- Entity
- county:texas-upshur-48459
- Digest
- 2027-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/texas/upshur/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 24
- PPO Plans
- 15
- HMO Plans
- 8
- HMO-POS Plans
- 1
- PFFS Plans
- 0
- Average Monthly Premium
- 14.92
- Average MOOP
- 7002.08
- Average Part D Deductible
- 565.5
- $0 Premium Plans
- 19
- Plans Without Part D Coverage
- 4
- Average CMS Star Rating
- 3.92
- $0 Premium Plan Share
- 79.17
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 58
- 3-Star Plan Share
- 42
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 23.87
- PPO Average MOOP
- 7576.67
- PPO Enrollment
- 1470
- PPO $0 Premium Plans
- 10
- PPO Plans Without Part D Coverage
- 3
- HMO Average Monthly Premium
- 0
- HMO Average MOOP
- 5962.5
- HMO Enrollment
- 1495
- HMO $0 Premium Plans
- 8
- HMO Plans Without Part D Coverage
- 1
- HMO-POS Average Monthly Premium
- 0
- HMO-POS Average MOOP
- 6700
- HMO-POS Enrollment
- 390
- HMO-POS $0 Premium Plans
- 1
- HMO-POS Plans Without Part D Coverage
- 0
- Entity
- county:texas-upshur-48459
- Digest
- 2027-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/texas/upshur/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-texas-upshur-48459-landscape-stats
- Plans Indexed
- 24
- Standard Medicare Advantage Plans
-
-
DEVOTED CORE 073 TX
H7993-073-0 -
DEVOTED GIVEBACK 074 TX
H7993-074-0 -
DEVOTED GIVEBACK EXTRAS 112 TX
H7993-112-0 -
Humana Essentials Plus Giveback
H7617-035-0 -
Humana Gold Plus H0028-041
H0028-041-0 -
Humana Gold Plus H4461-055
H4461-055-0 -
Humana USAA Honor Giveback
H7617-062-0 -
Humana Value Choice
H7617-043-0 -
AARP Medicare Advantage from UHC TX-0010
H4514-017-0 -
Humana USAA Honor Giveback
H5216-348-0 -
HumanaChoice Giveback H5216-358
H5216-358-0 -
HumanaChoice H5216-042
H5216-042-0 -
HumanaChoice H5216-043
H5216-043-5 -
HumanaChoice H5216-352
H5216-352-0 -
Aetna Medicare Signature
H3288-008-0 -
Aetna Medicare Signature Extra
H2293-014-0 -
HealthSpring Courage
H4513-009-0 -
HealthSpring Preferred
H4513-026-0 -
HealthSpring Preferred Savings
H4513-083-6 -
HumanaChoice R4182-001
R4182-001-0 -
HumanaChoice R4182-003
R4182-003-0 -
HumanaChoice R4182-004
R4182-004-0 -
AARP Medicare Advantage from UHC TX-61
R6801-012-0 -
HealthSpring True Choice
H7849-154-0
-
DEVOTED CORE 073 TX
- Total Standard Medicare Advantage Enrollment
- 3355
2027 Medicare Advantage Plans in Upshur County, TX
Last update: .
For 2027, Upshur County, TX includes 24 Medicare Advantage plans. Enrollment across these plans totals approximately 3,355, with 19 $0 premium options and 58% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Upshur County, TX are summarized separately. Visit Medicare Options in Upshur 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
- 15
- Average Monthly Premium
- $23.87/mo
- Total PPO Enrollment
- 1,470
- $0 Premium PPO Plans
- 10
- Average MOOP
- $7,577
- Top PPO by Enrollment
- HumanaChoice H5216-352 (PPO) — 460 enrollees
- PPO Plans Without Drug Coverage
- 3
| PPO Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana Essentials Plus Giveback | $0 | $8,300 | $50 | H7617-035-0 | |
| Humana USAA Honor Giveback | $0 | $7,900 | N/A | H7617-062-0 | |
| Humana Value Choice | $0 | $6,700 | $520 | H7617-043-0 | |
| Humana USAA Honor Giveback | $0 | $7,900 | N/A | H5216-348-0 | |
| HumanaChoice Giveback H5216-358 | $0 | $8,300 | $50 | H5216-358-0 | |
| HumanaChoice H5216-042 | $62 | $6,750 | $700 | H5216-042-0 | |
| HumanaChoice H5216-043 | $12 | $8,150 | $700 | H5216-043-5 | |
| HumanaChoice H5216-352 | $0 | $6,700 | $520 | H5216-352-0 | |
| Aetna Medicare Signature | $0 | $6,750 | $700 | H3288-008-0 | |
| Aetna Medicare Signature Extra | $0 | $7,150 | $400 | H2293-014-0 | |
| HumanaChoice R4182-001 | $0 | $6,000 | N/A | R4182-001-0 | |
| HumanaChoice R4182-003 | $100 | $8,200 | $700 | R4182-003-0 | |
| HumanaChoice R4182-004 | $46 | $8,200 | $700 | R4182-004-0 | |
| AARP Medicare Advantage from UHC TX-61 | $138 | $9,850 | $685 | R6801-012-0 | |
| HealthSpring True Choice | $0 | $6,800 | $700 | H7849-154-0 |
What is the average monthly premium for PPO plans in Upshur?
PPO plans in Upshur cost $23.87 per month on average.
Which PPO plan has the highest enrollment in Upshur?
The most popular PPO plan in Upshur is HumanaChoice H5216-352 (PPO), with 460 enrollees.
How many PPO plans in Upshur do not include prescription drug coverage?
3 PPO plans in Upshur 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 8
- Average Monthly Premium $0.00/mo
- Total HMO Enrollment 1,495
- $0 Premium HMO Plans 8
- Average MOOP $5,963
- Top HMO by Enrollment HealthSpring Preferred Savings (HMO) — 588 enrollees
- HMO Plans Without Drug Coverage 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| DEVOTED CORE 073 TX | $0 | $5,750 | $650 | H7993-073-0 | |
| DEVOTED GIVEBACK 074 TX | $0 | $9,850 | $650 | H7993-074-0 | |
| DEVOTED GIVEBACK EXTRAS 112 TX | $0 | $7,350 | $700 | H7993-112-0 | |
| Humana Gold Plus H0028-041 | $0 | $4,250 | $700 | H0028-041-0 | |
| Humana Gold Plus H4461-055 | $0 | $4,250 | $700 | H4461-055-0 | |
| HealthSpring Courage | $0 | $4,300 | N/A | H4513-009-0 | |
| HealthSpring Preferred | $0 | $4,450 | $500 | H4513-026-0 | |
| HealthSpring Preferred Savings | $0 | $7,500 | $300 | H4513-083-6 |
What is the top HMO by enrollment in Upshur?
HealthSpring Preferred Savings (HMO) is the top HMO in Upshur, with 588 enrollees.
What is the number of HMO plans without Part D coverage in Upshur?
1 HMO plans in Upshur 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
- 1
- Average Monthly Premium
- $0.00/mo
- Total HMO-POS Enrollment
- 390
- $0 Premium HMO-POS Plans
- 1
- Average MOOP
- $6,700
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC TX-0010 (HMO-POS) — 390 enrollees
- HMO-POS Plans Without Drug Coverage
- 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC TX-0010 | $0 | $6,700 | $685 | H4514-017-0 |
What is the typical premium for HMO-POS plans in Upshur?
HMO-POS plans in Upshur cost $0.00 per month on average.
Which HMO-POS plan has the most members in Upshur?
The most popular HMO-POS plan in Upshur is AARP Medicare Advantage from UHC TX-0010 (HMO-POS), with 390 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Upshur?
There are 0 HMO-POS plans in Upshur without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Upshur County, TX (2027) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 14 | 58% |
| 3 Stars | 10 | 42% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.92 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
| Data Source | Publisher | CMS Version |
|---|---|---|
| Landscape Source Files | Centers for Medicare & Medicaid Services | CY2027 Landscape (202609.1) |
| Medicare Part C & D Performance | Centers for Medicare & Medicaid Services | 2027 Star Ratings Data Tables |
| Plan Benefits Package | Centers for Medicare & Medicaid Services | PBP Benefits-2027 |
| Monthly Enrollment by Contract/Plan/State/County | Centers for Medicare & Medicaid Services | 2026-09 |
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.
| Publisher | Reference | Last Accessed |
|---|---|---|
| Medicare.gov | Understanding Medicare Advantage Plans | 25 May, 2025 |
| Medicare.gov | Compare Original Medicare & Medicare Advantage | 25 May, 2025 |
| NCOA.org | 5 Steps to Choosing the Right Medicare Plan for You | 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.