- Entity
- county:texas-matagorda-48321
- Digest
- 2026-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/texas/matagorda/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 26
- PPO Plans
- 17
- HMO Plans
- 6
- HMO-POS Plans
- 3
- PFFS Plans
- 0
- Average Monthly Premium
- 18.87
- Average MOOP
- 6573.08
- Average Part D Deductible
- 532.25
- $0 Premium Plans
- 19
- Plans Without Part D Coverage
- 6
- Average CMS Star Rating
- 3.56
- $0 Premium Plan Share
- 73.08
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 27
- 3-Star Plan Share
- 62
- Below 3-Star Plan Share
- 12
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 28.58
- PPO Average MOOP
- 7023.53
- PPO Enrollment
- 1447
- PPO $0 Premium Plans
- 11
- PPO Plans Without Part D Coverage
- 5
- HMO Average Monthly Premium
- 0.8
- HMO Average MOOP
- 5125
- HMO Enrollment
- 574
- HMO $0 Premium Plans
- 5
- HMO Plans Without Part D Coverage
- 0
- HMO-POS Average Monthly Premium
- 0
- HMO-POS Average MOOP
- 6916.67
- HMO-POS Enrollment
- 767
- HMO-POS $0 Premium Plans
- 3
- HMO-POS Plans Without Part D Coverage
- 1
- Entity
- county:texas-matagorda-48321
- Digest
- 2026-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/texas/matagorda/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-texas-matagorda-48321-landscape-stats
- Plans Indexed
- 26
- Standard Medicare Advantage Plans
-
-
AARP Medicare Advantage from UHC TX-0015
H4527-037-0 -
AARP Medicare Advantage Patriot No Rx TX-MA01
H4527-024-0 -
Humana USAA Honor Giveback
H7617-062-0 -
Humana Value Choice H7617-057
H7617-057-0 -
Wellcare Assist
H0174-009-0 -
Wellcare Giveback
H0174-019-0 -
Wellcare Simple
H0174-010-0 -
AARP Medicare Advantage from UHC TX-0006
H1278-014-0 -
AARP Medicare Advantage Giveback from UHC TX-31
H1278-021-0 -
AARP Medicare Advantage Patriot No Rx TX-MA05
H1278-027-0 -
Aetna Medicare Signature
H3288-006-0 -
Aetna Medicare Value Plus
H3288-018-0 -
Humana USAA Honor Giveback
H5216-348-0 -
Humana USAA Honor Giveback
H5216-128-0 -
HumanaChoice H5216-043
H5216-043-6 -
HumanaChoice R4182-001
R4182-001-0 -
HumanaChoice R4182-003
R4182-003-0 -
HumanaChoice R4182-004
R4182-004-0 -
UHC Medicare Advantage TX-0030
R6801-012-0 -
Wellcare Simple Open
H7323-012-0 -
Wellpoint Medicare Advantage 2
H2593-029-0 -
Blue Cross Medicare Advantage Choice Premier
H1666-003-0 -
Blue Cross Medicare Advantage Optimum
H1666-022-0 -
Blue Cross Medicare Advantage Dental Value
H9706-007-0 -
Blue Cross Medicare Advantage Saver
H9706-008-0 -
Blue Cross Medicare Advantage Secure
H9706-005-0
-
AARP Medicare Advantage from UHC TX-0015
- Total Standard Medicare Advantage Enrollment
- 2788
2026 Medicare Advantage Plans in Matagorda County, TX
Last update: .
For 2026, Matagorda County, TX includes 26 Medicare Advantage plans. Enrollment across these plans totals approximately 2,788, with 19 $0 premium options and 27% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Matagorda County, TX are summarized separately. Visit Medicare Options in Matagorda County, TX to see more options.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to choose care from both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in how members access care.
- Total PPO Plans
- 17
- Average Monthly Premium
- $28.58/mo
- Total PPO Enrollment
- 1,447
- $0 Premium PPO Plans
- 11
- Average MOOP
- $7,024
- Top PPO by Enrollment
- HumanaChoice H5216-043 (PPO) — 406 enrollees
- PPO Plans Without Drug Coverage
- 5
- What is the average monthly premium for PPO plans in Matagorda?
- PPO plans in Matagorda cost $28.58 per month on average.
- Which PPO plan has the highest enrollment in Matagorda?
- The most popular PPO plan in Matagorda is HumanaChoice H5216-043 (PPO), with 406 enrollees.
- How many PPO plans in Matagorda do not include prescription drug coverage?
- 5 PPO plans in Matagorda do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans are built around a defined network of doctors and hospitals. Care is generally covered only within the network, except in emergencies, but this structure often results in lower premiums and out-of-pocket costs.
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS 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 total number of HMO plans offered in Matagorda?
There are 6 HMO plans in 2026, covering 574 enrollees.
How much do HMO plans cost in Matagorda?
The average HMO premium in Matagorda is $0.80 per month, with 5 plans offering $0 premiums.
What is the top HMO by enrollment in Matagorda?
Wellcare Simple (HMO) is the top HMO in Matagorda, with 332 enrollees.
What is the number of HMO plans without Part D coverage in Matagorda?
0 HMO plans in Matagorda do not include prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO-POS plans are structured like HMOs, requiring in-network care for the lowest costs, while allowing limited out-of-network access at higher cost. This provides added flexibility compared with standard HMO plans.
- Total HMO-POS Plans
- 3
- Average Monthly Premium
- $0.00/mo
- Total HMO-POS Enrollment
- 767
- $0 Premium HMO-POS Plans
- 3
- Average MOOP
- $6,917
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC TX-0015 (HMO-POS) — 767 enrollees
- HMO-POS Plans Without Drug Coverage
- 1
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS 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 average monthly premium for HMO-POS plans?
HMO-POS plans in Matagorda cost $0.00 per month on average.
Which HMO-POS plan is most popular in Matagorda?
The most popular HMO-POS plan in Matagorda is AARP Medicare Advantage from UHC TX-0015 (HMO-POS), with 767 enrollees.
How many HMO-POS plans in Matagorda do not include drug coverage?
There are 1 HMO-POS plans in Matagorda without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Matagorda County, TX (2026) are summarized below.
| 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 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202608
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-08
All plan counts, enrollment totals, averages, and percentage distributions are calculated at the county level using CMS data and include standard Medicare Advantage (MA/MAPD) plans only, based on a consistent aggregation methodology.
Data sources and methodology documentation .
- Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Compare Original Medicare & Medicare Advantage" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 25 May, 2025
MedicarePlans.com is an independent informational resource and has no affiliation with, or endorsement from, the U.S. Government or the federal Medicare program.
Data provenance is documented in accordance 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.