2026 Medicare Advantage Plans in Sutton County, TX
Last update: . Enrollment data updated: May 2, 2026
For 2026, Sutton County, TX includes 10 Medicare Advantage plans. Enrollment across these plans totals approximately 77, with 7 $0 premium options and 0% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Sutton County, TX are summarized separately. Visit Medicare Options in Sutton 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
- 8
- Average Monthly Premium
- $30.38/mo
- Total PPO Enrollment
- 77
- $0 Premium PPO Plans
- 5
- Average MOOP
- $7,394
- Top PPO by Enrollment
- UHC Medicare Advantage TX-0030 (Regional PPO) — 42 enrollees
- PPO Plans Without Drug Coverage
- 2
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| 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 Complete | $0 | $6,750 | $450 | H8634-023-0 | |
| Blue Cross Medicare Advantage Dental Premier | $0 | $6,750 | $615 | H8634-024-0 | |
| Blue Cross Medicare Advantage Health Choice | $0 | $9,250 | $615 | H8634-025-0 | |
| Blue Cross Medicare Advantage Protect | $0 | $6,950 | N/A | H8634-026-0 |
- What is the average monthly premium for PPO plans in Sutton?
- PPO plans in Sutton cost $30.38 per month on average.
- Which PPO plan has the highest enrollment in Sutton?
- The most popular PPO plan in Sutton is UHC Medicare Advantage TX-0030 (Regional PPO), with 42 enrollees.
- How many PPO plans in Sutton do not include prescription drug coverage?
- 2 PPO plans in Sutton 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.
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| Blue Cross Medicare Advantage Dental Value | $0 | $5,200 | $615 | H9706-007-0 | |
| Blue Cross Medicare Advantage Value | $0 | $4,750 | $450 | H9706-009-0 |
What is the total number of HMO plans offered in Sutton?
There are 2 HMO plans in 2026, covering 0 enrollees.
How much do HMO plans cost in Sutton?
The average HMO premium in Sutton is $0.00 per month, with 2 plans offering $0 premiums.
What is the top HMO by enrollment in Sutton?
is the top HMO in Sutton, with 0 enrollees.
What is the number of HMO plans without Part D coverage in Sutton?
0 HMO plans in Sutton do not include prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Sutton County, TX (2026) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 0 | 0% |
| 3 Stars | 8 | 80% |
| Below 3 Stars | 2 | 20% |
| Not Rated | 0 | 0% |
| Average Rating | 3.1 | |
* 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.