2026 Medicare Advantage Plans in Nueces County, TX
Last update: . Enrollment data updated: June 13, 2026
For 2026, Nueces County, TX includes 43 Medicare Advantage plans. Enrollment across these plans totals approximately 21,643, with 31 $0 premium options and 35% rated 4 stars or higher.
Totals on this page exclude Medicare Advantage Special Needs Plans (SNPs). SNP plans for Nueces County, TX are provided separately. Or you can discover all Medicare Options in Nueces County, TX.
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
- 21
- Average Monthly Premium
- $23.71/mo
- Total PPO Enrollment
- 5,365
- $0 Premium PPO Plans
- 13
- Average MOOP
- $7,088
- Top PPO by Enrollment
- HumanaChoice H5216-360 (PPO) — 1,146 enrollees
- PPO Plans Without Drug Coverage
- 6
What is the typical premium for PPO plans available in Nueces?
PPO plans in Nueces cost $23.71 per month on average.
Which PPO plan do most beneficiaries choose in Nueces?
The most popular PPO plan in Nueces is HumanaChoice H5216-360 (PPO), with 1,146 enrollees.
How many PPO options are offered without drug coverage in Nueces?
6 PPO plans in Nueces do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans generally require members to use in-network doctors, hospitals, and other providers, except in emergencies. Because of this structure, HMOs often have lower premiums and out-of-pocket costs than other plan types.
- Total HMO Plans 15
- Average Monthly Premium $2.19/mo
- Total HMO Enrollment 5,948
- $0 Premium HMO Plans 12
- Average MOOP $4,270
- Top HMO by Enrollment Humana Gold Plus H0028-029 (HMO) — 2,958 enrollees
- HMO Plans Without Drug Coverage 3
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| HealthSpring Courage | $0 | $4,300 | N/A | H4513-009-0 | |
| HealthSpring Preferred | $0 | $2,300 | $200 | H4513-074-0 | |
| HealthSpring Preferred Savings | $0 | $7,500 | $300 | H4513-083-7 | |
| 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 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 Nueces?
In 2026, Nueces County has 15 HMO plans with 5,948 enrollees.
How much do HMO plans cost in Nueces?
The typical HMO premium in Nueces is $2.19, and 12 plans have no monthly premium.
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
- 5
- Average Monthly Premium
- $0.00/mo
- Total HMO-POS Enrollment
- 10,330
- $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) — 8,776 enrollees
- HMO-POS Plans Without Drug Coverage
- 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | 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 average monthly premium for HMO-POS plans?
- HMO-POS plans in Nueces cost $0.00 per month on average.
- Which HMO-POS plan is most popular in Nueces?
- The most popular HMO-POS plan in Nueces is AARP Medicare Advantage Essentials from UHC TX-11 (HMO-POS), with 8,776 enrollees.
- How many HMO-POS plans in Nueces do not include drug coverage?
- There are 1 HMO-POS plans in Nueces without prescription drug coverage.
Medicare Advantage PFFS Plans
Private Fee-for-Service (PFFS) plans allow members to visit any Medicare-approved provider that accepts the plan’s payment terms. This provides flexibility in choosing doctors and hospitals, but provider acceptance should be confirmed before receiving care.
- 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
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | 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 total number of PFFS plans in Nueces?
There are 2 PFFS plans in 2026, covering 0 enrollees.
How much do PFFS plans cost in Nueces?
The average PFFS premium in Nueces is $14.50 per month, with 1 plans offering $0 premiums.
What is the top PFFS plan in Nueces?
is the top PFFS in Nueces, with 0 enrollees.
What is the number of PFFS plans without Part D coverage in Nueces?
1 PFFS plans in Nueces do not include prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Nueces 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) | 15 | 35% |
| 3 Stars | 25 | 58% |
| Below 3 Stars | 3 | 7% |
| Not Rated | 0 | 0% |
| Average Rating | 3.69 | |
* Star ratings are based on CMS quality measures and reflect plan performance for the 2026 rating period.
- 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
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, "Explore your Medicare coverage options" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 25 May, 2025
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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.