2026 Medicare Advantage Plans in Jim Wells County, TX
Last update: . Enrollment data updated: May 2, 2026
Jim Wells County, TX has 39 Medicare Advantage plans available in 2026. These include 29 plans with no monthly premium, and roughly 28% are rated at least 4 stars based on CMS data.
Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Jim Wells County, TX. Or explore all Medicare Options available in Jim Wells 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 21
- Average Monthly Premium $16.33/mo
- Total PPO Enrollment 847
- $0 Premium PPO Plans 15
- Average MOOP $7,243
- Top PPO by Enrollment HumanaChoice H5216-360 (PPO) — 218 enrollees
- PPO Plans Without Drug Coverage 6
What is the most popular PPO plan in Jim Wells?
HumanaChoice H5216-360 (PPO) is the top PPO in Jim Wells, with 218 enrollees.
What is the number of PPO plans without Part D coverage in Jim Wells?
There are 6 PPO plans in Jim Wells 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
- 11
- Average Monthly Premium
- $2.98/mo
- Total HMO Enrollment
- 771
- $0 Premium HMO Plans
- 8
- Average MOOP
- $3,859
- Top HMO by Enrollment
- Humana Gold Plus H0028-029 (HMO) — 575 enrollees
- HMO Plans Without Drug Coverage
- 2
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Humana Gold Plus H4461-053 | $14 | $3,400 | $615 | H4461-053-0 | |
| Humana Gold Plus H4461-060 | $0 | $3,400 | $600 | H4461-060-0 | |
| CHRISTUS Health Medicare Guardian | $0 | $4,900 | N/A | H1189-008-0 | |
| CHRISTUS Health Medicare Plus | $0 | $4,000 | $250 | H1189-005-0 | |
| Humana Gold Plus H0028-029 | $0 | $3,400 | $615 | H0028-029-0 | |
| Humana Gold Plus H0028-070 | $14 | $3,400 | $615 | H0028-070-0 | |
| Wellcare Assist | $5 | $3,700 | $615 | H5294-013-0 | |
| Wellcare Patriot Simple | $0 | $3,400 | N/A | H5294-014-0 | |
| Wellcare Simple | $0 | $3,450 | $615 | H5294-011-0 | |
| Blue Cross Medicare Advantage Dental Value | $0 | $5,200 | $615 | H9706-007-0 | |
| Blue Cross Medicare Advantage Secure | $0 | $4,200 | $450 | H9706-005-0 |
What is the typical premium for HMO plans in Jim Wells?
HMO plans in Jim Wells cost $2.98 per month on average.
Which HMO plan do most beneficiaries choose in Jim Wells?
The most popular HMO plan in Jim Wells is Humana Gold Plus H0028-029 (HMO), with 575 enrollees.
How many HMO options are offered without prescription drug coverage in Jim Wells?
There are 2 HMO plans in Jim Wells 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 1,190
- $0 Premium HMO-POS Plans 5
- Average MOOP $5,840
- Top HMO-POS by Enrollment AARP Medicare Advantage Essentials from UHC TX-11 (HMO-POS) — 924 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-11 | $0 | $3,700 | $355 | H4527-001-0 | |
| AARP Medicare Advantage Extras from UHC TX-52 | $0 | $4,900 | $440 | H4527-056-0 | |
| AARP Medicare Advantage from UHC TX-23 | $0 | $6,000 | $600 | H0609-054-0 | |
| AARP Medicare Advantage Giveback from UHC TX-35 | $0 | $7,900 | $600 | H4527-048-0 | |
| 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 Jim Wells?
In 2026, Jim Wells has 5 HMO-POS plans with 1,190 enrollees.
How much do HMO-POS plans cost in Jim Wells?
The typical HMO-POS premium in Jim Wells 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
- 2
- Average Monthly Premium
- $14.50/mo
- Total PFFS Enrollment
- 0
- $0 Premium PFFS Plans
- 1
- Average MOOP
- $6,725
- Top PFFS by Enrollment
- — 0 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 Jim Wells cost $14.50 per month on average.
- Which PFFS plan is most popular in Jim Wells?
- The most popular PFFS plan in Jim Wells is , with 0 enrollees.
- How many PFFS plans in Jim Wells do not include drug coverage?
- There are 1 PFFS plans in Jim Wells without prescription drug coverage.
Below is a breakdown of CMS star ratings for Medicare Advantage plans available in Jim Wells 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) | 11 | 28% |
| 3 Stars | 26 | 67% |
| Below 3 Stars | 2 | 5% |
| Not Rated | 0 | 0% |
| Average Rating | 3.65 | |
* 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 .
- CMS.gov, "Medicare Advantage Plan Fact Sheet" — 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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Data provenance documentation is maintained in alignment with the U.S. Core Data for Interoperability (USCDI) Provenance standard .
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