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

2026 Medicare Advantage Plans in Smith County, TX

Last update: May 2, 2026. Enrollment data updated: May 2, 2026

For 2026, Smith County, TX includes 33 Medicare Advantage plans. Enrollment across these plans totals approximately 16,685, with 26 $0 premium options and 33% rated 4 stars or higher.

This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Smith County, TX are summarized separately. Visit Medicare Options in Smith County, TX to see more options.

  • 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: $13.58/mo
  • $0 Premium Plans: 26
  • Average MOOP: $6,421 ($9,250 max. in 2026)
  • Star Ratings (Plan Mix): 4+ Stars: 33% · 3 Stars: 58% · Below 3: 9%
  • Average Part D Deductible: $462.88
  • Total MA/MAPD Enrollment: 16,685
  • Plans with the Highest Enrollment
    (as of May 2, 2026)
    1. AARP Medicare Advantage Essentials from UHC TX-26 (HMO-POS) — 2,740 enrollees
    2. HealthSpring Preferred Savings (HMO) — 2,007 enrollees
    3. CHRISTUS Health Medicare Plus (HMO) — 1,821 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
19
Average Monthly Premium
$22.53/mo
Total PPO Enrollment
4,922
$0 Premium PPO Plans
13
Average MOOP
$7,145
Top PPO by Enrollment
Humana Value Choice H5216-352 (PPO) — 913 enrollees
PPO Plans Without Drug Coverage
5

2026 PPO Medicare Advantage plans in Smith County, Texas (comparison chart)
Plan Name CMS Stars* Premium/Mo MOOP Rx Ded. CMS ID
Humana Essentials Plus Giveback H7617-035
☆☆☆☆☆
$0 $8,300 $350 H7617-035-0
Humana USAA Honor Giveback
☆☆☆☆☆
$0 $7,900 N/A H7617-062-0
Humana Value Choice H7617-043
☆☆☆☆☆
$0 $6,400 $420 H7617-043-0
Aetna Medicare Signature Extra
☆☆☆☆☆
$0 $6,750 $615 H2293-014-0
AARP Medicare Advantage from UHC TX-0007
☆☆☆☆☆
$0 $6,700 $520 H1278-015-0
Aetna Medicare Eagle
☆☆☆☆☆
$0 $4,900 N/A H3288-051-0
Aetna Medicare Signature
☆☆☆☆☆
$0 $6,750 $615 H3288-008-0
Humana Essentials Plus Giveback H5216-358
☆☆☆☆☆
$0 $8,300 $390 H5216-358-0
Humana USAA Honor Giveback
☆☆☆☆☆
$0 $6,750 N/A H5216-128-0
Humana USAA Honor Giveback
☆☆☆☆☆
$0 $7,900 N/A H5216-348-0
Humana Value Choice H5216-352
☆☆☆☆☆
$0 $6,400 $420 H5216-352-0
HumanaChoice H5216-042
☆☆☆☆☆
$60 $6,750 $615 H5216-042-0
HumanaChoice H5216-043
☆☆☆☆☆
$15 $7,700 $420 H5216-043-5
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 Preferred
☆☆☆☆☆
$110 $8,000 $450 H8634-033-0
HealthSpring True Choice
☆☆☆☆☆
$0 $6,800 $250 H7849-154-0
What is the average monthly premium for PPO plans in Smith?
PPO plans in Smith cost $22.53 per month on average.
Which PPO plan has the highest enrollment in Smith?
The most popular PPO plan in Smith is Humana Value Choice H5216-352 (PPO), with 913 enrollees.
How many PPO plans in Smith do not include prescription drug coverage?
5 PPO plans in Smith do not include prescription drug coverage.

Medicare Advantage HMO Plans

Health Maintenance Organization (HMO) plans are built around a defined network of doctors and hospitals. Care is generally covered only within the network, except in emergencies, but this structure often results in lower premiums and out-of-pocket costs.

Total HMO Plans
11
Average Monthly Premium
$1.82/mo
Total HMO Enrollment
8,338
$0 Premium HMO Plans
10
Average MOOP
$5,095
Top HMO by Enrollment
HealthSpring Preferred Savings (HMO) — 2,007 enrollees
HMO Plans Without Drug Coverage
2

2026 HMO Medicare Advantage plans in Smith County, Texas (comparison chart)
Plan Name CMS Stars* Premium/Mo MOOP Rx Ded. CMS ID
HealthSpring Courage
☆☆☆☆☆
$0 $4,300 N/A H4513-009-0
HealthSpring Preferred
☆☆☆☆☆
$0 $4,400 $200 H4513-026-0
HealthSpring Preferred Savings
☆☆☆☆☆
$0 $7,200 $300 H4513-083-6
Humana Gold Plus H4461-055
☆☆☆☆☆
$0 $4,250 $615 H4461-055-0
CHRISTUS Health Medicare Complete
☆☆☆☆☆
$0 $4,900 $250 H1189-003-0
CHRISTUS Health Medicare Guardian
☆☆☆☆☆
$0 $4,900 N/A H1189-008-0
CHRISTUS Health Medicare Plus
☆☆☆☆☆
$20 $4,200 $250 H1189-004-0
Humana Gold Plus H0028-041
☆☆☆☆☆
$0 $4,250 $615 H0028-041-0
Blue Cross Medicare Advantage Dental Value
☆☆☆☆☆
$0 $5,200 $615 H9706-007-0
Blue Cross Medicare Advantage Saver
☆☆☆☆☆
$0 $7,500 $450 H9706-008-0
Blue Cross Medicare Advantage Value
☆☆☆☆☆
$0 $4,950 $450 H9706-001-0
What is the total number of HMO plans offered in Smith?

There are 11 HMO plans in 2026, covering 8,338 enrollees.

How much do HMO plans cost in Smith?

The average HMO premium in Smith is $1.82 per month, with 10 plans offering $0 premiums.

What is the top HMO by enrollment in Smith?

HealthSpring Preferred Savings (HMO) is the top HMO in Smith, with 2,007 enrollees.

What is the number of HMO plans without Part D coverage in Smith?

2 HMO plans in Smith 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
3
Average Monthly Premium
$0.00/mo
Total HMO-POS Enrollment
3,425
$0 Premium HMO-POS Plans
3
Average MOOP
$6,700
Top HMO-POS by Enrollment
AARP Medicare Advantage Essentials from UHC TX-26 (HMO-POS) — 2,740 enrollees
HMO-POS Plans Without Drug Coverage
0

2026 HMO-POS Medicare Advantage plans in Smith County, Texas (comparison chart)
Plan Name CMS Stars* Premium/Mo MOOP Rx Ded. CMS 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

What is the average monthly premium for HMO-POS plans?

HMO-POS plans in Smith cost $0.00 per month on average.

Which HMO-POS plan is most popular in Smith?

The most popular HMO-POS plan in Smith is AARP Medicare Advantage Essentials from UHC TX-26 (HMO-POS), with 2,740 enrollees.

How many HMO-POS plans in Smith do not include drug coverage?

There are 0 HMO-POS plans in Smith without prescription drug coverage.

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

Medicare Advantage Plan Ratings in Smith County, TX (2026)
Rating Category Number of Plans Percent of Plans
5 Stars No 5-star plans available. 0%
4 Stars (includes 5 Stars) 11 33%
3 Stars 19 58%
Below 3 Stars 3 9%
Not Rated 0 0%
Average Rating 3.64

* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.

  • 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

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

MedicarePlans.com is an independent informational resource and has no affiliation with, or endorsement from, 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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