2026 Medicare Advantage Plans in San Jacinto County, TX
Last update: . Enrollment data updated: June 13, 2026
For 2026, San Jacinto County, TX includes 41 Medicare Advantage plans. Enrollment across these plans totals approximately 2,796, with 34 $0 premium options and 49% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in San Jacinto County, TX are summarized separately. Visit Medicare Options in San Jacinto 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
- 21
- Average Monthly Premium
- $14.66/mo
- Total PPO Enrollment
- 1,009
- $0 Premium PPO Plans
- 16
- Average MOOP
- $7,217
- Top PPO by Enrollment
- HumanaChoice H5216-043 (PPO) — 289 enrollees
- PPO Plans Without Drug Coverage
- 5
What is the average monthly premium for PPO plans in San Jacinto?
PPO plans in San Jacinto cost $14.66 per month on average.
Which PPO plan has the highest enrollment in San Jacinto?
The most popular PPO plan in San Jacinto is HumanaChoice H5216-043 (PPO), with 289 enrollees.
How many PPO plans in San Jacinto do not include prescription drug coverage?
5 PPO plans in San Jacinto 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 13
- Average Monthly Premium $0.37/mo
- Total HMO Enrollment 1,294
- $0 Premium HMO Plans 12
- Average MOOP $5,004
- Top HMO by Enrollment HealthSpring Preferred (HMO) — 422 enrollees
- HMO Plans Without Drug Coverage 2
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| DEVOTED CORE 019 TX | $0 | $3,650 | $220 | H7993-019-0 | |
| DEVOTED GIVEBACK 006 TX | $0 | $7,200 | $605 | H7993-006-0 | |
| KelseyCare Advantage Core | $0 | $4,500 | N/A | H0332-001-0 | |
| Aetna Medicare Signature Extra | $0 | $6,750 | $615 | H4523-015-0 | |
| HealthSpring Courage | $0 | $4,300 | N/A | H4513-009-0 | |
| HealthSpring Preferred | $0 | $3,500 | $200 | H4513-061-1 | |
| HealthSpring Preferred Full Savings | $0 | $7,500 | $500 | H4513-091-0 | |
| HealthSpring Preferred Savings | $0 | $6,900 | $300 | H4513-083-1 | |
| Humana Gold Plus H4461-057 | $0 | $3,450 | $340 | H4461-057-0 | |
| 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 | |
| Humana Gold Plus H0028-042 | $0 | $3,450 | $340 | H0028-042-0 |
What is the top HMO by enrollment in San Jacinto?
HealthSpring Preferred (HMO) is the top HMO in San Jacinto, with 422 enrollees.
What is the number of HMO plans without Part D coverage in San Jacinto?
2 HMO plans in San Jacinto 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
- 5
- Average Monthly Premium
- $0.00/mo
- Total HMO-POS Enrollment
- 493
- $0 Premium HMO-POS Plans
- 5
- Average MOOP
- $7,220
- Top HMO-POS by Enrollment
- AARP Medicare Advantage Essentials from UHC TX-26 (HMO-POS) — 290 enrollees
- HMO-POS Plans Without Drug Coverage
- 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage Essentials from UHC TX-26 | $0 | $4,900 | $355 | H0609-060-0 | |
| AARP Medicare Advantage Extras from UHC TX-48 | $0 | $6,700 | $440 | H0609-080-0 | |
| AARP Medicare Advantage Giveback from UHC TX-41 | $0 | $8,500 | $600 | H0609-068-0 | |
| KelseyCare Advantage Freedom | $0 | $6,750 | $200 | H0332-004-0 | |
| Wellpoint Medicare Advantage 2 | $0 | $9,250 | $300 | H2593-029-0 |
What is the typical premium for HMO-POS plans in San Jacinto?
HMO-POS plans in San Jacinto cost $0.00 per month on average.
Which HMO-POS plan has the most members in San Jacinto?
The most popular HMO-POS plan in San Jacinto is AARP Medicare Advantage Essentials from UHC TX-26 (HMO-POS), with 290 enrollees.
How many HMO-POS options are offered without prescription drug coverage in San Jacinto?
There are 0 HMO-POS plans in San Jacinto 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 H8145-084 | $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 San Jacinto?
In 2026, San Jacinto has 2 PFFS plans with 0 enrollees.
How much do PFFS plans cost in San Jacinto?
The typical PFFS premium in San Jacinto is $14.50, and 1 plans have no monthly premium.
CMS quality ratings for Medicare Advantage plans in San Jacinto County, TX (2026) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | 2 | 5% |
| 4 Stars (includes 5 Stars) | 20 | 49% |
| 3 Stars | 21 | 51% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.83 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- 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, "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
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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.