2026 Medicare Advantage Plans in Hamilton County, TX
Last update: . Enrollment data updated: June 13, 2026
In Hamilton County, TX, there are 31 Medicare Advantage plans available for 2026. Of these, 21 offer a $0 monthly premium, and about 58% are rated 4 stars or higher based on CMS quality ratings.
Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Hamilton County, TX. Or explore all Medicare Options available in Hamilton 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 16
- Average Monthly Premium $25.88/mo
- Total PPO Enrollment 217
- $0 Premium PPO Plans 11
- Average MOOP $7,134
- Top PPO by Enrollment AARP Medicare Advantage from UHC TX-0005 (PPO) — 64 enrollees
- PPO Plans Without Drug Coverage 5
What is the total number of PPO plans offered in Hamilton?
There are 16 PPO plans in 2026, covering 217 beneficiaries.
How much do PPO plans cost in Hamilton?
The average PPO premium in Hamilton is $25.88 per month, with 11 plans offering $0 premiums.
What is the most popular PPO plan in Hamilton?
AARP Medicare Advantage from UHC TX-0005 (PPO) is the top PPO in Hamilton, with 64 enrollees.
What is the number of PPO plans without Part D coverage in Hamilton?
There are 5 PPO plans in Hamilton without prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network rules with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.
What is the leading HMO-POS plan in Hamilton?
BSW SeniorCare Advantage Select Rx (HMO-POS) is the top HMO-POS in Hamilton, with 118 enrollees.
What is the number of HMO-POS plans without Part D coverage in Hamilton?
4 HMO-POS plans in Hamilton do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Hamilton County, TX for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 18 | 58% |
| 3 Stars | 13 | 42% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.87 | |
* 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 .
- Medicare.gov, "Compare types of Medicare Advantage Plans" — 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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