- Entity
- county:texas-upton-48461
- Digest
- 2026-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/texas/upton/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 11
- PPO Plans
- 8
- HMO Plans
- 2
- HMO-POS Plans
- 1
- PFFS Plans
- 0
- Average Monthly Premium
- 22.09
- Average MOOP
- 7072.73
- Average Part D Deductible
- 576.67
- $0 Premium Plans
- 8
- Plans Without Part D Coverage
- 2
- Average CMS Star Rating
- 3.18
- $0 Premium Plan Share
- 72.73
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 9
- 3-Star Plan Share
- 73
- Below 3-Star Plan Share
- 18
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 30.38
- PPO Average MOOP
- 7393.75
- PPO Enrollment
- 101
- PPO $0 Premium Plans
- 5
- PPO Plans Without Part D Coverage
- 2
- HMO Average Monthly Premium
- 0
- HMO Average MOOP
- 4700
- HMO Enrollment
- 0
- HMO $0 Premium Plans
- 2
- HMO Plans Without Part D Coverage
- 0
- HMO-POS Average Monthly Premium
- 0
- HMO-POS Average MOOP
- 9250
- HMO-POS Enrollment
- 0
- HMO-POS $0 Premium Plans
- 1
- HMO-POS Plans Without Part D Coverage
- 0
- Entity
- county:texas-upton-48461
- Digest
- 2026-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/texas/upton/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-texas-upton-48461-landscape-stats
- Plans Indexed
- 11
- Standard Medicare Advantage Plans
-
-
Wellcare Simple Value
H4506-030-0 -
HumanaChoice R4182-001
R4182-001-0 -
HumanaChoice R4182-003
R4182-003-0 -
HumanaChoice R4182-004
R4182-004-0 -
UHC Medicare Advantage TX-0030
R6801-012-0 -
Blue Cross Medicare Advantage Complete
H8634-023-0 -
Blue Cross Medicare Advantage Dental Premier
H8634-024-0 -
Blue Cross Medicare Advantage Health Choice
H8634-025-0 -
Blue Cross Medicare Advantage Protect
H8634-026-0 -
Blue Cross Medicare Advantage Dental Value
H9706-007-0 -
Blue Cross Medicare Advantage Secure
H9706-005-0
-
Wellcare Simple Value
- Total Standard Medicare Advantage Enrollment
- 101
2026 Medicare Advantage Plans in Upton County, TX
Last update: .
For 2026, Upton County, TX includes 11 Medicare Advantage plans. Enrollment across these plans totals approximately 101, with 8 $0 premium options and 9% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Upton County, TX are summarized separately. Visit Medicare Options in Upton 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
- 101
- $0 Premium PPO Plans
- 5
- Average MOOP
- $7,394
- Top PPO by Enrollment
- UHC Medicare Advantage TX-0030 (Regional PPO) — 47 enrollees
- PPO Plans Without Drug Coverage
- 2
| PPO Plan Name | Rating* | Premium | MOOP | Rx Ded. | 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 average monthly premium for PPO plans in Upton?
PPO plans in Upton cost $30.38 per month on average.
Which PPO plan has the highest enrollment in Upton?
The most popular PPO plan in Upton is UHC Medicare Advantage TX-0030 (Regional PPO), with 47 enrollees.
How many PPO plans in Upton do not include prescription drug coverage?
2 PPO plans in Upton 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 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
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | 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 top HMO by enrollment in Upton?
is the top HMO in Upton, with 0 enrollees.
What is the number of HMO plans without Part D coverage in Upton?
0 HMO plans in Upton 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
- 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
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Wellcare Simple Value | $0 | $9,250 | $615 | H4506-030-0 |
What is the typical premium for HMO-POS plans in Upton?
HMO-POS plans in Upton cost $0.00 per month on average.
Which HMO-POS plan has the most members in Upton?
The most popular HMO-POS plan in Upton is , with 0 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Upton?
There are 0 HMO-POS plans in Upton without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Upton 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) | 1 | 9% |
| 3 Stars | 8 | 73% |
| Below 3 Stars | 2 | 18% |
| Not Rated | 0 | 0% |
| Average Rating | 3.18 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202608
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-08
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, 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.