2026 Medicare Advantage Plans in Madison County, TX
Last update: . Enrollment data updated: June 13, 2026
In Madison County, TX, there are 20 Medicare Advantage plans available for 2026. Of these, 10 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 Madison County, TX. Or explore all Medicare Options available in Madison 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 13
- Average Monthly Premium $40.68/mo
- Total PPO Enrollment 536
- $0 Premium PPO Plans 6
- Average MOOP $7,112
- Top PPO by Enrollment AARP Medicare Advantage from UHC TX-0007 (PPO) — 277 enrollees
- PPO Plans Without Drug Coverage 3
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Humana USAA Honor Giveback | $0 | $7,900 | N/A | H7617-062-0 | |
| HumanaChoice H7617-027 | $36 | $7,650 | $615 | H7617-027-0 | |
| BSW SeniorCare Advantage Basic | $0 | $6,750 | $250 | H2032-002-0 | |
| BSW SeniorCare Advantage Platinum | $135 | $4,600 | $50 | H2032-003-0 | |
| AARP Medicare Advantage from UHC TX-0007 | $0 | $6,700 | $520 | H1278-015-0 | |
| Aetna Medicare Signature | $0 | $6,750 | $615 | H3288-006-0 | |
| Aetna Medicare Value Plus | $5 | $6,750 | $615 | H3288-018-0 | |
| Humana USAA Honor Giveback | $0 | $7,900 | N/A | H5216-348-0 | |
| HumanaChoice R4182-001 | $0 | $5,950 | N/A | R4182-001-0 | |
| HumanaChoice R4182-003 | $97 | $7,650 | $615 | R4182-003-0 | |
| HumanaChoice R4182-004 | $44 | $7,650 | $615 | R4182-004-0 | |
| UHC Medicare Advantage TX-0030 | $102 | $8,200 | $600 | R6801-012-0 | |
| Blue Cross Medicare Advantage Preferred | $110 | $8,000 | $450 | H8634-033-0 |
What is the total number of PPO plans offered in Madison?
There are 13 PPO plans in 2026, covering 536 beneficiaries.
How much do PPO plans cost in Madison?
The average PPO premium in Madison is $40.68 per month, with 6 plans offering $0 premiums.
What is the most popular PPO plan in Madison?
AARP Medicare Advantage from UHC TX-0007 (PPO) is the top PPO in Madison, with 277 enrollees.
What is the number of PPO plans without Part D coverage in Madison?
There are 3 PPO plans in Madison 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 |
|---|---|---|---|---|---|
| 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 Madison?
BSW SeniorCare Advantage Select Rx (HMO-POS) is the top HMO-POS in Madison, with 81 enrollees.
What is the number of HMO-POS plans without Part D coverage in Madison?
3 HMO-POS plans in Madison do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Madison 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 | 55% |
| 3 Stars | 9 | 45% |
| 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 Landscape Source Files — Last accessed June 13, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed June 13, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed June 13, 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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