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  1. 🏠
  2. Medicare Advantage Plans
  3. Texas
  4. Real County

2027 Medicare Advantage Plans in Real County, TX

Last update: October 4, 2026.

In Real County, TX, there are 20 Medicare Advantage plans available for 2027. Of these, 12 offer a $0 monthly premium, and about 55% are rated 4 stars or higher based on CMS quality ratings.

  • PPO Plans
  • HMO Plans
  • HMO-POS Plans

At a Glance

County-level summary of Medicare Advantage plan availability and enrollment based on CMS data.

Average Monthly Premium
$22.45/mo
Plans with $0 Premium
12
Average MOOP Limit
$7,113 ($9,250 max. in 2027)
Star Ratings (Plan Mix)
4+ Stars: 55% · 3 Stars: 45% · Below 3: 0%
Average Part D Deductible
$624.13
Total MA/MAPD Enrollment
78
Plans with the Highest Enrollment
(as of October 5, 2026)
1. HumanaChoice H5216-043 (PPO) — 32 enrollees
2. AARP Medicare Advantage from UHC TX-61 (REGIONAL PPO) — 21 enrollees
3. DEVOTED GIVEBACK 021 TX (HMO) — 14 enrollees

Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Real County, TX. Or explore all Medicare Options available in Real County, TX. To understand how local plans fit into the broader market, visit our Texas Medicare Advantage plan directory for statewide plan counts, premiums, out-of-pocket limits, CMS ratings, and enrollment data.

Medicare Advantage PPO Plans

Preferred Provider Organization (PPO) plans allow members to use both in-network and out-of-network providers. Out-of-network care typically costs more, but PPOs offer greater flexibility in how care is accessed.

Total PPO Plans
12
Average Monthly Premium
$37.00/mo
Total PPO Enrollment
53
$0 Premium PPO Plans
5
Average MOOP
$7,583
Top PPO by Enrollment
HumanaChoice H5216-043 (PPO) — 32 enrollees
PPO Plans Without Drug Coverage
3

PPO Medicare Advantage plan comparison – Real County, Texas, 2027
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
Humana Value Choice
☆☆☆☆☆
$0 $6,500 $700 H7617-123-0
HumanaChoice H7617-059
☆☆☆☆☆
$23 $7,700 $700 H7617-059-0
Humana USAA Honor Giveback
☆☆☆☆☆
$0 $7,900 N/A H5216-348-0
HumanaChoice H5216-042
☆☆☆☆☆
$62 $6,750 $700 H5216-042-0
HumanaChoice H5216-043
☆☆☆☆☆
$20 $7,700 $700 H5216-043-1
Aetna Medicare Enhanced
☆☆☆☆☆
$55 $7,150 $700 H3288-009-0
Aetna Medicare Signature
☆☆☆☆☆
$0 $7,150 $700 H3288-005-0
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-61
☆☆☆☆☆
$138 $9,850 $685 R6801-012-0
What is the total number of PPO plans offered in Real?

Real County has 12 PPO plans for 2027, with 53 enrolled.

How much do PPO plans cost in Real?

The typical PPO premium in Real is $37.00, and 5 plans have no monthly premium.

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
7
Average Monthly Premium
$0.71/mo
Total HMO Enrollment
25
$0 Premium HMO Plans
6
Average MOOP
$5,914
Top HMO by Enrollment
DEVOTED GIVEBACK 021 TX (HMO) — 14 enrollees
HMO Plans Without Drug Coverage
2

HMO Medicare Advantage plan comparison – Real County, Texas, 2027
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
DEVOTED CORE 003 TX
☆☆☆☆☆
$0 $3,900 $461 H7993-003-0
DEVOTED GIVEBACK 021 TX
☆☆☆☆☆
$0 $9,850 $461 H7993-021-0
DEVOTED GIVEBACK EXTRAS 116 TX
☆☆☆☆☆
$0 $6,600 $700 H7993-116-0
DEVOTED MA ONLY 020 TX
☆☆☆☆☆
$0 $9,250 N/A H7993-020-0
DEVOTED PREMIUM 004 TX
☆☆☆☆☆
$5 $3,900 $650 H7993-004-0
Wellcare Patriot Simple
☆☆☆☆☆
$0 $3,400 N/A H5294-014-0
Wellcare Simple
☆☆☆☆☆
$0 $4,500 $700 H5294-018-0
What is the average monthly premium for HMO plans?
HMO plans in Real cost $0.71 per month on average.
Which HMO plan is most popular in Real?
The most popular HMO plan in Real is DEVOTED GIVEBACK 021 TX (HMO), with 14 enrollees.
How many HMO plans in Real do not include drug coverage?
There are 2 HMO plans in Real 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 1
  • Average Monthly Premium $0.00/mo
  • Total HMO-POS Enrollment 0
  • $0 Premium HMO-POS Plans 1
  • Average MOOP $9,850
  • Top HMO-POS by Enrollment — 0 enrollees
  • HMO-POS Plans Without Drug Coverage 0

HMO-POS Medicare Advantage plan comparison – Real County, Texas, 2027
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Wellpoint Medicare Advantage 2
☆☆☆☆☆
$0 $9,850 $105 H2593-029-0
What is the total number of HMO-POS plans in Real?

There are 1 HMO-POS plans in 2027, covering 0 enrollees.

How much do HMO-POS plans cost in Real?

The average HMO-POS premium in Real is $0.00 per month, with 1 plans offering $0 premiums.

What is the leading HMO-POS plan in Real?

is the top HMO-POS in Real, with 0 enrollees.

What is the number of HMO-POS plans without Part D coverage in Real?

0 HMO-POS plans in Real do not include prescription drug coverage.

The table below shows CMS star ratings for Medicare Advantage plans in Real County, TX for 2027.

CMS Star Ratings for Medicare Advantage Plans in Real County, TX (2027)
Rating Category Number of Plans Percent of Plans
5 Stars No 5-star plans available. 0%
4 Stars (includes 5 Stars) 11 55%
3 Stars 9 45%
Below 3 Stars 0 0%
Not Rated 0 0%
Average Rating 3.93

* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.

Medicare Advantage plans listed on this page are available to eligible beneficiaries residing in Real County, Texas, including communities such as Leakey, and other areas throughout the county. Plan availability is determined by county of residence, not by city.

  • CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202609
  • CMS.gov, Medicare Part C & D Performance Data — Version: 2026
  • CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-09

This page presents county-level Medicare Advantage (MA/MAPD) data, including plan counts, enrollment totals, averages, and percentage distributions, derived from CMS datasets using a standardized aggregation approach.

Data sources and methodology documentation .

  • Medicare.gov, "Compare types of Medicare Advantage Plans" — Last accessed 25 May, 2025
  • Medicare.gov, "Your coverage options" — Last accessed 25 May, 2025
  • AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — Last accessed 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.

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