enrollees.
What is the number of PFFS plans without Part D coverage in Bandera?
1 PFFS plans in Bandera do not include prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Bandera County, TX (2026) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | 4 | 8% |
| 4 Stars (includes 5 Stars) | 20 | 39% |
| 3 Stars | 29 | 57% |
| Below 3 Stars | 2 | 4% |
| Not Rated | 0 | 0% |
| Average Rating | 3.79 | |
* Star ratings are based on CMS quality measures and reflect plan performance for the 2026 rating period.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed May 2, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed May 2, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed May 2, 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, "Explore your Medicare coverage options" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 25 May, 2025
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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.