- Entity
- county:texas-jefferson-48245
- 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/jefferson/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 52
- PPO Plans
- 24
- HMO Plans
- 20
- HMO-POS Plans
- 6
- PFFS Plans
- 2
- Average Monthly Premium
- 14.12
- Average MOOP
- 6000.96
- Average Part D Deductible
- 474.63
- $0 Premium Plans
- 39
- Plans Without Part D Coverage
- 11
- Average CMS Star Rating
- 3.82
- $0 Premium Plan Share
- 75
- 5-Star Plan Share
- 8
- 4+ Star Plan Share
- 46
- 3-Star Plan Share
- 54
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 28.99
- PPO Average MOOP
- 7127.08
- PPO Enrollment
- 3837
- PPO $0 Premium Plans
- 14
- PPO Plans Without Part D Coverage
- 6
- HMO Average Monthly Premium
- 0.48
- HMO Average MOOP
- 4685
- HMO Enrollment
- 8786
- HMO $0 Premium Plans
- 18
- HMO Plans Without Part D Coverage
- 2
- HMO-POS Average Monthly Premium
- 0
- HMO-POS Average MOOP
- 5641.67
- HMO-POS Enrollment
- 3950
- HMO-POS $0 Premium Plans
- 6
- HMO-POS Plans Without Part D Coverage
- 2
- PFFS Average Monthly Premium
- 14.5
- PFFS Average MOOP
- 6725
- PFFS Enrollment
- 199
- PFFS $0 Premium Plans
- 1
- PFFS Plans Without Part D Coverage
- 1
- Entity
- county:texas-jefferson-48245
- 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/jefferson/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-texas-jefferson-48245-landscape-stats
- Plans Indexed
- 52
- Standard Medicare Advantage Plans
-
-
DEVOTED CORE 001 TX
H7993-001-0 -
DEVOTED CORE 019 TX
H7993-019-0 -
DEVOTED GIVEBACK 006 TX
H7993-006-0 -
DEVOTED PREMIUM 002 TX
H7993-002-0 -
AARP Medicare Advantage from UHC TX-0015
H4527-037-0 -
AARP Medicare Advantage Patriot No Rx TX-MA01
H4527-024-0 -
Humana Essentials Plus Giveback H7617-035
H7617-035-0 -
Humana USAA Honor Giveback
H7617-062-0 -
Humana Value Choice H7617-057
H7617-057-0 -
HumanaChoice H7617-059
H7617-059-0 -
AARP Medicare Advantage from UHC TX-0009
H4514-007-0 -
Aetna Medicare Signature Extra
H4523-015-0 -
HealthSpring Alliance
H4513-064-0 -
HealthSpring Courage
H4513-009-0 -
HealthSpring Preferred
H4513-061-1 -
HealthSpring Preferred Full Savings
H4513-091-0 -
HealthSpring Preferred Savings
H4513-083-1 -
Humana Gold Plus H4461-057
H4461-057-0 -
Humana Total Complete H4461-049
H4461-049-0 -
Wellcare Assist
H0174-009-0 -
Wellcare Giveback
H0174-019-0 -
Wellcare Simple
H0174-010-0 -
Wellcare TexanPlus Classic Simple
H4506-003-0 -
Wellcare TexanPlus Patriot Giveback
H4506-010-0 -
AARP Medicare Advantage from UHC TX-0006
H1278-014-0 -
AARP Medicare Advantage Giveback from UHC TX-31
H1278-021-0 -
AARP Medicare Advantage Patriot No Rx TX-MA05
H1278-027-0 -
Aetna Medicare Eagle
H3288-051-0 -
Aetna Medicare Signature
H3288-006-0 -
Aetna Medicare Value Plus
H3288-018-0 -
CHRISTUS Health Medicare Guardian
H1189-008-0 -
CHRISTUS Health Medicare Plus
H1189-010-0 -
Humana Essentials Plus Giveback H5216-358
H5216-358-0 -
Humana Gold Choice H8145-084
H8145-084-0 -
Humana Gold Choice H8145-126
H8145-126-0 -
Humana Gold Plus H0028-042
H0028-042-0 -
Humana Gold Plus H0028-072
H0028-072-0 -
Humana USAA Honor Giveback
H5216-128-0 -
Humana USAA Honor Giveback
H5216-348-0 -
HumanaChoice H5216-042
H5216-042-0 -
HumanaChoice H5216-043
H5216-043-1 -
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 Simple Open
H7323-012-0 -
Wellpoint Medicare Advantage 2
H2593-029-0 -
Blue Cross Medicare Advantage Basic
H8133-001-0 -
Blue Cross Medicare Advantage Choice Premier
H1666-003-0 -
Blue Cross Medicare Advantage Optimum
H1666-022-0 -
Blue Cross Medicare Advantage Preferred
H8634-033-0 -
HealthSpring True Choice
H7849-154-0
-
DEVOTED CORE 001 TX
- Total Standard Medicare Advantage Enrollment
- 16772
2026 Medicare Advantage Plans in Jefferson County, TX
Last update: .
For 2026, Jefferson County, TX includes 52 Medicare Advantage plans. Enrollment across these plans totals approximately 16,772, with 39 $0 premium options and 46% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Jefferson County, TX are summarized separately. Visit Medicare Options in Jefferson County, TX to see more options.
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
- $28.99/mo
- Total PPO Enrollment
- 3,837
- $0 Premium PPO Plans
- 14
- Average MOOP
- $7,127
- Top PPO by Enrollment
- Humana Essentials Plus Giveback H7617-035 (PPO) — 554 enrollees
- PPO Plans Without Drug Coverage
- 6
What is the average monthly premium for PPO plans in Jefferson?
PPO plans in Jefferson cost $28.99 per month on average.
Which PPO plan has the highest enrollment in Jefferson?
The most popular PPO plan in Jefferson is Humana Essentials Plus Giveback H7617-035 (PPO), with 554 enrollees.
How many PPO plans in Jefferson do not include prescription drug coverage?
6 PPO plans in Jefferson 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 20
- Average Monthly Premium $0.48/mo
- Total HMO Enrollment 8,786
- $0 Premium HMO Plans 18
- Average MOOP $4,685
- Top HMO by Enrollment Humana Gold Plus H0028-072 (HMO) — 1,510 enrollees
- HMO Plans Without Drug Coverage 2
What is the top HMO by enrollment in Jefferson?
Humana Gold Plus H0028-072 (HMO) is the top HMO in Jefferson, with 1,510 enrollees.
What is the number of HMO plans without Part D coverage in Jefferson?
2 HMO plans in Jefferson 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
- 6
- Average Monthly Premium
- $0.00/mo
- Total HMO-POS Enrollment
- 3,950
- $0 Premium HMO-POS Plans
- 6
- Average MOOP
- $5,642
- Top HMO-POS by Enrollment
- Wellcare TexanPlus Classic Simple (HMO-POS) — 1,971 enrollees
- HMO-POS Plans Without Drug Coverage
- 2
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC TX-0015 | $0 | $4,800 | $520 | H4527-037-0 | |
| AARP Medicare Advantage Patriot No Rx TX-MA01 | $0 | $6,700 | N/A | H4527-024-0 | |
| AARP Medicare Advantage from UHC TX-0009 | $0 | $6,700 | $520 | H4514-007-0 | |
| Wellcare TexanPlus Classic Simple | $0 | $3,400 | $615 | H4506-003-0 | |
| Wellcare TexanPlus Patriot Giveback | $0 | $3,000 | N/A | H4506-010-0 | |
| Wellpoint Medicare Advantage 2 | $0 | $9,250 | $300 | H2593-029-0 |
What is the typical premium for HMO-POS plans in Jefferson?
HMO-POS plans in Jefferson cost $0.00 per month on average.
Which HMO-POS plan has the most members in Jefferson?
The most popular HMO-POS plan in Jefferson is Wellcare TexanPlus Classic Simple (HMO-POS), with 1,971 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Jefferson?
There are 2 HMO-POS plans in Jefferson without prescription drug coverage.
Medicare Advantage PFFS Plans
PFFS, or Private Fee-for-Service plans, allow access to any Medicare-approved doctor or hospital that accepts the plan’s terms. They provide wide flexibility in choosing providers, but it’s essential to verify that your preferred healthcare professionals agree to the plan’s payment rules before scheduling care.
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | 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 total number of PFFS plans in Jefferson?
In 2026, Jefferson has 2 PFFS plans with 199 enrollees.
How much do PFFS plans cost in Jefferson?
The typical PFFS premium in Jefferson is $14.50, and 1 plans have no monthly premium.
CMS quality ratings for Medicare Advantage plans in Jefferson County, TX (2026) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | 4 | 8% |
| 4 Stars (includes 5 Stars) | 24 | 46% |
| 3 Stars | 28 | 54% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.82 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- 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
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, non-government informational resource and is not affiliated with or endorsed by 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.