2026 Medicare Advantage Plans in Upton County, TX
Last update: . Enrollment data updated: May 2, 2026
In Upton County, TX, there are 11 Medicare Advantage plans available for 2026. Of these, 8 offer a $0 monthly premium, and about 9% 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 Upton County, TX. Or explore all Medicare Options available in Upton County, TX.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to use both in-network and out-of-network providers. Out-of-network care typically costs more, but PPOs offer greater flexibility in how care is accessed.
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan 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 total number of PPO plans offered in Upton?
Upton County has 8 PPO plans for 2026, with 99 enrolled.
How much do PPO plans cost in Upton?
The typical PPO premium in Upton is $30.38, and 5 plans have no monthly premium.
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
- 2
- Average Monthly Premium
- $0.00/mo
- Total HMO Enrollment
- 0
- $0 Premium HMO Plans
- 2
- Average MOOP
- $4,700
- Top HMO by Enrollment
- — 0 enrollees
- HMO Plans Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Blue Cross Medicare Advantage Dental Value | $0 | $5,200 | $615 | H9706-007-0 | |
| Blue Cross Medicare Advantage Secure | $0 | $4,200 | $450 | H9706-005-0 |
- What is the average monthly premium for HMO plans?
- HMO plans in Upton cost $0.00 per month on average.
- Which HMO plan is most popular in Upton?
- The most popular HMO plan in Upton is , with 0 enrollees.
- How many HMO plans in Upton do not include drug coverage?
- There are 0 HMO plans in Upton without prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network requirements with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.
- Total HMO-POS Plans 1
- Average Monthly Premium $0.00/mo
- Total HMO-POS Enrollment 0
- $0 Premium HMO-POS Plans 1
- Average MOOP $9,250
- Top HMO-POS by Enrollment — 0 enrollees
- HMO-POS Plans Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Wellcare Simple Value | $0 | $9,250 | $615 | H4506-030-0 |
What is the total number of HMO-POS plans in Upton?
There are 1 HMO-POS plans in 2026, covering 0 enrollees.
How much do HMO-POS plans cost in Upton?
The average HMO-POS premium in Upton is $0.00 per month, with 1 plans offering $0 premiums.
What is the leading HMO-POS plan in Upton?
is the top HMO-POS in Upton, with 0 enrollees.
What is the number of HMO-POS plans without Part D coverage in Upton?
0 HMO-POS plans in Upton do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Upton 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) | 1 | 9% |
| 3 Stars | 8 | 73% |
| Below 3 Stars | 2 | 18% |
| Not Rated | 0 | 0% |
| Average Rating | 3.18 | |
* 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
This page presents county-level Medicare Advantage (MA/MAPD) data, including plan counts, enrollment totals, averages, and percentage distributions, derived from CMS datasets using a standardized aggregation approach.
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
- AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — Last accessed 25 May, 2025
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Data provenance documentation is maintained in alignment 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.