- Entity
- county:texas-madison-48313
- Digest
- 2027-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/texas/madison/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 21
- PPO Plans
- 12
- HMO Plans
- 3
- HMO-POS Plans
- 6
- PFFS Plans
- 0
- Average Monthly Premium
- 44.54
- Average MOOP
- 6990.48
- Average Part D Deductible
- 574.67
- $0 Premium Plans
- 11
- Plans Without Part D Coverage
- 6
- Average CMS Star Rating
- 4.05
- $0 Premium Plan Share
- 52.38
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 67
- 3-Star Plan Share
- 33
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 43.78
- PPO Average MOOP
- 7575
- PPO Enrollment
- 547
- PPO $0 Premium Plans
- 4
- PPO Plans Without Part D Coverage
- 3
- HMO Average Monthly Premium
- 0
- HMO Average MOOP
- 7650
- HMO Enrollment
- 0
- HMO $0 Premium Plans
- 3
- HMO Plans Without Part D Coverage
- 0
- HMO-POS Average Monthly Premium
- 68.33
- HMO-POS Average MOOP
- 5491.67
- HMO-POS Enrollment
- 145
- HMO-POS $0 Premium Plans
- 4
- HMO-POS Plans Without Part D Coverage
- 3
- Entity
- county:texas-madison-48313
- Digest
- 2027-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/texas/madison/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-texas-madison-48313-landscape-stats
- Plans Indexed
- 21
- Standard Medicare Advantage Plans
-
-
BSW SeniorCare Advantage Preferred
H8142-005-0 -
BSW SeniorCare Advantage Preferred Rx
H8142-002-0 -
BSW SeniorCare Advantage Premium
H8142-006-0 -
BSW SeniorCare Advantage Premium Rx
H8142-003-0 -
BSW SeniorCare Advantage Select
H8142-004-0 -
BSW SeniorCare Advantage Select Rx
H8142-001-0 -
DEVOTED CORE 073 TX
H7993-073-0 -
DEVOTED GIVEBACK 074 TX
H7993-074-0 -
DEVOTED GIVEBACK EXTRAS 112 TX
H7993-112-0 -
Humana USAA Honor Giveback
H7617-062-0 -
HumanaChoice H7617-027
H7617-027-0 -
BSW SeniorCare Advantage Basic
H2032-002-0 -
BSW SeniorCare Advantage Platinum
H2032-003-0 -
Humana USAA Honor Giveback
H5216-348-0 -
Aetna Medicare Signature Extra
H3288-006-0 -
Aetna Medicare Value Plus
H3288-018-0 -
HumanaChoice R4182-001
R4182-001-0 -
HumanaChoice R4182-003
R4182-003-0 -
HumanaChoice R4182-004
R4182-004-0 -
AARP Medicare Advantage from UHC TX-0007
H1278-015-0 -
AARP Medicare Advantage from UHC TX-61
R6801-012-0
-
BSW SeniorCare Advantage Preferred
- Total Standard Medicare Advantage Enrollment
- 692
2027 Medicare Advantage Plans in Madison County, TX
Last update: .
Madison County, TX has 21 Medicare Advantage plans available in 2027. These include 11 plans with no monthly premium, and roughly 67% 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 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 12
- Average Monthly Premium $43.78/mo
- Total PPO Enrollment 547
- $0 Premium PPO Plans 4
- Average MOOP $7,575
- Top PPO by Enrollment AARP Medicare Advantage from UHC TX-0007 (PPO) — 296 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 | $48 | $7,650 | $700 | H7617-027-0 | |
| BSW SeniorCare Advantage Basic | $32 | $7,150 | $500 | H2032-002-0 | |
| BSW SeniorCare Advantage Platinum | $145 | $6,600 | $250 | H2032-003-0 | |
| Humana USAA Honor Giveback | $0 | $7,900 | N/A | H5216-348-0 | |
| 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-0007 | $10 | $7,150 | $685 | H1278-015-0 | |
| AARP Medicare Advantage from UHC TX-61 | $138 | $9,850 | $685 | R6801-012-0 |
What is the most popular PPO plan in Madison?
AARP Medicare Advantage from UHC TX-0007 (PPO) is the top PPO in Madison, with 296 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 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
- 3
- Average Monthly Premium
- $0.00/mo
- Total HMO Enrollment
- 0
- $0 Premium HMO Plans
- 3
- Average MOOP
- $7,650
- Top HMO by Enrollment
- — 0 enrollees
- HMO Plans Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| DEVOTED CORE 073 TX | $0 | $5,750 | $650 | H7993-073-0 | |
| DEVOTED GIVEBACK 074 TX | $0 | $9,850 | $650 | H7993-074-0 | |
| DEVOTED GIVEBACK EXTRAS 112 TX | $0 | $7,350 | $700 | H7993-112-0 |
What is the typical premium for HMO plans in Madison?
HMO plans in Madison cost $0.00 per month on average.
Which HMO plan do most beneficiaries choose in Madison?
The most popular HMO plan in Madison is , with 0 enrollees.
How many HMO options are offered without prescription drug coverage in Madison?
There are 0 HMO plans in Madison 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 6
- Average Monthly Premium $68.33/mo
- Total HMO-POS Enrollment 145
- $0 Premium HMO-POS Plans 4
- Average MOOP $5,492
- Top HMO-POS by Enrollment BSW SeniorCare Advantage Select Rx (HMO-POS) — 84 enrollees
- HMO-POS Plans Without Drug Coverage 3
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| BSW SeniorCare Advantage Preferred | $0 | $4,500 | N/A | H8142-005-0 | |
| BSW SeniorCare Advantage Preferred Rx | $152 | $5,400 | $250 | H8142-002-0 | |
| BSW SeniorCare Advantage Premium | $0 | $4,500 | N/A | H8142-006-0 | |
| BSW SeniorCare Advantage Premium Rx | $258 | $5,000 | $250 | H8142-003-0 | |
| BSW SeniorCare Advantage Select | $0 | $6,400 | N/A | H8142-004-0 | |
| BSW SeniorCare Advantage Select Rx | $0 | $7,150 | $500 | H8142-001-0 |
What is the total number of HMO-POS plans in Madison?
In 2027, Madison has 6 HMO-POS plans with 145 enrollees.
How much do HMO-POS plans cost in Madison?
The typical HMO-POS premium in Madison is $68.33, and 4 plans have no monthly premium.
Below is a breakdown of CMS star ratings for Medicare Advantage plans available in Madison County, TX for 2027.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 14 | 67% |
| 3 Stars | 7 | 33% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 4.05 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
| Data Source | Publisher | CMS Version |
|---|---|---|
| Landscape Source Files | Centers for Medicare & Medicaid Services | CY2027 Landscape (202609.1) |
| Medicare Part C & D Performance | Centers for Medicare & Medicaid Services | 2027 Star Ratings Data Tables |
| Plan Benefits Package | Centers for Medicare & Medicaid Services | PBP Benefits-2027 |
| Monthly Enrollment by Contract/Plan/State/County | Centers for Medicare & Medicaid Services | 2026-09 |
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.
| Publisher | Reference | Last Accessed |
|---|---|---|
| CMS.gov | Medicare Advantage Plan Fact Sheet | 25 May, 2025 |
| Medicare.gov | Your coverage options | 25 May, 2025 |
| Medicare.gov | Joining a plan | 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 documentation is maintained in alignment 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.