- Entity
- county:texas-hidalgo-48215
- Digest
- 2026-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
- 47
- PPO Plans
- 23
- HMO Plans
- 17
- HMO-POS Plans
- 5
- PFFS Plans
- 2
- Average Monthly Premium
- 15.51
- Average MOOP
- 5769.68
- Average Part D Deductible
- 406.7
- $0 Premium Plans
- 34
- Plans Without Part D Coverage
- 10
- Average CMS Star Rating
- 3.8
- $0 Premium Plan Share
- 72.34
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 45
- 3-Star Plan Share
- 55
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 28.57
- PPO Average MOOP
- 6908.7
- PPO Enrollment
- 8628
- PPO $0 Premium Plans
- 14
- PPO Plans Without Part D Coverage
- 6
- HMO Average Monthly Premium
- 1.11
- HMO Average MOOP
- 4283.82
- HMO Enrollment
- 28360
- HMO $0 Premium Plans
- 15
- HMO Plans Without Part D Coverage
- 2
- HMO-POS Average Monthly Premium
- 4.8
- HMO-POS Average MOOP
- 5200
- HMO-POS Enrollment
- 6586
- HMO-POS $0 Premium Plans
- 4
- HMO-POS Plans Without Part D Coverage
- 1
- PFFS Average Monthly Premium
- 14.5
- PFFS Average MOOP
- 6725
- PFFS Enrollment
- 120
- PFFS $0 Premium Plans
- 1
- PFFS Plans Without Part D Coverage
- 1
- Entity
- county:texas-hidalgo-48215
- Digest
- 2026-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
- 47
- Standard Medicare Advantage Plans
-
-
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 USAA Honor Giveback
H7617-062-0 -
HumanaChoice Giveback H7617-041
H7617-041-0 -
HumanaChoice H7617-040
H7617-040-0 -
HumanaChoice H7617-059
H7617-059-0 -
Prominence Beyond
H7680-011-0 -
Prominence Extra Help
H7680-009-0 -
Prominence Giveback
H7680-014-0 -
Prominence Plus
H7680-002-0 -
Aetna Medicare Signature
H2293-017-0 -
Aetna Medicare Signature Care
H4523-027-0 -
HealthSpring Courage
H4513-009-0 -
HealthSpring Preferred
H4513-061-2 -
HealthSpring Preferred Full Savings
H4513-092-0 -
HealthSpring Preferred Savings
H4513-083-2 -
Humana Gold Plus H4461-052
H4461-052-0 -
Humana Gold Plus H4461-053
H4461-053-0 -
AARP Medicare Advantage from UHC TX-0004
H1278-010-0 -
AARP Medicare Advantage Patriot No Rx TX-MA05
H1278-027-0 -
Aetna Medicare Eagle
H3288-051-0 -
Aetna Medicare Enhanced
H3288-009-0 -
Humana Gold Choice H8145-084
H8145-084-0 -
Humana Gold Choice H8145-126
H8145-126-0 -
Humana Gold Plus H0028-046
H0028-046-0 -
Humana USAA Honor Giveback
H5216-348-0 -
Humana USAA Honor Giveback
H5216-128-0 -
HumanaChoice Giveback H5216-350
H5216-350-0 -
HumanaChoice H5216-043
H5216-043-1 -
HumanaChoice H5216-360
H5216-360-0 -
HumanaChoice R4182-001
R4182-001-0 -
HumanaChoice R4182-003
R4182-003-0 -
HumanaChoice R4182-004
R4182-004-0 -
UHC Medicare Advantage TX-0030
R6801-012-0 -
Wellcare Assist
H5294-013-0 -
Wellcare Patriot Simple
H5294-014-0 -
Wellcare Simple
H5294-011-0 -
Wellcare Simple Open
H7323-007-0 -
Blue Cross Medicare Advantage Balance
H1666-023-0 -
Blue Cross Medicare Advantage Basic
H8133-005-0 -
Blue Cross Medicare Advantage Core
H8554-001-0 -
Blue Cross Medicare Advantage Optimum
H1666-024-0 -
Blue Cross Medicare Advantage Preferred
H8634-033-0 -
HealthSpring True Choice
H7849-154-0
-
AARP Medicare Advantage Essentials from UHC TX-14
- Total Standard Medicare Advantage Enrollment
- 43694
2026 Medicare Advantage Plans in Hidalgo County, TX
Last update: .
In Hidalgo County, TX, there are 47 Medicare Advantage plans available for 2026. Of these, 34 offer a $0 monthly premium, and about 45% 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 Hidalgo County, TX. Or explore all Medicare Options available in Hidalgo County, TX.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to use both in-network and out-of-network providers. Out-of-network care typically costs more, but PPOs offer greater flexibility in how care is accessed.
What is the total number of PPO plans offered in Hidalgo?
Hidalgo County has 23 PPO plans for 2026, with 8,628 enrolled.
How much do PPO plans cost in Hidalgo?
The typical PPO premium in Hidalgo is $28.57, and 14 plans have no monthly premium.
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
- 17
- Average Monthly Premium
- $1.11/mo
- Total HMO Enrollment
- 28,360
- $0 Premium HMO Plans
- 15
- Average MOOP
- $4,284
- Top HMO by Enrollment
- HealthSpring Preferred (HMO) — 10,648 enrollees
- HMO Plans Without Drug Coverage
- 2
- What is the average monthly premium for HMO plans?
- HMO plans in Hidalgo cost $1.11 per month on average.
- Which HMO plan is most popular in Hidalgo?
- The most popular HMO plan in Hidalgo is HealthSpring Preferred (HMO), with 10,648 enrollees.
- How many HMO plans in Hidalgo do not include drug coverage?
- There are 2 HMO plans in Hidalgo 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 5
- Average Monthly Premium $4.80/mo
- Total HMO-POS Enrollment 6,586
- $0 Premium HMO-POS Plans 4
- Average MOOP $5,200
- Top HMO-POS by Enrollment AARP Medicare Advantage Essentials from UHC TX-14 (HMO-POS) — 5,925 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 Essentials from UHC TX-14 | $0 | $3,600 | $355 | H4527-013-0 | |
| AARP Medicare Advantage Extras from UHC TX-50 | $0 | $4,200 | $440 | H4527-055-0 | |
| AARP Medicare Advantage from UHC TX-51 | $24 | $3,600 | $355 | H4527-058-0 | |
| AARP Medicare Advantage Giveback from UHC TX-38 | $0 | $7,900 | $203 | H4527-051-0 | |
| AARP Medicare Advantage Patriot No Rx TX-MA01 | $0 | $6,700 | N/A | H4527-024-0 |
What is the total number of HMO-POS plans in Hidalgo?
There are 5 HMO-POS plans in 2026, covering 6,586 enrollees.
How much do HMO-POS plans cost in Hidalgo?
The average HMO-POS premium in Hidalgo is $4.80 per month, with 4 plans offering $0 premiums.
What is the leading HMO-POS plan in Hidalgo?
AARP Medicare Advantage Essentials from UHC TX-14 (HMO-POS) is the top HMO-POS in Hidalgo, with 5,925 enrollees.
What is the number of HMO-POS plans without Part D coverage in Hidalgo?
1 HMO-POS plans in Hidalgo do not include prescription drug coverage.
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
- 120
- $0 Premium PFFS Plans
- 1
- Average MOOP
- $6,725
- Top PFFS by Enrollment
- Humana Gold Choice H8145-126 (PFFS) — 99 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 Hidalgo cost $14.50 per month on average.
Which PFFS plan is most popular in Hidalgo?
The most popular PFFS plan in Hidalgo is Humana Gold Choice H8145-126 (PFFS), with 99 enrollees.
How many PFFS plans in Hidalgo do not include drug coverage?
There are 1 PFFS plans in Hidalgo without prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Hidalgo 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) | 21 | 45% |
| 3 Stars | 26 | 55% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.8 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202608
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-08
This page presents county-level Medicare Advantage (MA/MAPD) data, including plan counts, enrollment totals, averages, and percentage distributions, derived from CMS datasets using a standardized aggregation approach.
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
- AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — Last accessed 25 May, 2025
MedicarePlans.com is an independent, non-government informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.
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.