- Entity
- county:texas-wilson-48493
- 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/wilson/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 40
- PPO Plans
- 18
- HMO Plans
- 15
- HMO-POS Plans
- 6
- PFFS Plans
- 1
- Average Monthly Premium
- 11.88
- Average MOOP
- 6348.75
- Average Part D Deductible
- 575.57
- $0 Premium Plans
- 30
- Plans Without Part D Coverage
- 10
- Average CMS Star Rating
- 3.95
- $0 Premium Plan Share
- 75
- 5-Star Plan Share
- 5
- 4+ Star Plan Share
- 60
- 3-Star Plan Share
- 40
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 21.61
- PPO Average MOOP
- 7241.67
- PPO Enrollment
- 591
- PPO $0 Premium Plans
- 12
- PPO Plans Without Part D Coverage
- 5
- HMO Average Monthly Premium
- 2.73
- HMO Average MOOP
- 5046.67
- HMO Enrollment
- 1059
- HMO $0 Premium Plans
- 12
- HMO Plans Without Part D Coverage
- 3
- HMO-POS Average Monthly Premium
- 7.5
- HMO-POS Average MOOP
- 6341.67
- HMO-POS Enrollment
- 1029
- HMO-POS $0 Premium Plans
- 5
- HMO-POS Plans Without Part D Coverage
- 1
- PFFS Average Monthly Premium
- 0
- PFFS Average MOOP
- 9850
- PFFS Enrollment
- 0
- PFFS $0 Premium Plans
- 1
- PFFS Plans Without Part D Coverage
- 1
- Entity
- county:texas-wilson-48493
- 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/wilson/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-texas-wilson-48493-landscape-stats
- Plans Indexed
- 40
- Standard Medicare Advantage Plans
-
-
Clover Health Choice
H5141-025-0 -
Clover Health Valor
H5141-062-0 -
DEVOTED CORE 003 TX
H7993-003-0 -
DEVOTED GIVEBACK 021 TX
H7993-021-0 -
DEVOTED GIVEBACK EXTRAS 116 TX
H7993-116-0 -
DEVOTED MA ONLY 020 TX
H7993-020-0 -
DEVOTED PREMIUM 004 TX
H7993-004-0 -
Humana Gold Plus H0028-030
H0028-030-0 -
Humana Gold Plus H0028-070
H0028-070-0 -
Humana Gold Plus H4461-053
H4461-053-0 -
Humana Gold Plus H4461-058
H4461-058-0 -
Humana USAA Honor Giveback
H7617-062-0 -
Humana USAA Honor Giveback with Rx
H7617-042-0 -
HumanaChoice H7617-059
H7617-059-0 -
AARP Medicare Advantage Essentials from UHC TX-21
H0609-050-0 -
AARP Medicare Advantage Extras from UHC TX-28
H0609-063-0 -
AARP Medicare Advantage from UHC TX-0043
H0609-071-0 -
AARP Medicare Advantage Giveback from UHC TX-40
H0609-067-0 -
AARP Medicare Advantage Patriot No Rx TX-MA03
H0609-056-0 -
Humana Gold Choice H8145-126
H8145-126-0 -
Humana USAA Honor Giveback
H5216-348-0 -
Humana USAA Honor Giveback with Rx
H5216-351-0 -
HumanaChoice H5216-042
H5216-042-0 -
HumanaChoice H5216-043
H5216-043-1 -
Aetna Medicare Eagle
H3288-051-0 -
Aetna Medicare Signature
H3288-046-0 -
Aetna Medicare Signature Extra
H2293-019-0 -
Aetna Medicare Value Plus
H3288-048-0 -
HealthSpring Courage
H4513-009-0 -
HealthSpring Preferred
H4513-061-4 -
HealthSpring Preferred Savings
H4513-083-4 -
HumanaChoice R4182-001
R4182-001-0 -
HumanaChoice R4182-003
R4182-003-0 -
HumanaChoice R4182-004
R4182-004-0 -
Wellcare Patriot Simple
H5294-014-0 -
Wellcare Simple
H5294-017-0 -
AARP Medicare Advantage from UHC TX-61
R6801-012-0 -
Aetna Medicare Signature Extra
H4523-001-0 -
HealthSpring True Choice
H7849-154-0 -
Wellpoint Medicare Advantage 2
H2593-029-0
-
Clover Health Choice
- Total Standard Medicare Advantage Enrollment
- 2679
2027 Medicare Advantage Plans in Wilson County, TX
Last update: .
Wilson County, TX has 40 Medicare Advantage plans available in 2027. These include 30 plans with no monthly premium, and roughly 60% are rated at least 4 stars based on CMS data.
Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Wilson County, TX. Or explore all Medicare Options available in Wilson County, TX.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow access to both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in choosing doctors and hospitals.
- Total PPO Plans 18
- Average Monthly Premium $21.61/mo
- Total PPO Enrollment 591
- $0 Premium PPO Plans 12
- Average MOOP $7,242
- Top PPO by Enrollment Humana USAA Honor Giveback with Rx (PPO) — 100 enrollees
- PPO Plans Without Drug Coverage 5
What is the most popular PPO plan in Wilson?
Humana USAA Honor Giveback with Rx (PPO) is the top PPO in Wilson, with 100 enrollees.
What is the number of PPO plans without Part D coverage in Wilson?
There are 5 PPO plans in Wilson without prescription drug coverage.
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
- 15
- Average Monthly Premium
- $2.73/mo
- Total HMO Enrollment
- 1,059
- $0 Premium HMO Plans
- 12
- Average MOOP
- $5,047
- Top HMO by Enrollment
- Humana Gold Plus H0028-030 (HMO) — 516 enrollees
- HMO Plans Without Drug Coverage
- 3
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| DEVOTED CORE 003 TX | $0 | $3,900 | $461 | H7993-003-0 | |
| DEVOTED GIVEBACK 021 TX | $0 | $9,850 | $461 | H7993-021-0 | |
| DEVOTED GIVEBACK EXTRAS 116 TX | $0 | $6,600 | $700 | H7993-116-0 | |
| DEVOTED MA ONLY 020 TX | $0 | $9,250 | N/A | H7993-020-0 | |
| DEVOTED PREMIUM 004 TX | $5 | $3,900 | $650 | H7993-004-0 | |
| Humana Gold Plus H0028-030 | $0 | $3,900 | $700 | H0028-030-0 | |
| Humana Gold Plus H0028-070 | $12 | $3,400 | $700 | H0028-070-0 | |
| Humana Gold Plus H4461-053 | $24 | $3,400 | $700 | H4461-053-0 | |
| Humana Gold Plus H4461-058 | $0 | $3,900 | $700 | H4461-058-0 | |
| HealthSpring Courage | $0 | $4,300 | N/A | H4513-009-0 | |
| HealthSpring Preferred | $0 | $4,450 | $500 | H4513-061-4 | |
| HealthSpring Preferred Savings | $0 | $7,150 | $300 | H4513-083-4 | |
| Wellcare Patriot Simple | $0 | $3,400 | N/A | H5294-014-0 | |
| Wellcare Simple | $0 | $4,400 | $700 | H5294-017-0 | |
| Aetna Medicare Signature Extra | $0 | $3,900 | $300 | H4523-001-0 |
What is the typical premium for HMO plans in Wilson?
HMO plans in Wilson cost $2.73 per month on average.
Which HMO plan do most beneficiaries choose in Wilson?
The most popular HMO plan in Wilson is Humana Gold Plus H0028-030 (HMO), with 516 enrollees.
How many HMO options are offered without prescription drug coverage in Wilson?
There are 3 HMO plans in Wilson 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 6
- Average Monthly Premium $7.50/mo
- Total HMO-POS Enrollment 1,029
- $0 Premium HMO-POS Plans 5
- Average MOOP $6,342
- Top HMO-POS by Enrollment AARP Medicare Advantage Essentials from UHC TX-21 (HMO-POS) — 585 enrollees
- HMO-POS Plans Without Drug Coverage 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage Essentials from UHC TX-21 | $0 | $4,200 | $595 | H0609-050-0 | |
| AARP Medicare Advantage Extras from UHC TX-28 | $0 | $5,500 | $700 | H0609-063-0 | |
| AARP Medicare Advantage from UHC TX-0043 | $45 | $4,200 | $595 | H0609-071-0 | |
| AARP Medicare Advantage Giveback from UHC TX-40 | $0 | $7,150 | $215 | H0609-067-0 | |
| AARP Medicare Advantage Patriot No Rx TX-MA03 | $0 | $7,150 | N/A | H0609-056-0 | |
| Wellpoint Medicare Advantage 2 | $0 | $9,850 | $105 | H2593-029-0 |
What is the total number of HMO-POS plans in Wilson?
In 2027, Wilson has 6 HMO-POS plans with 1,029 enrollees.
How much do HMO-POS plans cost in Wilson?
The typical HMO-POS premium in Wilson is $7.50, and 5 plans have no monthly premium.
Medicare Advantage PFFS Plans
PFFS plans allow members to visit any Medicare-approved provider who accepts the plan’s payment terms. This offers broader choice than network-based plans, but coverage depends on provider participation, so acceptance should be confirmed in advance.
- Total PFFS Plans
- 1
- Average Monthly Premium
- $0.00/mo
- Total PFFS Enrollment
- 0
- $0 Premium PFFS Plans
- 1
- Average MOOP
- $9,850
- Top PFFS by Enrollment
- — 0 enrollees
- PFFS Plans Without Drug Coverage
- 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Humana Gold Choice H8145-126 | $0 | $9,850 | N/A | H8145-126-0 |
- What is the average monthly premium for PFFS plans?
- PFFS plans in Wilson cost $0.00 per month on average.
- Which PFFS plan is most popular in Wilson?
- The most popular PFFS plan in Wilson is , with 0 enrollees.
- How many PFFS plans in Wilson do not include drug coverage?
- There are 1 PFFS plans in Wilson without prescription drug coverage.
Below is a breakdown of CMS star ratings for Medicare Advantage plans available in Wilson County, TX for 2027.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | 2 | 5% |
| 4 Stars (includes 5 Stars) | 24 | 60% |
| 3 Stars | 16 | 40% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.95 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
| 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 |
County-level figures shown on this page, including plan counts, enrollment totals, averages, and percentage distributions, reflect standard Medicare Advantage (MA/MAPD) plans only and are derived from CMS datasets using a standardized aggregation methodology.
Data sources and methodology documentation.
| Publisher | Reference | Last Accessed |
|---|---|---|
| CMS.gov | Medicare Advantage Plan Fact Sheet | 25 May, 2025 |
| Medicare.gov | Your coverage options | 25 May, 2025 |
| Medicare.gov | Joining a plan | 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 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.