2026 Medicare Advantage Plans in Zapata County, TX
Last update: . Enrollment data updated: May 2, 2026
In Zapata County, TX, there are 25 Medicare Advantage plans available for 2026. Of these, 20 offer a $0 monthly premium, and about 44% 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 Zapata County, TX. Or explore all Medicare Options available in Zapata 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 13
- Average Monthly Premium $18.69/mo
- Total PPO Enrollment 185
- $0 Premium PPO Plans 10
- Average MOOP $7,531
- Top PPO by Enrollment HumanaChoice Giveback H5216-350 (PPO) — 93 enrollees
- PPO Plans Without Drug Coverage 4
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS 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 total number of PPO plans offered in Zapata?
There are 13 PPO plans in 2026, covering 185 beneficiaries.
How much do PPO plans cost in Zapata?
The average PPO premium in Zapata is $18.69 per month, with 10 plans offering $0 premiums.
What is the most popular PPO plan in Zapata?
HumanaChoice Giveback H5216-350 (PPO) is the top PPO in Zapata, with 93 enrollees.
What is the number of PPO plans without Part D coverage in Zapata?
There are 4 PPO plans in Zapata 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
- 7
- Average Monthly Premium
- $0.69/mo
- Total HMO Enrollment
- 302
- $0 Premium HMO Plans
- 6
- Average MOOP
- $4,086
- Top HMO by Enrollment
- Wellcare Simple (HMO) — 182 enrollees
- HMO Plans Without Drug Coverage
- 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS 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 average monthly premium for HMO plans?
HMO plans in Zapata cost $0.69 per month on average.
Which HMO plan is most popular in Zapata?
The most popular HMO plan in Zapata is Wellcare Simple (HMO), with 182 enrollees.
How many HMO plans in Zapata do not include drug coverage?
There are 1 HMO plans in Zapata without prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network rules with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS 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 leading HMO-POS plan in Zapata?
AARP Medicare Advantage Essentials from UHC TX-14 (HMO-POS) is the top HMO-POS in Zapata, with 200 enrollees.
What is the number of HMO-POS plans without Part D coverage in Zapata?
1 HMO-POS plans in Zapata do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Zapata 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) | 11 | 44% |
| 3 Stars | 14 | 56% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.86 | |
* 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
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 .
- Medicare.gov, "Compare types of Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 25 May, 2025
- Medicare.gov, "Joining a plan" — Last accessed 25 May, 2025
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