2026 Medicare Advantage Plans in Duval County, TX
Last update: . Enrollment data updated: May 2, 2026
For 2026, Duval County, TX includes 22 Medicare Advantage plans. Enrollment across these plans totals approximately 720, with 16 $0 premium options and 32% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Duval County, TX are summarized separately. Visit Medicare Options in Duval 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
- $19.93/mo
- Total PPO Enrollment
- 295
- $0 Premium PPO Plans
- 10
- Average MOOP
- $7,368
- Top PPO by Enrollment
- HumanaChoice H0473-004 (PPO) — 141 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 H7617-027 | $36 | $7,650 | $615 | H7617-027-0 | |
| Aetna Medicare Signature | $0 | $6,750 | $615 | H3288-005-0 | |
| 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 H0473-004 | $0 | $7,050 | $420 | H0473-004-0 | |
| 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 Duval?
PPO plans in Duval cost $19.93 per month on average.
Which PPO plan has the highest enrollment in Duval?
The most popular PPO plan in Duval is HumanaChoice H0473-004 (PPO), with 141 enrollees.
How many PPO plans in Duval do not include prescription drug coverage?
5 PPO plans in Duval 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 3
- Average Monthly Premium $1.60/mo
- Total HMO Enrollment 45
- $0 Premium HMO Plans 2
- Average MOOP $3,517
- Top HMO by Enrollment Wellcare Simple (HMO) — 45 enrollees
- HMO Plans Without Drug Coverage 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Wellcare Assist | $5 | $3,700 | $615 | H5294-013-0 | |
| Wellcare Patriot Simple | $0 | $3,400 | N/A | H5294-014-0 | |
| Wellcare Simple | $0 | $3,450 | $615 | H5294-011-0 |
What is the top HMO by enrollment in Duval?
Wellcare Simple (HMO) is the top HMO in Duval, with 45 enrollees.
What is the number of HMO plans without Part D coverage in Duval?
1 HMO plans in Duval 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
- 5
- Average Monthly Premium
- $4.80/mo
- Total HMO-POS Enrollment
- 380
- $0 Premium HMO-POS Plans
- 4
- Average MOOP
- $5,200
- Top HMO-POS by Enrollment
- AARP Medicare Advantage Essentials from UHC TX-14 (HMO-POS) — 301 enrollees
- HMO-POS Plans Without Drug Coverage
- 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage Essentials from UHC TX-14 | $0 | $3,600 | $355 | H4527-013-0 | |
| AARP Medicare Advantage Extras from UHC TX-50 | $0 | $4,200 | $440 | H4527-055-0 | |
| AARP Medicare Advantage from UHC TX-51 | $24 | $3,600 | $355 | H4527-058-0 | |
| AARP Medicare Advantage Giveback from UHC TX-38 | $0 | $7,900 | $203 | H4527-051-0 | |
| AARP Medicare Advantage Patriot No Rx TX-MA01 | $0 | $6,700 | N/A | H4527-024-0 |
What is the typical premium for HMO-POS plans in Duval?
HMO-POS plans in Duval cost $4.80 per month on average.
Which HMO-POS plan has the most members in Duval?
The most popular HMO-POS plan in Duval is AARP Medicare Advantage Essentials from UHC TX-14 (HMO-POS), with 301 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Duval?
There are 1 HMO-POS plans in Duval without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Duval 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) | 7 | 32% |
| 3 Stars | 15 | 68% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.73 | |
* 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.