2026 Medicare Advantage Plans in Coleman County, TX
Last update: . Enrollment data updated: May 2, 2026
For 2026, Coleman County, TX includes 18 Medicare Advantage plans. Enrollment across these plans totals approximately 369, with 11 $0 premium options and 17% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Coleman County, TX are summarized separately. Visit Medicare Options in Coleman 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
- 14
- Average Monthly Premium
- $24.50/mo
- Total PPO Enrollment
- 300
- $0 Premium PPO Plans
- 8
- Average MOOP
- $7,418
- Top PPO by Enrollment
- HumanaChoice H5216-043 (PPO) — 114 enrollees
- PPO Plans Without Drug Coverage
- 5
| PPO Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana USAA Honor Giveback | $0 | $7,900 | N/A | H7617-062-0 | |
| HumanaChoice H7617-059 | $20 | $7,700 | $420 | H7617-059-0 | |
| Humana USAA Honor Giveback | $0 | $6,750 | N/A | H5216-128-0 | |
| Humana USAA Honor Giveback | $0 | $7,900 | N/A | H5216-348-0 | |
| HumanaChoice H5216-042 | $60 | $6,750 | $615 | H5216-042-0 | |
| HumanaChoice H5216-043 | $20 | $7,700 | $420 | H5216-043-1 | |
| HumanaChoice R4182-001 | $0 | $5,950 | N/A | R4182-001-0 | |
| HumanaChoice R4182-003 | $97 | $7,650 | $615 | R4182-003-0 | |
| HumanaChoice R4182-004 | $44 | $7,650 | $615 | R4182-004-0 | |
| UHC Medicare Advantage TX-0030 | $102 | $8,200 | $600 | R6801-012-0 | |
| Blue Cross Medicare Advantage Complete | $0 | $6,750 | $450 | H8634-023-0 | |
| Blue Cross Medicare Advantage Dental Premier | $0 | $6,750 | $615 | H8634-024-0 | |
| Blue Cross Medicare Advantage Health Choice | $0 | $9,250 | $615 | H8634-025-0 | |
| Blue Cross Medicare Advantage Protect | $0 | $6,950 | N/A | H8634-026-0 |
What is the average monthly premium for PPO plans in Coleman?
PPO plans in Coleman cost $24.50 per month on average.
Which PPO plan has the highest enrollment in Coleman?
The most popular PPO plan in Coleman is HumanaChoice H5216-043 (PPO), with 114 enrollees.
How many PPO plans in Coleman do not include prescription drug coverage?
5 PPO plans in Coleman 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 2
- Average Monthly Premium $0.00/mo
- Total HMO Enrollment 0
- $0 Premium HMO Plans 2
- Average MOOP $4,700
- Top HMO by Enrollment — 0 enrollees
- HMO Plans Without Drug Coverage 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Blue Cross Medicare Advantage Dental Value | $0 | $5,200 | $615 | H9706-007-0 | |
| Blue Cross Medicare Advantage Secure | $0 | $4,200 | $450 | H9706-005-0 |
What is the top HMO by enrollment in Coleman?
is the top HMO in Coleman, with 0 enrollees.
What is the number of HMO plans without Part D coverage in Coleman?
0 HMO plans in Coleman 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
- 1
- Average Monthly Premium
- $0.00/mo
- Total HMO-POS Enrollment
- 0
- $0 Premium HMO-POS Plans
- 1
- Average MOOP
- $9,250
- Top HMO-POS by Enrollment
- — 0 enrollees
- HMO-POS Plans Without Drug Coverage
- 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Wellcare Simple Value | $0 | $9,250 | $615 | H4506-030-0 |
What is the typical premium for HMO-POS plans in Coleman?
HMO-POS plans in Coleman cost $0.00 per month on average.
Which HMO-POS plan has the most members in Coleman?
The most popular HMO-POS plan in Coleman is , with 0 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Coleman?
There are 0 HMO-POS plans in Coleman without prescription drug coverage.
Medicare Advantage PFFS Plans
PFFS, or Private Fee-for-Service plans, allow access to any Medicare-approved doctor or hospital that accepts the plan’s terms. They provide wide flexibility in choosing providers, but it’s essential to verify that your preferred healthcare professionals agree to the plan’s payment rules before scheduling care.
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana Gold Choice H8145-084 | $29 | $6,750 | $615 | H8145-084-0 |
What is the total number of PFFS plans in Coleman?
In 2026, Coleman has 1 PFFS plans with 69 enrollees.
How much do PFFS plans cost in Coleman?
The typical PFFS premium in Coleman is $29.00, and 0 plans have no monthly premium.
CMS quality ratings for Medicare Advantage plans in Coleman 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) | 3 | 17% |
| 3 Stars | 13 | 72% |
| Below 3 Stars | 2 | 11% |
| Not Rated | 0 | 0% |
| Average Rating | 3.42 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- 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, "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
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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.