- Entity
- county:texas-potter-48375
- 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/potter/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 24
- PPO Plans
- 16
- HMO Plans
- 5
- HMO-POS Plans
- 2
- PFFS Plans
- 1
- Average Monthly Premium
- 16.75
- Average MOOP
- 6870.83
- Average Part D Deductible
- 428.61
- $0 Premium Plans
- 17
- Plans Without Part D Coverage
- 6
- Average CMS Star Rating
- 3.75
- $0 Premium Plan Share
- 70.83
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 54
- 3-Star Plan Share
- 46
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 25.13
- PPO Average MOOP
- 7656.25
- PPO Enrollment
- 5900
- PPO $0 Premium Plans
- 9
- PPO Plans Without Part D Coverage
- 4
- HMO Average Monthly Premium
- 0
- HMO Average MOOP
- 4230
- HMO Enrollment
- 650
- HMO $0 Premium Plans
- 5
- HMO Plans Without Part D Coverage
- 1
- HMO-POS Average Monthly Premium
- 0
- HMO-POS Average MOOP
- 5700
- HMO-POS Enrollment
- 51
- HMO-POS $0 Premium Plans
- 2
- HMO-POS Plans Without Part D Coverage
- 0
- PFFS Average Monthly Premium
- 0
- PFFS Average MOOP
- 9850
- PFFS Enrollment
- 26
- PFFS $0 Premium Plans
- 1
- PFFS Plans Without Part D Coverage
- 1
- Entity
- county:texas-potter-48375
- 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/potter/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-texas-potter-48375-landscape-stats
- Plans Indexed
- 24
- Standard Medicare Advantage Plans
-
-
Humana Essentials Plus Giveback
H7617-035-0 -
Humana USAA Honor Giveback
H7617-062-0 -
HumanaChoice H7617-059
H7617-059-0 -
AARP Medicare Advantage from UHC TX-62
H0609-090-0 -
Humana Gold Choice H8145-126
H8145-126-0 -
Humana USAA Honor Giveback
H5216-348-0 -
HumanaChoice Giveback H5216-358
H5216-358-0 -
HumanaChoice H5216-042
H5216-042-0 -
HumanaChoice H5216-043
H5216-043-1 -
Prominence Beyond
H7680-019-0 -
Prominence Extra Help
H7680-018-0 -
Prominence Giveback
H7680-012-0 -
Prominence Plus
H7680-001-0 -
Aetna Medicare Eagle
H3288-051-0 -
Aetna Medicare Signature
H3288-011-0 -
HumanaChoice R4182-001
R4182-001-0 -
HumanaChoice R4182-003
R4182-003-0 -
HumanaChoice R4182-004
R4182-004-0 -
Wellcare Patriot Simple
H5294-014-0 -
Wellcare Simple
H5294-018-0 -
AARP Medicare Advantage from UHC TX-0001
H1278-003-0 -
AARP Medicare Advantage from UHC TX-61
R6801-012-0 -
AARP Medicare Advantage Giveback from UHC TX-34
H1278-024-0 -
HumanaChoice H0473-004
H0473-004-0
-
Humana Essentials Plus Giveback
- Total Standard Medicare Advantage Enrollment
- 6627
2027 Medicare Advantage Plans in Potter County, TX
Last update: .
For 2027, Potter County, TX includes 24 Medicare Advantage plans. Enrollment across these plans totals approximately 6,627, with 17 $0 premium options and 54% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Potter County, TX are summarized separately. Visit Medicare Options in Potter 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
- 16
- Average Monthly Premium
- $25.13/mo
- Total PPO Enrollment
- 5,900
- $0 Premium PPO Plans
- 9
- Average MOOP
- $7,656
- Top PPO by Enrollment
- AARP Medicare Advantage from UHC TX-0001 (PPO) — 1,790 enrollees
- PPO Plans Without Drug Coverage
- 4
What is the average monthly premium for PPO plans in Potter?
PPO plans in Potter cost $25.13 per month on average.
Which PPO plan has the highest enrollment in Potter?
The most popular PPO plan in Potter is AARP Medicare Advantage from UHC TX-0001 (PPO), with 1,790 enrollees.
How many PPO plans in Potter do not include prescription drug coverage?
4 PPO plans in Potter 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 5
- Average Monthly Premium $0.00/mo
- Total HMO Enrollment 650
- $0 Premium HMO Plans 5
- Average MOOP $4,230
- Top HMO by Enrollment Prominence Plus (HMO) — 205 enrollees
- HMO Plans Without Drug Coverage 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Prominence Extra Help | $0 | $3,250 | $300 | H7680-018-0 | |
| Prominence Giveback | $0 | $7,000 | $0 | H7680-012-0 | |
| Prominence Plus | $0 | $3,000 | $0 | H7680-001-0 | |
| Wellcare Patriot Simple | $0 | $3,400 | N/A | H5294-014-0 | |
| Wellcare Simple | $0 | $4,500 | $700 | H5294-018-0 |
What is the top HMO by enrollment in Potter?
Prominence Plus (HMO) is the top HMO in Potter, with 205 enrollees.
What is the number of HMO plans without Part D coverage in Potter?
1 HMO plans in Potter 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
- 2
- Average Monthly Premium
- $0.00/mo
- Total HMO-POS Enrollment
- 51
- $0 Premium HMO-POS Plans
- 2
- Average MOOP
- $5,700
- Top HMO-POS by Enrollment
- Prominence Beyond (HMO-POS) — 51 enrollees
- HMO-POS Plans Without Drug Coverage
- 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC TX-62 | $0 | $6,700 | $685 | H0609-090-0 | |
| Prominence Beyond | $0 | $4,700 | $0 | H7680-019-0 |
What is the typical premium for HMO-POS plans in Potter?
HMO-POS plans in Potter cost $0.00 per month on average.
Which HMO-POS plan has the most members in Potter?
The most popular HMO-POS plan in Potter is Prominence Beyond (HMO-POS), with 51 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Potter?
There are 0 HMO-POS plans in Potter without prescription drug coverage.
Medicare Advantage PFFS Plans
PFFS, or Private Fee-for-Service plans, allow access to any Medicare-approved doctor or hospital that accepts the plan’s terms. They provide wide flexibility in choosing providers, but it’s essential to verify that your preferred healthcare professionals agree to the plan’s payment rules before scheduling care.
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana Gold Choice H8145-126 | $0 | $9,850 | N/A | H8145-126-0 |
What is the total number of PFFS plans in Potter?
In 2027, Potter has 1 PFFS plans with 26 enrollees.
How much do PFFS plans cost in Potter?
The typical PFFS premium in Potter is $0.00, and 1 plans have no monthly premium.
CMS quality ratings for Medicare Advantage plans in Potter County, TX (2027) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 13 | 54% |
| 3 Stars | 11 | 46% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.75 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
| 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 |
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.
| Publisher | Reference | Last Accessed |
|---|---|---|
| Medicare.gov | Understanding Medicare Advantage Plans | 25 May, 2025 |
| Medicare.gov | Compare Original Medicare & Medicare Advantage | 25 May, 2025 |
| NCOA.org | 5 Steps to Choosing the Right Medicare Plan for You | 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 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.