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2027 Medicare Advantage Plans in Falls County, TX

Last update: .

Falls County, TX has 22 Medicare Advantage plans available in 2027. These include 13 plans with no monthly premium, and roughly 73% 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 Falls County, TX. Or explore all Medicare Options available in Falls County, TX.

At a Glance

Average Monthly Premium: $43.18/mo
$0 Premium Plans: 13
Average MOOP: $7,082 ($9,250 max. in 2027)
Star Ratings (Plan Mix): 4+ Stars: 73% · 3 Stars: 27% · Below 3: 0%
Average Part D Deductible: $547.14
Total MA/MAPD Enrollment: 1,432
Plans with the Highest Enrollment
(as of October 5, 2026)
1. AARP Medicare Advantage Essentials from UHC TX-12 (HMO-POS) — 436 enrollees
2. BSW SeniorCare Advantage Select Rx (HMO-POS) — 287 enrollees
3. AARP Medicare Advantage from UHC TX-46 (HMO-POS) — 163 enrollees

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 10
  • Average Monthly Premium $50.90/mo
  • Total PPO Enrollment 186
  • $0 Premium PPO Plans 4
  • Average MOOP $7,620
  • Top PPO by Enrollment Aetna Medicare Signature (PPO) — 48 enrollees
  • PPO Plans Without Drug Coverage 3

Comparison table of 2027 PPO Medicare Advantage Plans available in Falls County, Texas
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Humana USAA Honor Giveback
☆☆☆☆☆
 $0 $7,900 N/A H7617-062-0
HumanaChoice H7617-027
☆☆☆☆☆
 $48 $7,650 $700 H7617-027-0
BSW SeniorCare Advantage Basic
☆☆☆☆☆
 $32 $7,150 $500 H2032-002-0
BSW SeniorCare Advantage Platinum
☆☆☆☆☆
 $145 $6,600 $250 H2032-003-0
Humana USAA Honor Giveback
☆☆☆☆☆
 $0 $7,900 N/A H5216-348-0
Aetna Medicare Signature
☆☆☆☆☆
 $0 $6,750 $700 H3288-008-0
HumanaChoice R4182-001
☆☆☆☆☆
 $0 $6,000 N/A R4182-001-0
HumanaChoice R4182-003
☆☆☆☆☆
 $100 $8,200 $700 R4182-003-0
HumanaChoice R4182-004
☆☆☆☆☆
 $46 $8,200 $700 R4182-004-0
AARP Medicare Advantage from UHC TX-61
☆☆☆☆☆
 $138 $9,850 $685 R6801-012-0
What is the most popular PPO plan in Falls?

Aetna Medicare Signature (PPO) is the top PPO in Falls, with 48 enrollees.

What is the number of PPO plans without Part D coverage in Falls?

There are 3 PPO plans in Falls 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
1
Average Monthly Premium
$0.00/mo
Total HMO Enrollment
0
$0 Premium HMO Plans
1
Average MOOP
$9,850
Top HMO by Enrollment
— 0 enrollees
HMO Plans Without Drug Coverage
0

Comparison table of 2027 HMO Medicare Advantage Plans available in Falls County, Texas
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Wellcare Simple Value
☆☆☆☆☆
 $0 $9,850 $700 H5294-026-0

What is the typical premium for HMO plans in Falls?

HMO plans in Falls cost $0.00 per month on average.

Which HMO plan do most beneficiaries choose in Falls?

The most popular HMO plan in Falls is , with 0 enrollees.

How many HMO options are offered without prescription drug coverage in Falls?

There are 0 HMO plans in Falls 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.

Comparison table of 2027 HMO-POS Medicare Advantage Plans available in Falls County, Texas
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
BSW SeniorCare Advantage Preferred
☆☆☆☆☆
 $0 $4,500 N/A H8142-005-0
BSW SeniorCare Advantage Preferred Rx
☆☆☆☆☆
 $152 $5,400 $250 H8142-002-0
BSW SeniorCare Advantage Premium
☆☆☆☆☆
 $0 $4,500 N/A H8142-006-0
BSW SeniorCare Advantage Premium Rx
☆☆☆☆☆
 $258 $5,000 $250 H8142-003-0
BSW SeniorCare Advantage Select
☆☆☆☆☆
 $0 $6,400 N/A H8142-004-0
BSW SeniorCare Advantage Select Rx
☆☆☆☆☆
 $0 $7,150 $500 H8142-001-0
AARP Medicare Advantage CareFlex from UHC TX-47
☆☆☆☆☆
 $0 $7,150 $685 H4527-053-0
AARP Medicare Advantage Essentials from UHC TX-12
☆☆☆☆☆
 $0 $7,150 $685 H4527-002-0
AARP Medicare Advantage from UHC TX-46
☆☆☆☆☆
 $31 $5,500 $355 H4527-052-0
AARP Medicare Advantage Patriot No Rx TX-MA01
☆☆☆☆☆
 $0 $7,150 N/A H4527-024-0
What is the total number of HMO-POS plans in Falls?

In 2027, Falls has 10 HMO-POS plans with 1,246 enrollees.

How much do HMO-POS plans cost in Falls?

The typical HMO-POS premium in Falls is $44.10, and 7 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
1
Average Monthly Premium
$0.00/mo
Total PFFS Enrollment
0
$0 Premium PFFS Plans
1
Average MOOP
$9,850
Top PFFS by Enrollment
— 0 enrollees
PFFS Plans Without Drug Coverage
1

Comparison table of 2027 PFFS Medicare Advantage Plans available in Falls County, Texas
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Humana Gold Choice H8145-126
☆☆☆☆☆
 $0 $9,850 N/A H8145-126-0
What is the average monthly premium for PFFS plans?
PFFS plans in Falls cost $0.00 per month on average.
Which PFFS plan is most popular in Falls?
The most popular PFFS plan in Falls is , with 0 enrollees.
How many PFFS plans in Falls do not include drug coverage?
There are 1 PFFS plans in Falls without prescription drug coverage.

Below is a breakdown of CMS star ratings for Medicare Advantage plans available in Falls County, TX for 2027.

CMS Star Ratings for Medicare Advantage Plans in Falls County, TX (2027)
Rating Category Number of Plans Percent of Plans
5 Stars No 5-star plans available. 0%
4 Stars (includes 5 Stars) 16 73%
3 Stars 6 27%
Below 3 Stars 0 0%
Not Rated 0 0%
Average Rating 4.02

* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.

Primary CMS datasets used for this Medicare Advantage Plan county resource.
Data Source Publisher CMS Version
Landscape Source Files Centers for Medicare & Medicaid Services CY2027 Landscape (202609.1)
Medicare Part C & D Performance Centers for Medicare & Medicaid Services 2027 Star Ratings Data Tables
Plan Benefits Package Centers for Medicare & Medicaid Services PBP Benefits-2027
Monthly Enrollment by Contract/Plan/State/County Centers for Medicare & Medicaid Services 2026-09

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.

Secondary Medicare references and explanatory resources.
Publisher Reference Last Accessed
CMS.gov Medicare Advantage Plan Fact Sheet 25 May, 2025
Medicare.gov Your coverage options 25 May, 2025
Medicare.gov Joining a plan 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 .