- Entity
- county:texas-zapata-48505
- 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/zapata/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 25
- PPO Plans
- 13
- HMO Plans
- 7
- HMO-POS Plans
- 5
- PFFS Plans
- 0
- Average Monthly Premium
- 10.87
- Average MOOP
- 6100
- Average Part D Deductible
- 380.42
- $0 Premium Plans
- 20
- Plans Without Part D Coverage
- 6
- Average CMS Star Rating
- 3.86
- $0 Premium Plan Share
- 80
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 44
- 3-Star Plan Share
- 56
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 18.69
- PPO Average MOOP
- 7530.77
- PPO Enrollment
- 199
- PPO $0 Premium Plans
- 10
- PPO Plans Without Part D Coverage
- 4
- HMO Average Monthly Premium
- 0.69
- HMO Average MOOP
- 4085.71
- HMO Enrollment
- 301
- HMO $0 Premium Plans
- 6
- HMO Plans Without Part D Coverage
- 1
- HMO-POS Average Monthly Premium
- 4.8
- HMO-POS Average MOOP
- 5200
- HMO-POS Enrollment
- 243
- HMO-POS $0 Premium Plans
- 4
- HMO-POS Plans Without Part D Coverage
- 1
- Entity
- county:texas-zapata-48505
- 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/zapata/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-texas-zapata-48505-landscape-stats
- Plans Indexed
- 25
- Standard Medicare Advantage Plans
-
-
AARP Medicare Advantage Essentials from UHC TX-14
H4527-013-0 -
AARP Medicare Advantage Extras from UHC TX-50
H4527-055-0 -
AARP Medicare Advantage from UHC TX-51
H4527-058-0 -
AARP Medicare Advantage Giveback from UHC TX-38
H4527-051-0 -
AARP Medicare Advantage Patriot No Rx TX-MA01
H4527-024-0 -
Humana USAA Honor Giveback
H7617-062-0 -
HumanaChoice Giveback H7617-041
H7617-041-0 -
Prominence Beyond
H7680-011-0 -
Prominence Extra Help
H7680-009-0 -
Prominence Giveback
H7680-014-0 -
Prominence Plus
H7680-002-0 -
Humana USAA Honor Giveback
H5216-348-0 -
HumanaChoice Giveback H5216-350
H5216-350-0 -
HumanaChoice H0473-004
H0473-004-0 -
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 -
Wellcare Assist
H5294-013-0 -
Wellcare Patriot Simple
H5294-014-0 -
Wellcare Simple
H5294-011-0 -
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
-
AARP Medicare Advantage Essentials from UHC TX-14
- Total Standard Medicare Advantage Enrollment
- 743
2026 Medicare Advantage Plans in Zapata County, TX
Last update: .
For 2026, Zapata County, TX includes 25 Medicare Advantage plans. Enrollment across these plans totals approximately 743, with 20 $0 premium options and 44% rated 4 stars or higher.
Totals on this page exclude Medicare Advantage Special Needs Plans (SNPs). SNP plans for Zapata County, TX are provided separately. Or you can discover all Medicare Options in Zapata County, TX.
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
- 13
- Average Monthly Premium
- $18.69/mo
- Total PPO Enrollment
- 199
- $0 Premium PPO Plans
- 10
- Average MOOP
- $7,531
- Top PPO by Enrollment
- HumanaChoice Giveback H5216-350 (PPO) — 90 enrollees
- PPO Plans Without Drug Coverage
- 4
| PPO Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana USAA Honor Giveback | $0 | $7,900 | N/A | H7617-062-0 | |
| HumanaChoice Giveback H7617-041 | $0 | $7,950 | $0 | H7617-041-0 | |
| Humana USAA Honor Giveback | $0 | $7,900 | N/A | H5216-348-0 | |
| HumanaChoice Giveback H5216-350 | $0 | $7,950 | $0 | H5216-350-0 | |
| HumanaChoice H0473-004 | $0 | $7,050 | $420 | H0473-004-0 | |
| 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 typical premium for PPO plans available in Zapata?
PPO plans in Zapata cost $18.69 per month on average.
Which PPO plan do most beneficiaries choose in Zapata?
The most popular PPO plan in Zapata is HumanaChoice Giveback H5216-350 (PPO), with 90 enrollees.
How many PPO options are offered without drug coverage in Zapata?
4 PPO plans in Zapata 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 7
- Average Monthly Premium $0.69/mo
- Total HMO Enrollment 301
- $0 Premium HMO Plans 6
- Average MOOP $4,086
- Top HMO by Enrollment Wellcare Simple (HMO) — 175 enrollees
- HMO Plans Without Drug Coverage 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Prominence Beyond | $0 | $4,150 | $100 | H7680-011-0 | |
| Prominence Extra Help | $0 | $3,400 | $615 | H7680-009-0 | |
| Prominence Giveback | $0 | $7,500 | $0 | H7680-014-0 | |
| Prominence Plus | $0 | $3,000 | $0 | H7680-002-0 | |
| Wellcare Assist | $5 | $3,700 | $615 | H5294-013-0 | |
| Wellcare Patriot Simple | $0 | $3,400 | N/A | H5294-014-0 | |
| Wellcare Simple | $0 | $3,450 | $615 | H5294-011-0 |
What is the total number of HMO plans offered in Zapata?
In 2026, Zapata County has 7 HMO plans with 301 enrollees.
How much do HMO plans cost in Zapata?
The typical HMO premium in Zapata is $0.69, and 6 plans have no monthly premium.
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
- 5
- Average Monthly Premium
- $4.80/mo
- Total HMO-POS Enrollment
- 243
- $0 Premium HMO-POS Plans
- 4
- Average MOOP
- $5,200
- Top HMO-POS by Enrollment
- AARP Medicare Advantage Essentials from UHC TX-14 (HMO-POS) — 205 enrollees
- HMO-POS Plans Without Drug Coverage
- 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage Essentials from UHC TX-14 | $0 | $3,600 | $355 | H4527-013-0 | |
| AARP Medicare Advantage Extras from UHC TX-50 | $0 | $4,200 | $440 | H4527-055-0 | |
| AARP Medicare Advantage from UHC TX-51 | $24 | $3,600 | $355 | H4527-058-0 | |
| AARP Medicare Advantage Giveback from UHC TX-38 | $0 | $7,900 | $203 | H4527-051-0 | |
| AARP Medicare Advantage Patriot No Rx TX-MA01 | $0 | $6,700 | N/A | H4527-024-0 |
- What is the average monthly premium for HMO-POS plans?
- HMO-POS plans in Zapata cost $4.80 per month on average.
- Which HMO-POS plan is most popular in Zapata?
- The most popular HMO-POS plan in Zapata is AARP Medicare Advantage Essentials from UHC TX-14 (HMO-POS), with 205 enrollees.
- How many HMO-POS plans in Zapata do not include drug coverage?
- There are 1 HMO-POS plans in Zapata without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Zapata 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) | 11 | 44% |
| 3 Stars | 14 | 56% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.86 | |
* Star ratings are based on CMS quality measures and reflect plan performance for the 2026 rating period.
- 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, "Explore your Medicare coverage options" — 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.