2026 Medicare Advantage Plans in Matagorda County, TX
Last update: . Enrollment data updated: June 13, 2026
Matagorda County, TX has 26 Medicare Advantage plans available in 2026. These include 19 plans with no monthly premium, and roughly 27% 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 Matagorda County, TX. Or explore all Medicare Options available in Matagorda 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 17
- Average Monthly Premium $28.58/mo
- Total PPO Enrollment 1,423
- $0 Premium PPO Plans 11
- Average MOOP $7,024
- Top PPO by Enrollment HumanaChoice H5216-043 (PPO) — 416 enrollees
- PPO Plans Without Drug Coverage 5
What is the most popular PPO plan in Matagorda?
HumanaChoice H5216-043 (PPO) is the top PPO in Matagorda, with 416 enrollees.
What is the number of PPO plans without Part D coverage in Matagorda?
There are 5 PPO plans in Matagorda 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
- 6
- Average Monthly Premium
- $0.80/mo
- Total HMO Enrollment
- 593
- $0 Premium HMO Plans
- 5
- Average MOOP
- $5,125
- Top HMO by Enrollment
- Wellcare Simple (HMO) — 341 enrollees
- HMO Plans Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Wellcare Assist | $5 | $3,450 | $615 | H0174-009-0 | |
| Wellcare Giveback | $0 | $6,900 | $615 | H0174-019-0 | |
| Wellcare Simple | $0 | $3,500 | $615 | H0174-010-0 | |
| Blue Cross Medicare Advantage Dental Value | $0 | $5,200 | $615 | H9706-007-0 | |
| Blue Cross Medicare Advantage Saver | $0 | $7,500 | $450 | H9706-008-0 | |
| Blue Cross Medicare Advantage Secure | $0 | $4,200 | $450 | H9706-005-0 |
What is the typical premium for HMO plans in Matagorda?
HMO plans in Matagorda cost $0.80 per month on average.
Which HMO plan do most beneficiaries choose in Matagorda?
The most popular HMO plan in Matagorda is Wellcare Simple (HMO), with 341 enrollees.
How many HMO options are offered without prescription drug coverage in Matagorda?
There are 0 HMO plans in Matagorda 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 3
- Average Monthly Premium $0.00/mo
- Total HMO-POS Enrollment 764
- $0 Premium HMO-POS Plans 3
- Average MOOP $6,917
- Top HMO-POS by Enrollment AARP Medicare Advantage from UHC TX-0015 (HMO-POS) — 764 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 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 | |
| Wellpoint Medicare Advantage 2 | $0 | $9,250 | $300 | H2593-029-0 |
What is the total number of HMO-POS plans in Matagorda?
In 2026, Matagorda has 3 HMO-POS plans with 764 enrollees.
How much do HMO-POS plans cost in Matagorda?
The typical HMO-POS premium in Matagorda is $0.00, and 3 plans have no monthly premium.
Below is a breakdown of CMS star ratings for Medicare Advantage plans available in Matagorda 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) | 7 | 27% |
| 3 Stars | 16 | 62% |
| Below 3 Stars | 3 | 12% |
| Not Rated | 0 | 0% |
| Average Rating | 3.56 | |
* 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 .
- 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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