2026 Medicare Advantage Plans in Guadalupe County, TX
Last update: . Enrollment data updated: May 2, 2026
For 2026, Guadalupe County, TX includes 49 Medicare Advantage plans. Enrollment across these plans totals approximately 10,095, with 36 $0 premium options and 49% rated 4 stars or higher.
Totals on this page exclude Medicare Advantage Special Needs Plans (SNPs). SNP plans for Guadalupe County, TX are provided separately. Or you can discover all Medicare Options in Guadalupe 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
- 24
- Average Monthly Premium
- $23.62/mo
- Total PPO Enrollment
- 4,310
- $0 Premium PPO Plans
- 15
- Average MOOP
- $6,838
- Top PPO by Enrollment
- HumanaChoice H5216-360 (PPO) — 947 enrollees
- PPO Plans Without Drug Coverage
- 7
What is the typical premium for PPO plans available in Guadalupe?
PPO plans in Guadalupe cost $23.62 per month on average.
Which PPO plan do most beneficiaries choose in Guadalupe?
The most popular PPO plan in Guadalupe is HumanaChoice H5216-360 (PPO), with 947 enrollees.
How many PPO options are offered without drug coverage in Guadalupe?
7 PPO plans in Guadalupe 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 18
- Average Monthly Premium $1.82/mo
- Total HMO Enrollment 2,849
- $0 Premium HMO Plans 15
- Average MOOP $4,703
- Top HMO by Enrollment Humana Gold Plus H0028-030 (HMO) — 1,124 enrollees
- HMO Plans Without Drug Coverage 4
What is the total number of HMO plans offered in Guadalupe?
In 2026, Guadalupe County has 18 HMO plans with 2,849 enrollees.
How much do HMO plans cost in Guadalupe?
The typical HMO premium in Guadalupe is $1.82, and 15 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
- 2,936
- $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) — 1,497 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 Guadalupe cost $3.86 per month on average.
- Which HMO-POS plan is most popular in Guadalupe?
- The most popular HMO-POS plan in Guadalupe is AARP Medicare Advantage Essentials from UHC TX-21 (HMO-POS), with 1,497 enrollees.
- How many HMO-POS plans in Guadalupe do not include drug coverage?
- There are 1 HMO-POS plans in Guadalupe without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Guadalupe County, TX (2026) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | 4 | 8% |
| 4 Stars (includes 5 Stars) | 24 | 49% |
| 3 Stars | 25 | 51% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.91 | |
* 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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