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

2026 Medicare Advantage Plans in Real County, TX

Last update: September 2, 2026.

For 2026, Real County, TX includes 21 Medicare Advantage plans. Enrollment across these plans totals approximately 252, with 13 $0 premium options and 33% rated 4 stars or higher.

Totals on this page exclude Medicare Advantage Special Needs Plans (SNPs). SNP plans for Real County, TX are provided separately. Or you can discover all Medicare Options in Real County, TX.

  • 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: $26.76/mo
  • $0 Premium Plans: 13
  • Average MOOP: $6,743 ($9,250 max. in 2026)
  • Star Ratings (Plan Mix): 4+ Stars: 33% · 3 Stars: 67% · Below 3: 0%
  • Average Part D Deductible: $467.33
  • Total MA/MAPD Enrollment: 252
  • Plans with the Highest Enrollment
    (as of September 8, 2026)
    1. HumanaChoice H5216-360 (PPO) — 139 enrollees
    2. HumanaChoice H7617-040 (PPO) — 44 enrollees
    3. HumanaChoice H5216-043 (PPO) — 34 enrollees

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
14
Average Monthly Premium
$40.14/mo
Total PPO Enrollment
238
$0 Premium PPO Plans
6
Average MOOP
$7,011
Top PPO by Enrollment
HumanaChoice H5216-360 (PPO) — 139 enrollees
PPO Plans Without Drug Coverage
4

2026 PPO Medicare Advantage plans in Real County, Texas (comparison chart)
PPO Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
Humana USAA Honor Giveback
☆☆☆☆☆
$0 $7,900 N/A H7617-062-0
HumanaChoice H7617-040
☆☆☆☆☆
$0 $5,750 $420 H7617-040-0
HumanaChoice H7617-059
☆☆☆☆☆
$20 $7,700 $420 H7617-059-0
Humana USAA Honor Giveback
☆☆☆☆☆
$0 $7,900 N/A H5216-348-0
Humana USAA Honor Giveback
☆☆☆☆☆
$0 $6,750 N/A H5216-128-0
HumanaChoice H5216-042
☆☆☆☆☆
$60 $6,750 $615 H5216-042-0
HumanaChoice H5216-043
☆☆☆☆☆
$20 $7,700 $420 H5216-043-1
HumanaChoice H5216-360
☆☆☆☆☆
$0 $5,750 $420 H5216-360-0
HumanaChoice R4182-001
☆☆☆☆☆
$0 $5,950 N/A R4182-001-0
HumanaChoice R4182-003
☆☆☆☆☆
$97 $7,650 $615 R4182-003-0
HumanaChoice R4182-004
☆☆☆☆☆
$44 $7,650 $615 R4182-004-0
UHC Medicare Advantage TX-0030
☆☆☆☆☆
$102 $8,200 $600 R6801-012-0
Blue Cross Medicare Advantage Balance
☆☆☆☆☆
$77 $6,750 $450 H1666-023-0
Blue Cross Medicare Advantage Optimum
☆☆☆☆☆
$142 $5,750 $300 H1666-024-0

What is the typical premium for PPO plans available in Real?

PPO plans in Real cost $40.14 per month on average.

Which PPO plan do most beneficiaries choose in Real?

The most popular PPO plan in Real is HumanaChoice H5216-360 (PPO), with 139 enrollees.

How many PPO options are offered without drug coverage in Real?

4 PPO plans in Real 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 6
  • Average Monthly Premium $0.00/mo
  • Total HMO Enrollment 14
  • $0 Premium HMO Plans 6
  • Average MOOP $5,700
  • Top HMO by Enrollment DEVOTED GIVEBACK 021 TX (HMO) — 14 enrollees
  • HMO Plans Without Drug Coverage 2

2026 HMO Medicare Advantage plans in Real County, Texas (comparison chart)
Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
DEVOTED CORE 003 TX
☆☆☆☆☆
$0 $3,900 $0 H7993-003-0
DEVOTED CORE 004 TX
☆☆☆☆☆
$0 $3,900 $615 H7993-004-0
DEVOTED GIVEBACK 021 TX
☆☆☆☆☆
$0 $9,250 $605 H7993-021-0
DEVOTED MA ONLY 020 TX
☆☆☆☆☆
$0 $9,250 N/A H7993-020-0
Wellcare Patriot Simple
☆☆☆☆☆
$0 $3,400 N/A H5294-014-0
Wellcare Simple
☆☆☆☆☆
$0 $4,500 $615 H5294-018-0
What is the total number of HMO plans offered in Real?

In 2026, Real County has 6 HMO plans with 14 enrollees.

How much do HMO plans cost in Real?

The typical HMO premium in Real is $0.00, and 6 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
1
Average Monthly Premium
$0.00/mo
Total HMO-POS Enrollment
0
$0 Premium HMO-POS Plans
1
Average MOOP
$9,250
Top HMO-POS by Enrollment
— 0 enrollees
HMO-POS Plans Without Drug Coverage
0

2026 HMO-POS Medicare Advantage plans in Real County, Texas (comparison chart)
Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
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 Real cost $0.00 per month on average.
Which HMO-POS plan is most popular in Real?
The most popular HMO-POS plan in Real is , with 0 enrollees.
How many HMO-POS plans in Real do not include drug coverage?
There are 0 HMO-POS plans in Real without prescription drug coverage.

CMS quality ratings for Medicare Advantage plans in Real County, TX (2026) are summarized below.

Quality Ratings for Medicare Advantage Plans in Real County, TX (2026)
Rating Category Number of Plans Percent of Plans
5 Stars 4 19%
4 Stars (includes 5 Stars) 7 33%
3 Stars 14 67%
Below 3 Stars 0 0%
Not Rated 0 0%
Average Rating 3.88

* Star ratings are based on CMS quality measures and reflect plan performance for the 2026 rating period.

  • 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, "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

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.

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