2026 Medicare Advantage Plans in El Paso County, TX
Last update: . Enrollment data updated: June 13, 2026
El Paso County, TX has 52 Medicare Advantage plans available in 2026. These include 39 plans with no monthly premium, and roughly 52% are rated at least 4 stars based on CMS data.
Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in El Paso County, TX. Or explore all Medicare Options available in El Paso County, TX.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow access to both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in choosing doctors and hospitals.
- Total PPO Plans 25
- Average Monthly Premium $27.64/mo
- Total PPO Enrollment 24,615
- $0 Premium PPO Plans 15
- Average MOOP $6,600
- Top PPO by Enrollment AARP Medicare Advantage Essentials from UHC EP-1 (PPO) — 7,975 enrollees
- PPO Plans Without Drug Coverage 5
What is the most popular PPO plan in El Paso?
AARP Medicare Advantage Essentials from UHC EP-1 (PPO) is the top PPO in El Paso, with 7,975 enrollees.
What is the number of PPO plans without Part D coverage in El Paso?
There are 5 PPO plans in El Paso without prescription drug coverage.
Medicare Advantage HMO Plans
HMO plans typically require members to use in-network providers and facilities, except in emergencies. In return, HMOs often offer lower monthly premiums and reduced cost-sharing.
- Total HMO Plans
- 19
- Average Monthly Premium
- $0.99/mo
- Total HMO Enrollment
- 21,444
- $0 Premium HMO Plans
- 17
- Average MOOP
- $4,980
- Top HMO by Enrollment
- HealthSpring Preferred Full Savings (HMO) — 4,743 enrollees
- HMO Plans Without Drug Coverage
- 2
What is the typical premium for HMO plans in El Paso?
HMO plans in El Paso cost $0.99 per month on average.
Which HMO plan do most beneficiaries choose in El Paso?
The most popular HMO plan in El Paso is HealthSpring Preferred Full Savings (HMO), with 4,743 enrollees.
How many HMO options are offered without prescription drug coverage in El Paso?
There are 2 HMO plans in El Paso without prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network requirements with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.
- Total HMO-POS Plans 6
- Average Monthly Premium $0.00/mo
- Total HMO-POS Enrollment 12,542
- $0 Premium HMO-POS Plans 6
- Average MOOP $6,000
- Top HMO-POS by Enrollment AARP Medicare Advantage from UHC TX-0013 (HMO-POS) — 6,739 enrollees
- HMO-POS Plans Without Drug Coverage 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC TX-0013 | $0 | $4,200 | $355 | H4527-005-0 | |
| AARP Medicare Advantage Patriot No Rx TX-MA01 | $0 | $6,700 | N/A | H4527-024-0 | |
| Alignment Health smartHMO | $0 | $6,450 | $615 | H5472-003-0 | |
| Alignment Health smartSavings | $0 | $6,450 | $615 | H5472-010-0 | |
| Alignment Health the ONE + Walgreens | $0 | $2,950 | $0 | H5472-001-0 | |
| Wellpoint Medicare Advantage 2 | $0 | $9,250 | $300 | H2593-029-0 |
What is the total number of HMO-POS plans in El Paso?
In 2026, El Paso has 6 HMO-POS plans with 12,542 enrollees.
How much do HMO-POS plans cost in El Paso?
The typical HMO-POS premium in El Paso is $0.00, and 6 plans have no monthly premium.
Medicare Advantage PFFS Plans
PFFS plans allow members to visit any Medicare-approved provider who accepts the plan’s payment terms. This offers broader choice than network-based plans, but coverage depends on provider participation, so acceptance should be confirmed in advance.
- Total PFFS Plans
- 2
- Average Monthly Premium
- $14.50/mo
- Total PFFS Enrollment
- 52
- $0 Premium PFFS Plans
- 1
- Average MOOP
- $6,725
- Top PFFS by Enrollment
- Humana Gold Choice H8145-084 (PFFS) — 32 enrollees
- PFFS Plans Without Drug Coverage
- 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS 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 average monthly premium for PFFS plans?
- PFFS plans in El Paso cost $14.50 per month on average.
- Which PFFS plan is most popular in El Paso?
- The most popular PFFS plan in El Paso is Humana Gold Choice H8145-084 (PFFS), with 32 enrollees.
- How many PFFS plans in El Paso do not include drug coverage?
- There are 1 PFFS plans in El Paso without prescription drug coverage.
Below is a breakdown of CMS star ratings for Medicare Advantage plans available in El Paso County, TX for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | 2 | 4% |
| 4 Stars (includes 5 Stars) | 26 | 52% |
| 3 Stars | 24 | 48% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 2 | 4% |
| Average Rating | 3.83 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
- 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
County-level figures shown on this page, including plan counts, enrollment totals, averages, and percentage distributions, reflect standard Medicare Advantage (MA/MAPD) plans only and are derived from CMS datasets using a standardized aggregation methodology.
Data sources and methodology documentation .
- CMS.gov, "Medicare Advantage Plan Fact Sheet" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 25 May, 2025
- Medicare.gov, "Joining a plan" — Last accessed 25 May, 2025
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Data provenance documentation is maintained in alignment 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.