2026 Medicare Advantage Plans in San Patricio County, TX
Last update: . Enrollment data updated: May 2, 2026
In San Patricio County, TX, there are 32 Medicare Advantage plans available for 2026. Of these, 23 offer a $0 monthly premium, and about 31% are rated 4 stars or higher based on CMS quality ratings.
Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in San Patricio County, TX. Or explore all Medicare Options available in San Patricio County, TX.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow access to both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in choosing doctors and hospitals.
- Total PPO Plans 18
- Average Monthly Premium $19.06/mo
- Total PPO Enrollment 1,063
- $0 Premium PPO Plans 12
- Average MOOP $7,339
- Top PPO by Enrollment Humana Essentials Plus Giveback H5216-358 (PPO) — 215 enrollees
- PPO Plans Without Drug Coverage 6
What is the total number of PPO plans offered in San Patricio?
There are 18 PPO plans in 2026, covering 1,063 beneficiaries.
How much do PPO plans cost in San Patricio?
The average PPO premium in San Patricio is $19.06 per month, with 12 plans offering $0 premiums.
What is the most popular PPO plan in San Patricio?
Humana Essentials Plus Giveback H5216-358 (PPO) is the top PPO in San Patricio, with 215 enrollees.
What is the number of PPO plans without Part D coverage in San Patricio?
There are 6 PPO plans in San Patricio without prescription drug coverage.
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
- 9
- Average Monthly Premium
- $3.64/mo
- Total HMO Enrollment
- 1,617
- $0 Premium HMO Plans
- 6
- Average MOOP
- $3,672
- Top HMO by Enrollment
- Humana Gold Plus H0028-029 (HMO) — 1,187 enrollees
- HMO Plans Without Drug Coverage
- 2
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| 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 |
What is the average monthly premium for HMO plans?
HMO plans in San Patricio cost $3.64 per month on average.
Which HMO plan is most popular in San Patricio?
The most popular HMO plan in San Patricio is Humana Gold Plus H0028-029 (HMO), with 1,187 enrollees.
How many HMO plans in San Patricio do not include drug coverage?
There are 2 HMO plans in San Patricio without prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network rules with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS 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 leading HMO-POS plan in San Patricio?
AARP Medicare Advantage Essentials from UHC TX-11 (HMO-POS) is the top HMO-POS in San Patricio, with 1,937 enrollees.
What is the number of HMO-POS plans without Part D coverage in San Patricio?
1 HMO-POS plans in San Patricio do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in San Patricio County, TX for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 10 | 31% |
| 3 Stars | 22 | 69% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.72 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed May 2, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed May 2, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed May 2, 2026
County-level figures shown on this page, including plan counts, enrollment totals, averages, and percentage distributions, reflect standard Medicare Advantage (MA/MAPD) plans only and are derived from CMS datasets using a standardized aggregation methodology.
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
- Medicare.gov, "Joining a plan" — Last accessed 25 May, 2025
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