- Entity
- county:texas-hidalgo-48215
- Digest
- 2027-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/texas/hidalgo/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 35
- PPO Plans
- 17
- HMO Plans
- 12
- HMO-POS Plans
- 5
- PFFS Plans
- 1
- Average Monthly Premium
- 13.49
- Average MOOP
- 6431.86
- Average Part D Deductible
- 483.33
- $0 Premium Plans
- 26
- Plans Without Part D Coverage
- 8
- Average CMS Star Rating
- 3.8
- $0 Premium Plan Share
- 74.29
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 54
- 3-Star Plan Share
- 46
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 24.65
- PPO Average MOOP
- 7294.12
- PPO Enrollment
- 7555
- PPO $0 Premium Plans
- 10
- PPO Plans Without Part D Coverage
- 5
- HMO Average Monthly Premium
- 2
- HMO Average MOOP
- 5088.75
- HMO Enrollment
- 26748
- HMO $0 Premium Plans
- 11
- HMO Plans Without Part D Coverage
- 1
- HMO-POS Average Monthly Premium
- 5.8
- HMO-POS Average MOOP
- 6040
- HMO-POS Enrollment
- 6596
- HMO-POS $0 Premium Plans
- 4
- HMO-POS Plans Without Part D Coverage
- 1
- PFFS Average Monthly Premium
- 0
- PFFS Average MOOP
- 9850
- PFFS Enrollment
- 99
- PFFS $0 Premium Plans
- 1
- PFFS Plans Without Part D Coverage
- 1
- Entity
- county:texas-hidalgo-48215
- Digest
- 2027-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/texas/hidalgo/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-texas-hidalgo-48215-landscape-stats
- Plans Indexed
- 35
- Standard Medicare Advantage Plans
-
-
Humana Essentials Plus Giveback
H7617-041-0 -
Humana Gold Plus H0028-046
H0028-046-0 -
Humana Gold Plus H4461-053
H4461-053-0 -
Humana Total Complete
H4461-052-0 -
Humana USAA Honor Giveback
H7617-062-0 -
Humana Value Choice
H7617-123-0 -
HumanaChoice H7617-059
H7617-059-0 -
AARP Medicare Advantage Essentials from UHC TX-14
H4527-013-0 -
AARP Medicare Advantage Extras from UHC TX-50
H4527-055-0 -
AARP Medicare Advantage from UHC TX-51
H4527-058-0 -
AARP Medicare Advantage Giveback from UHC TX-38
H4527-051-0 -
AARP Medicare Advantage Patriot No Rx TX-MA01
H4527-024-0 -
Humana Gold Choice H8145-126
H8145-126-0 -
Humana USAA Honor Giveback
H5216-348-0 -
HumanaChoice Giveback H5216-350
H5216-350-0 -
HumanaChoice H5216-043
H5216-043-1 -
Prominence Extra Help
H7680-009-0 -
Prominence Giveback
H7680-014-0 -
Prominence Plus
H7680-002-0 -
Aetna Medicare Eagle
H3288-051-0 -
Aetna Medicare Enhanced
H3288-009-0 -
Aetna Medicare Signature Extra
H2293-017-0 -
HealthSpring Courage
H4513-009-0 -
HealthSpring Preferred
H4513-061-2 -
HealthSpring Preferred Extra Savings
H4513-092-0 -
HealthSpring Preferred Savings
H4513-083-2 -
HumanaChoice R4182-001
R4182-001-0 -
HumanaChoice R4182-003
R4182-003-0 -
HumanaChoice R4182-004
R4182-004-0 -
Wellcare Simple Value
H5294-026-0 -
AARP Medicare Advantage from UHC TX-0004
H1278-010-0 -
AARP Medicare Advantage from UHC TX-61
R6801-012-0 -
AARP Medicare Advantage Patriot No Rx TX-MA05
H1278-027-0 -
Aetna Medicare Signature Care
H4523-027-0 -
HealthSpring True Choice
H7849-154-0
-
Humana Essentials Plus Giveback
- Total Standard Medicare Advantage Enrollment
- 40998
2027 Medicare Advantage Plans in Hidalgo County, TX
Last update: .
For 2027, Hidalgo County, TX includes 35 Medicare Advantage plans. Enrollment across these plans totals approximately 40,998, with 26 $0 premium options and 54% rated 4 stars or higher.
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
- 17
- Average Monthly Premium
- $24.65/mo
- Total PPO Enrollment
- 7,555
- $0 Premium PPO Plans
- 10
- Average MOOP
- $7,294
- Top PPO by Enrollment
- Humana Essentials Plus Giveback (PPO) — 2,508 enrollees
- PPO Plans Without Drug Coverage
- 5
- What is the average monthly premium for PPO plans in Hidalgo?
- PPO plans in Hidalgo cost $24.65 per month on average.
- Which PPO plan has the highest enrollment in Hidalgo?
- The most popular PPO plan in Hidalgo is Humana Essentials Plus Giveback (PPO), with 2,508 enrollees.
- How many PPO plans in Hidalgo do not include prescription drug coverage?
- 5 PPO plans in Hidalgo do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans are built around a defined network of doctors and hospitals. Care is generally covered only within the network, except in emergencies, but this structure often results in lower premiums and out-of-pocket costs.
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| Humana Gold Plus H0028-046 | $0 | $3,995 | $700 | H0028-046-0 | |
| Humana Gold Plus H4461-053 | $24 | $3,400 | $700 | H4461-053-0 | |
| Humana Total Complete | $0 | $3,995 | $700 | H4461-052-0 | |
| Prominence Extra Help | $0 | $3,400 | $300 | H7680-009-0 | |
| Prominence Giveback | $0 | $7,500 | $0 | H7680-014-0 | |
| Prominence Plus | $0 | $3,000 | $0 | H7680-002-0 | |
| HealthSpring Courage | $0 | $4,300 | N/A | H4513-009-0 | |
| HealthSpring Preferred | $0 | $3,250 | $500 | H4513-061-2 | |
| HealthSpring Preferred Extra Savings | $0 | $7,150 | $300 | H4513-092-0 | |
| HealthSpring Preferred Savings | $0 | $6,775 | $300 | H4513-083-2 | |
| Wellcare Simple Value | $0 | $9,850 | $700 | H5294-026-0 | |
| Aetna Medicare Signature Care | $0 | $4,450 | $400 | H4523-027-0 |
What is the total number of HMO plans offered in Hidalgo?
There are 12 HMO plans in 2027, covering 26,748 enrollees.
How much do HMO plans cost in Hidalgo?
The average HMO premium in Hidalgo is $2.00 per month, with 11 plans offering $0 premiums.
What is the top HMO by enrollment in Hidalgo?
HealthSpring Preferred (HMO) is the top HMO in Hidalgo, with 10,673 enrollees.
What is the number of HMO plans without Part D coverage in Hidalgo?
1 HMO plans in Hidalgo 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
- $5.80/mo
- Total HMO-POS Enrollment
- 6,596
- $0 Premium HMO-POS Plans
- 4
- Average MOOP
- $6,040
- Top HMO-POS by Enrollment
- AARP Medicare Advantage Essentials from UHC TX-14 (HMO-POS) — 5,893 enrollees
- HMO-POS Plans Without Drug Coverage
- 1
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage Essentials from UHC TX-14 | $0 | $3,900 | $595 | H4527-013-0 | |
| AARP Medicare Advantage Extras from UHC TX-50 | $0 | $5,400 | $235 | H4527-055-0 | |
| AARP Medicare Advantage from UHC TX-51 | $29 | $3,900 | $595 | H4527-058-0 | |
| AARP Medicare Advantage Giveback from UHC TX-38 | $0 | $9,850 | $140 | H4527-051-0 | |
| AARP Medicare Advantage Patriot No Rx TX-MA01 | $0 | $7,150 | N/A | H4527-024-0 |
What is the average monthly premium for HMO-POS plans?
HMO-POS plans in Hidalgo cost $5.80 per month on average.
Which HMO-POS plan is most popular in Hidalgo?
The most popular HMO-POS plan in Hidalgo is AARP Medicare Advantage Essentials from UHC TX-14 (HMO-POS), with 5,893 enrollees.
How many HMO-POS plans in Hidalgo do not include drug coverage?
There are 1 HMO-POS plans in Hidalgo without prescription drug coverage.
Medicare Advantage PFFS Plans
Private Fee-for-Service (PFFS) plans allow members to visit any Medicare-approved provider that accepts the plan’s payment terms. This provides flexibility in choosing doctors and hospitals, but provider acceptance should be confirmed before receiving care.
- Total PFFS Plans 1
- Average Monthly Premium $0.00/mo
- Total PFFS Enrollment 99
- $0 Premium PFFS Plans 1
- Average MOOP $9,850
- Top PFFS by Enrollment Humana Gold Choice H8145-126 (PFFS) — 99 enrollees
- PFFS Plans Without Drug Coverage 1
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| Humana Gold Choice H8145-126 | $0 | $9,850 | N/A | H8145-126-0 |
What is the top PFFS plan in Hidalgo?
Humana Gold Choice H8145-126 (PFFS) is the top PFFS in Hidalgo, with 99 enrollees.
What is the number of PFFS plans without Part D coverage in Hidalgo?
1 PFFS plans in Hidalgo do not include prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Hidalgo County, TX (2027) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 19 | 54% |
| 3 Stars | 16 | 46% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.8 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
Medicare Advantage plans listed on this page are available to eligible beneficiaries residing in Hidalgo County, Texas, including communities such as McAllen, Alamo, Donna, Edcouch, Edinburg, Elsa, Hidalgo, La Joya, La Villa, Mercedes, Mission, Penitas, Pharr, Progreso, San Juan, Sullivan City, Weslaco, and other areas throughout the county. Plan availability is determined by county of residence, not by city.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202609
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-09
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
MedicarePlans.com is an independent informational resource and has no affiliation with, or endorsement from, the U.S. Government or the federal Medicare program.
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.