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2027 Medicare Advantage Plans in Jefferson County, TX

Last update: .

Jefferson County, TX has 38 Medicare Advantage plans available in 2027. These include 30 plans with no monthly premium, and roughly 58% are rated at least 4 stars based on CMS data.

At a Glance

Average Monthly Premium: $10.53/mo
$0 Premium Plans: 30
Average MOOP: $6,366 ($9,250 max. in 2027)
Star Ratings (Plan Mix): 4+ Stars: 58% · 3 Stars: 42% · Below 3: 0%
Average Part D Deductible: $542.94
Total MA/MAPD Enrollment: 15,299
Plans with the Highest Enrollment
(as of October 5, 2026)
1. Wellcare TexanPlus Classic Simple (HMO-POS) — 1,954 enrollees
2. AARP Medicare Advantage from UHC TX-0015 (HMO-POS) — 1,830 enrollees
3. Humana Gold Plus H0028-072 (HMO) — 1,494 enrollees

Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Jefferson County, TX. Or explore all Medicare Options available in Jefferson County, TX. To understand how local plans fit into the broader market, visit our Texas Medicare Advantage plan directory for statewide plan counts, premiums, out-of-pocket limits, CMS ratings, and enrollment data.

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 $24.71/mo
  • Total PPO Enrollment 3,069
  • $0 Premium PPO Plans 9
  • Average MOOP $7,475
  • Top PPO by Enrollment Humana Essentials Plus Giveback (PPO) — 553 enrollees
  • PPO Plans Without Drug Coverage 4

Comparison table of 2027 PPO Medicare Advantage Plans available in Jefferson County, Texas
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Humana Essentials Plus Giveback
☆☆☆☆☆
 $0 $8,300 $50 H7617-035-0
Humana USAA Honor Giveback
☆☆☆☆☆
 $0 $7,900 N/A H7617-062-0
Humana Value Choice
☆☆☆☆☆
 $0 $6,800 $700 H7617-057-0
HumanaChoice H7617-059
☆☆☆☆☆
 $23 $7,700 $700 H7617-059-0
Humana USAA Honor Giveback
☆☆☆☆☆
 $0 $7,900 N/A H5216-348-0
HumanaChoice Giveback H5216-358
☆☆☆☆☆
 $0 $8,300 $50 H5216-358-0
HumanaChoice H5216-042
☆☆☆☆☆
 $62 $6,750 $700 H5216-042-0
HumanaChoice H5216-043
☆☆☆☆☆
 $20 $7,700 $700 H5216-043-1
Aetna Medicare Eagle
☆☆☆☆☆
 $0 $4,900 N/A H3288-051-0
Aetna Medicare Signature Extra
☆☆☆☆☆
 $0 $7,150 $700 H3288-006-0
Aetna Medicare Value Plus
☆☆☆☆☆
 $6 $7,150 $700 H3288-018-0
HumanaChoice R4182-001
☆☆☆☆☆
 $0 $6,000 N/A R4182-001-0
HumanaChoice R4182-003
☆☆☆☆☆
 $100 $8,200 $700 R4182-003-0
HumanaChoice R4182-004
☆☆☆☆☆
 $46 $8,200 $700 R4182-004-0
AARP Medicare Advantage from UHC TX-61
☆☆☆☆☆
 $138 $9,850 $685 R6801-012-0
HealthSpring True Choice
☆☆☆☆☆
 $0 $6,800 $700 H7849-154-0
What is the most popular PPO plan in Jefferson?

Humana Essentials Plus Giveback (PPO) is the top PPO in Jefferson, with 553 enrollees.

What is the number of PPO plans without Part D coverage in Jefferson?

There are 4 PPO plans in Jefferson without prescription drug coverage.

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
16
Average Monthly Premium
$0.31/mo
Total HMO Enrollment
8,275
$0 Premium HMO Plans
15
Average MOOP
$4,903
Top HMO by Enrollment
Humana Gold Plus H0028-072 (HMO) — 1,494 enrollees
HMO Plans Without Drug Coverage
1

Comparison table of 2027 HMO Medicare Advantage Plans available in Jefferson County, Texas
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
DEVOTED CORE 001 TX
☆☆☆☆☆
 $0 $3,700 $650 H7993-001-0
DEVOTED CORE 019 TX
☆☆☆☆☆
 $0 $3,650 $650 H7993-019-0
DEVOTED GIVEBACK 006 TX
☆☆☆☆☆
 $0 $8,300 $461 H7993-006-0
DEVOTED GIVEBACK EXTRAS 114 TX
☆☆☆☆☆
 $0 $5,600 $700 H7993-114-0
DEVOTED PREMIUM 002 TX
☆☆☆☆☆
 $5 $4,150 $650 H7993-002-0
Humana Gold Plus H0028-042
☆☆☆☆☆
 $0 $3,950 $440 H0028-042-0
Humana Gold Plus H0028-072
☆☆☆☆☆
 $0 $3,950 $440 H0028-072-0
Humana Total Complete
☆☆☆☆☆
 $0 $3,950 $440 H4461-049-0
Humana Total Complete
☆☆☆☆☆
 $0 $3,950 $440 H4461-057-0
HealthSpring Alliance
☆☆☆☆☆
 $0 $3,600 $500 H4513-064-0
HealthSpring Courage
☆☆☆☆☆
 $0 $4,300 N/A H4513-009-0
HealthSpring Preferred
☆☆☆☆☆
 $0 $4,000 $500 H4513-061-1
HealthSpring Preferred Extra Savings
☆☆☆☆☆
 $0 $7,500 $300 H4513-091-0
HealthSpring Preferred Savings
☆☆☆☆☆
 $0 $7,200 $300 H4513-083-1
Wellcare Simple
☆☆☆☆☆
 $0 $3,500 $700 H0174-010-0
Aetna Medicare Signature Extra
☆☆☆☆☆
 $0 $7,150 $400 H4523-015-0

What is the typical premium for HMO plans in Jefferson?

HMO plans in Jefferson cost $0.31 per month on average.

Which HMO plan do most beneficiaries choose in Jefferson?

The most popular HMO plan in Jefferson is Humana Gold Plus H0028-072 (HMO), with 1,494 enrollees.

How many HMO options are offered without prescription drug coverage in Jefferson?

There are 1 HMO plans in Jefferson 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 $0.00/mo
  • Total HMO-POS Enrollment 3,906
  • $0 Premium HMO-POS Plans 5
  • Average MOOP $6,800
  • Top HMO-POS by Enrollment Wellcare TexanPlus Classic Simple (HMO-POS) — 1,954 enrollees
  • HMO-POS Plans Without Drug Coverage 1

Comparison table of 2027 HMO-POS Medicare Advantage Plans available in Jefferson County, Texas
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
AARP Medicare Advantage from UHC TX-0009
☆☆☆☆☆
 $0 $6,700 $685 H4514-007-0
AARP Medicare Advantage from UHC TX-0015
☆☆☆☆☆
 $0 $6,900 $685 H4527-037-0
AARP Medicare Advantage Patriot No Rx TX-MA01
☆☆☆☆☆
 $0 $7,150 N/A H4527-024-0
Wellcare TexanPlus Classic Simple
☆☆☆☆☆
 $0 $3,400 $700 H4506-003-0
Wellpoint Medicare Advantage 2
☆☆☆☆☆
 $0 $9,850 $105 H2593-029-0
What is the total number of HMO-POS plans in Jefferson?

In 2027, Jefferson has 5 HMO-POS plans with 3,906 enrollees.

How much do HMO-POS plans cost in Jefferson?

The typical HMO-POS premium in Jefferson is $0.00, and 5 plans have no monthly premium.

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
1
Average Monthly Premium
$0.00/mo
Total PFFS Enrollment
49
$0 Premium PFFS Plans
1
Average MOOP
$9,850
Top PFFS by Enrollment
Humana Gold Choice H8145-126 (PFFS) — 49 enrollees
PFFS Plans Without Drug Coverage
1

Comparison table of 2027 PFFS Medicare Advantage Plans available in Jefferson County, Texas
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Humana Gold Choice H8145-126
☆☆☆☆☆
 $0 $9,850 N/A H8145-126-0
What is the average monthly premium for PFFS plans?
PFFS plans in Jefferson cost $0.00 per month on average.
Which PFFS plan is most popular in Jefferson?
The most popular PFFS plan in Jefferson is Humana Gold Choice H8145-126 (PFFS), with 49 enrollees.
How many PFFS plans in Jefferson do not include drug coverage?
There are 1 PFFS plans in Jefferson without prescription drug coverage.

Below is a breakdown of CMS star ratings for Medicare Advantage plans available in Jefferson County, TX for 2027.

CMS Star Ratings for Medicare Advantage Plans in Jefferson County, TX (2027)
Rating Category Number of Plans Percent of Plans
5 Stars No 5-star plans available. 0%
4 Stars (includes 5 Stars) 22 58%
3 Stars 16 42%
Below 3 Stars 0 0%
Not Rated 0 0%
Average Rating 3.91

* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.

Medicare Advantage plans listed on this page are available to eligible beneficiaries residing in Jefferson County, Texas, including communities such as Groves, Nederland, Port Arthur, Port Neches, Beaumont, and other areas throughout the county. Plan availability is determined by county of residence, not by city.

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 .

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 .