2026 Medicare Advantage Plans in Hill County, TX
Last update: . Enrollment data updated: May 2, 2026
In Hill County, TX, there are 31 Medicare Advantage plans available for 2026. Of these, 18 offer a $0 monthly premium, and about 55% 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 Hill County, TX. Or explore all Medicare Options available in Hill 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 18
- Average Monthly Premium $36.44/mo
- Total PPO Enrollment 1,434
- $0 Premium PPO Plans 10
- Average MOOP $7,256
- Top PPO by Enrollment Humana Essentials Plus Giveback H5216-358 (PPO) — 331 enrollees
- PPO Plans Without Drug Coverage 4
What is the total number of PPO plans offered in Hill?
There are 18 PPO plans in 2026, covering 1,434 beneficiaries.
How much do PPO plans cost in Hill?
The average PPO premium in Hill is $36.44 per month, with 10 plans offering $0 premiums.
What is the most popular PPO plan in Hill?
Humana Essentials Plus Giveback H5216-358 (PPO) is the top PPO in Hill, with 331 enrollees.
What is the number of PPO plans without Part D coverage in Hill?
There are 4 PPO plans in Hill 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.
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage CareFlex from UHC TX-47 | $0 | $6,700 | $600 | H4527-053-0 | |
| AARP Medicare Advantage Essentials from UHC TX-12 | $0 | $5,900 | $355 | H4527-002-0 | |
| AARP Medicare Advantage from UHC TX-46 | $21 | $5,500 | $355 | H4527-052-0 | |
| AARP Medicare Advantage Patriot No Rx TX-MA01 | $0 | $6,700 | N/A | H4527-024-0 | |
| BSW SeniorCare Advantage Essentials | $5 | $5,800 | $615 | H8142-009-0 | |
| BSW SeniorCare Advantage Preferred | $0 | $4,500 | N/A | H8142-005-0 | |
| BSW SeniorCare Advantage Preferred Rx | $143 | $4,600 | $0 | H8142-002-0 | |
| BSW SeniorCare Advantage Premium | $0 | $4,500 | N/A | H8142-006-0 | |
| BSW SeniorCare Advantage Premium Rx | $255 | $4,800 | $0 | H8142-003-0 | |
| BSW SeniorCare Advantage Select | $0 | $5,900 | N/A | H8142-004-0 | |
| BSW SeniorCare Advantage Select Rx | $0 | $5,800 | $250 | H8142-001-0 |
What is the leading HMO-POS plan in Hill?
AARP Medicare Advantage Essentials from UHC TX-12 (HMO-POS) is the top HMO-POS in Hill, with 1,271 enrollees.
What is the number of HMO-POS plans without Part D coverage in Hill?
4 HMO-POS plans in Hill 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
- 31
- $0 Premium PFFS Plans
- 1
- Average MOOP
- $6,725
- Top PFFS by Enrollment
- Humana Gold Choice H8145-084 (PFFS) — 31 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 typical premium for PFFS plans in Hill?
PFFS plans in Hill cost $14.50 per month on average.
Which PFFS plan has the most enrollment in Hill?
The most popular PFFS plan in Hill is Humana Gold Choice H8145-084 (PFFS), with 31 enrollees.
How many PFFS options are available without prescription drug coverage in Hill?
There are 1 PFFS plans in Hill without prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Hill 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) | 17 | 55% |
| 3 Stars | 14 | 45% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.84 | |
* 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 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
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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