- methodology
- WebMEM® HTML-in-HTML Semantic Data Template
- status
- Patent Pending. Registered trademark of David W. Bynon
- copyright
- Copyright © 2026 David W. Bynon. All rights reserved.
- county
- Matagorda County
- state
- Texas
- label
- Total Medicare Advantage plans
- value
- 26
- label
- $0 premium plans
- value
- 19
- label
- HMO plans
- value
- 6
- label
- PPO plans
- value
- 17
- label
- HMO-POS plans
- value
- 3
- label
- PFFS plans
- value
- 0
- label
- Plans with drug coverage
- value
- 20
- label
- Lowest MOOP
- value
- $3,450
- label
- Highest MOOP
- value
- $9,250
- label
- Highest Part B giveback
- value
- $78.30
- methodology
- WebMEM® HTML-in-HTML Semantic Data Template
- status
- Patent Pending. Registered trademark of David W. Bynon
- copyright
- Copyright © 2026 David W. Bynon. All rights reserved.
- county
- Matagorda County
- state
- Texas
- label
- Total Part D plans
- value
- 12
- label
- $0 premium plans
- value
- 2
- label
- Basic coverage plans
- value
- 6
- label
- Enhanced coverage plans
- value
- 6
- label
- Lowest monthly premium
- value
- $0.00
- label
- Highest monthly premium
- value
- $167.40
- label
- Lowest deductible
- value
- $0
- label
- Highest deductible
- value
- $615
- methodology
- WebMEM® HTML-in-HTML Semantic Data Template
- status
- Patent Pending. Registered trademark of David W. Bynon
- copyright
- Copyright © 2026 David W. Bynon. All rights reserved.
- county
- Matagorda County
- state
- Texas
- label
- Participating Medigap carriers
- value
- 37
- label
- Lowest sample monthly premium
- value
- $35
- label
- Highest sample monthly premium
- value
- $2,396
- label
- Plan G lowest sample premium
- value
- $125
- label
- Plan G highest sample premium
- value
- $943
- label
- Plan N lowest sample premium
- value
- $92
- label
- Plan N highest sample premium
- value
- $657
- methodology
- WebMEM® HTML-in-HTML Semantic Data Template
- status
- Patent Pending. Registered trademark of David W. Bynon
- copyright
- Copyright © 2026 David W. Bynon. All rights reserved.
- county
- Matagorda County
- state
- Texas
- label
- Total Special Needs Plans
- value
- 24
- label
- Dual Eligible Special Needs Plans (D-SNP)
- value
- 17
- label
- Chronic Condition Special Needs Plans (C-SNP)
- value
- 3
- label
- Institutional Special Needs Plans (I-SNP)
- value
- 4
- methodology
- WebMEM® HTML-in-HTML Semantic Data Template
- status
- Patent Pending. Registered trademark of David W. Bynon
- copyright
- Copyright © 2026 David W. Bynon. All rights reserved.
- county
- Matagorda County
- state
- Texas
- label
- Coverage area
- value
- Matagorda County, Texas
- label
- Medicare Advantage plans
- value
- 26
- label
- Part D plans
- value
- 12
- label
- Medigap carriers
- value
- 37
- label
- Special Needs Plans
- value
- 24
- label
- D-SNP plans
- value
- 17
- label
- C-SNP plans
- value
- 3
- label
- I-SNP plans
- value
- 4
- label
- Enrollment data updated
- value
- June 13, 2026
- methodology
- WebMEM® HTML-in-HTML Semantic Data Template
- status
- Patent Pending. Registered trademark of David W. Bynon
- copyright
- Copyright © 2026 David W. Bynon. All rights reserved.
- county
- Matagorda County
- state
- Texas
- name
- Wellcare Simple
- plan_id
- H0174-010-0
- plan_url
- https://www.medicareplans.com/medicare-advantage/plan/H0174-010-0/
- cms_rating
- 4.0
- enrollment
- 14,957
- name
- Wellcare Giveback
- plan_id
- H0174-019-0
- plan_url
- https://www.medicareplans.com/medicare-advantage/plan/H0174-019-0/
- cms_rating
- 4.0
- enrollment
- 6,315
- name
- Wellcare Assist
- plan_id
- H0174-009-0
- plan_url
- https://www.medicareplans.com/medicare-advantage/plan/H0174-009-0/
- cms_rating
- 4.0
- enrollment
- 1,584
- name
- HumanaChoice H5216-043
- plan_id
- H5216-043-6
- plan_url
- https://www.medicareplans.com/medicare-advantage/plan/H5216-043-6/
- cms_rating
- 3.5
- enrollment
- 40,411
- name
- Humana USAA Honor Giveback
- plan_id
- H5216-348-0
- plan_url
- https://www.medicareplans.com/medicare-advantage/plan/H5216-348-0/
- cms_rating
- 3.5
- enrollment
- 24,294
- name
- AARP Medicare Advantage from UHC TX-0006
- plan_id
- H1278-014-0
- plan_url
- https://www.medicareplans.com/medicare-advantage/plan/H1278-014-0/
- cms_rating
- 3.5
- enrollment
- 15,837
- name
- AARP Medicare Advantage from UHC TX-0015
- plan_id
- H4527-037-0
- plan_url
- https://www.medicareplans.com/medicare-advantage/plan/H4527-037-0/
- cms_rating
- 4.5
- enrollment
- 36,489
- name
- AARP Medicare Advantage Patriot No Rx TX-MA01
- plan_id
- H4527-024-0
- plan_url
- https://www.medicareplans.com/medicare-advantage/plan/H4527-024-0/
- cms_rating
- 4.5
- enrollment
- 1,592
- name
- Wellpoint Medicare Advantage 2
- plan_id
- H2593-029-0
- plan_url
- https://www.medicareplans.com/medicare-advantage/plan/H2593-029-0/
- cms_rating
- 3.5
- enrollment
- 1,515
- name
- Wellcare Classic
- plan_id
- S4802-013-0
- plan_url
- https://www.medicareplans.com/prescription-drugs/plan/S4802-013-0/
- cms_rating
- 3.5
- enrollment
- 194,574
- name
- SilverScript Choice
- plan_id
- S5601-044-0
- plan_url
- https://www.medicareplans.com/prescription-drugs/plan/S5601-044-0/
- cms_rating
- 3.0
- enrollment
- 109,641
- name
- Humana Basic Rx Plan
- plan_id
- S5884-143-0
- plan_url
- https://www.medicareplans.com/prescription-drugs/plan/S5884-143-0/
- cms_rating
- 3.0
- enrollment
- 23,044
- name
- Wellcare Value Script
- plan_id
- S4802-155-0
- plan_url
- https://www.medicareplans.com/prescription-drugs/plan/S4802-155-0/
- cms_rating
- 3.5
- enrollment
- 462,966
- name
- Humana Value Rx Plan
- plan_id
- S5884-201-0
- plan_url
- https://www.medicareplans.com/prescription-drugs/plan/S5884-201-0/
- cms_rating
- 3.0
- enrollment
- 119,555
- name
- AARP Medicare Rx Preferred from UHC
- plan_id
- S5921-403-0
- plan_url
- https://www.medicareplans.com/prescription-drugs/plan/S5921-403-0/
- cms_rating
- 2.0
- enrollment
- 117,350
- name
- UHC Dual Complete TX-S003
- plan_id
- H4514-021-0
- plan_url
- https://www.medicareplans.com/special-needs/plan/H4514-021-0/
- cms_rating
- 4.0
- enrollment
- 87,789
- name
- Wellpoint Full Dual Advantage
- plan_id
- H8849-010-1
- plan_url
- https://www.medicareplans.com/special-needs/plan/H8849-010-1/
- cms_rating
- 3.5
- enrollment
- 34,229
- name
- UHC Dual Complete TX-D007
- plan_id
- H5322-025-0
- plan_url
- https://www.medicareplans.com/special-needs/plan/H5322-025-0/
- cms_rating
- 3.5
- enrollment
- 29,601
- name
- UHC Complete Care TX-29
- plan_id
- R6801-009-0
- plan_url
- https://www.medicareplans.com/special-needs/plan/R6801-009-0/
- cms_rating
- 3.5
- enrollment
- 9,682
- name
- UHC Complete Care Support TX-1A
- plan_id
- R6801-008-0
- plan_url
- https://www.medicareplans.com/special-needs/plan/R6801-008-0/
- cms_rating
- 3.5
- enrollment
- 4,729
- name
- Wellpoint Kidney Care
- plan_id
- H2593-043-0
- plan_url
- https://www.medicareplans.com/special-needs/plan/H2593-043-0/
- cms_rating
- 3.5
- enrollment
- 453
- name
- Texas Independence Health Plan, Inc.
- plan_id
- H5015-001-0
- plan_url
- https://www.medicareplans.com/special-needs/plan/H5015-001-0/
- cms_rating
- 5.0
- enrollment
- 2,699
- name
- ProCare Advantage
- plan_id
- H3467-001-0
- plan_url
- https://www.medicareplans.com/special-needs/plan/H3467-001-0/
- cms_rating
- 0.0
- enrollment
- 954
- name
- Humana Together in Health
- plan_id
- H5216-369-0
- plan_url
- https://www.medicareplans.com/special-needs/plan/H5216-369-0/
- cms_rating
- 3.5
- enrollment
- 720
2026 Medicare Coverage Options in Matagorda County, TX
Learn about Medicare coverage options available in Matagorda County, Texas, including Original Medicare, Medicare Advantage, Part D, Medigap plans, and local support resources.
Last update: . Enrollment data updated: June 13, 2026
Medicare Options at a Glance
Medicare coverage options in Matagorda County, Texas center on a few primary paths, each designed for different priorities like provider flexibility, cost control, and care coordination. These include:
- Original Medicare: Ideal for nationwide provider access without network restrictions.
- Medicare Advantage: Combines coverage into one plan, often with lower premiums and added benefits.
- Part D: Adds prescription drug coverage to Original Medicare.
- Medigap: Helps reduce out-of-pocket costs and improve predictability.
- SNPs: Designed for people with specific health conditions or eligibility requirements.
- Other Options: May include VA benefits, employer or retiree plans, and local assistance programs.
Each option operates differently. Comparing how they work is essential to selecting the right Medicare coverage in Matagorda County.
The various Medicare plans and other available options work differently. Understanding how they compare is the key to choosing the right Medicare coverage.
Medicare Advantage Options in Matagorda County
Medicare Advantage plans in Matagorda County provide an all-in-one private coverage option that includes hospital and medical benefits, often with prescription drug coverage and additional extras. Plan availability, types, and cost limits vary by county.
| Medicare Advantage Snapshot | Matagorda County |
|---|---|
| Total Medicare Advantage plans | 26 |
| $0 premium plans | 19 |
| HMO plans | 6 |
| PPO plans | 17 |
| Plans with drug coverage | 20 |
| Lowest MOOP | $3,450 |
| Highest MOOP | $9,250 |
| Highest Part B giveback | $78.30 |
Top PPO Plans by Enrollments
| Plan | CMS Rating | Enrollment |
|---|---|---|
| HumanaChoice H5216-043 | 3.5 ★ | 40,411 |
| Humana USAA Honor Giveback | 3.5 ★ | 24,294 |
| AARP Medicare Advantage from UHC TX-0006 | 3.5 ★ | 15,837 |
Top HMO Plans by Enrollments
| Plan | CMS Rating | Enrollment |
|---|---|---|
| Wellcare Simple | 4.0 ★ | 14,957 |
| Wellcare Giveback | 4.0 ★ | 6,315 |
| Wellcare Assist | 4.0 ★ | 1,584 |
Top HMO-POS Plans by Enrollments
| Plan | CMS Rating | Enrollment |
|---|---|---|
| AARP Medicare Advantage from UHC TX-0015 | 4.5 ★ | 36,489 |
| AARP Medicare Advantage Patriot No Rx TX-MA01 | 4.5 ★ | 1,592 |
| Wellpoint Medicare Advantage 2 | 3.5 ★ | 1,515 |
Medicare Advantage coverage varies based on network structure, inclusion of drug benefits, and maximum out-of-pocket costs each year. Many beneficiaries begin with these plans for their all-in-one coverage and added perks, but provider access and plan rules play a key role in the decision.
Medicare Part D Plans in Matagorda County
Medicare Part D plans offer standalone prescription drug coverage for individuals enrolled in Original Medicare. Costs and coverage vary based on premiums, deductibles, pharmacy networks, and covered medications.
Top Basic Coverage Plans by Enrollments
| Plan | Premium | Deductible | Enrollment |
|---|---|---|---|
| Wellcare Classic | $0.00 | $615 | 194,574 |
| SilverScript Choice | $94.80 | $615 | 109,641 |
| Humana Basic Rx Plan | $41.70 | $615 | 23,044 |
Top Enhanced Coverage Plans by Enrollments
| Plan | Premium | Deductible | Enrollment |
|---|---|---|---|
| Wellcare Value Script | $0.00 | $615 | 462,966 |
| Humana Value Rx Plan | $22.90 | $601 | 119,555 |
| AARP Medicare Rx Preferred from UHC | $114.80 | $130 | 117,350 |
Part D plan choice depends less on the number of plans and more on whether your drugs are covered at your preferred pharmacy at a reasonable cost.
See Medicare Part D plans in Texas
Medigap Plans in Matagorda County
Medigap plans supplement Original Medicare by covering deductibles, copayments, and coinsurance. Unlike Medicare Advantage, these plans do not replace Original Medicare and typically require a separate Part D plan for prescription drug coverage.
Across 37 insurers, sample data shows monthly premiums starting near $35 and rising above $2,396 based on plan type and pricing approach. Even with standardized benefits, pricing can vary significantly due to different rating methods and available discounts.
| Medigap Snapshot | Matagorda County |
|---|---|
| Works with Original Medicare | Yes |
| Includes prescription drug coverage | No |
| Requires separate Part D plan | Usually yes |
| Best fit for | Beneficiaries who want broad provider access and predictable cost sharing |
For residents of Matagorda, Medigap is often considered by people who want the flexibility to use providers nationwide who accept Medicare without relying on local Medicare Advantage networks.
Sample Plan G Pricing in Texas
Plan G typically ranges from $125 to $943.
| Carrier | Plan | Low | High |
|---|---|---|---|
| AARP - UnitedHealthcare | G | $158 | $743 |
| Aetna | G | $198 | $628 |
| Humana | G | $135 | $594 |
| Mutual of Omaha | G | $170 | $540 |
| Wellcare | G | $132 | $472 |
Sample Plan N Pricing in Texas
Plan N typically ranges from $92 to $657.
| Carrier | Plan | Low | High |
|---|---|---|---|
| AARP - UnitedHealthcare | N | $114 | $657 |
| Aetna | N | $136 | $455 |
| Humana | N | $103 | $466 |
| Mutual of Omaha | N | $129 | $426 |
| Wellcare | N | $99 | $387 |
Explore all Medicare Supplement plans in Texas for more details.
Special Needs Plans (SNPs) in Matagorda County
Special Needs Plans (SNPs) are a type of Medicare Advantage plan designed for individuals with specific eligibility criteria, such as dual eligibility for Medicaid, qualifying chronic conditions, or institutional care requirements.
| SNP Snapshot | Matagorda County |
|---|---|
| Total SNP plans | 24 |
| D-SNP plans | 17 |
| C-SNP plans | 3 |
| I-SNP plans | 4 |
Top D-SNP Plans by Enrollments
| Plan | CMS Rating | Enrollment |
|---|---|---|
| UHC Dual Complete TX-S003 | 4.0 ★ | 87,789 |
| Wellpoint Full Dual Advantage | 3.5 ★ | 34,229 |
| UHC Dual Complete TX-D007 | 3.5 ★ | 29,601 |
Top C-SNP Plans by Enrollments
| Plan | CMS Rating | Enrollment |
|---|---|---|
| UHC Complete Care TX-29 | 3.5 ★ | 9,682 |
| UHC Complete Care Support TX-1A | 3.5 ★ | 4,729 |
| Wellpoint Kidney Care | 3.5 ★ | 453 |
Top I-SNP Plans by Enrollments
| Plan | CMS Rating | Enrollment |
|---|---|---|
| Texas Independence Health Plan, Inc. | 5.0 ★ | 2,699 |
| ProCare Advantage | 0.0 ★ | 954 |
| Humana Together in Health | 3.5 ★ | 720 |
In Matagorda, SNP options are limited to individuals who meet specific eligibility criteria. While not a general option, they play an important role for beneficiaries with Medicaid or certain chronic health needs.
VA Coverage and Local Medicare Help in Matagorda County
Some beneficiaries may have additional coverage or support beyond standard Medicare plans, including VA health benefits, retiree coverage, and local counseling programs.
| Additional Support Options | Matagorda County |
|---|---|
| VA health coverage may coordinate with Medicare | Yes |
| SHIP / local counseling availability | Texas SHIP |
| Local help resource | State Health Insurance Assistance Program |
How to Choose the Right Medicare Coverage for You in Matagorda County
Choosing Medicare coverage comes down to how you want to receive care, manage Medicare costs, and access providers. Most decisions begin by choosing between Medicare Advantage and Original Medicare.
Medicare Advantage plans combine hospital, medical, and often prescription drug coverage into a single plan. These plans may offer lower monthly premiums and additional benefits, but typically require you to use a provider network.
Original Medicare allows you to see providers nationwide who accept Medicare. Many beneficiaries add a Part D prescription drug plan and a Medigap policy to help manage out-of-pocket costs and provide more predictable coverage.
Special Needs Plans (SNPs) may be available for individuals with specific health conditions or eligibility, including those with Medicaid. These plans are not available to everyone but can offer targeted benefits when you qualify.
The right choice depends on your preferred doctors, prescription needs, and how you want to balance monthly premiums with out-of-pocket costs.
To explore your options in more detail, start by reviewing available plans and coverage types in Matagorda County.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Last accessed June 13, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed June 13, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed June 13, 2026
County-level figures shown on this page (including plan counts, enrollment totals, averages, and percentage distributions) are derived from CMS-published datasets using a standardized aggregation methodology.
Data sources and methodology documentation .
- Medicare.gov, "How to get prescription drug coverage" — Last accessed May 2, 2026
- Medicare.gov, "Compare types of Medicare Advantage Plans" — Last accessed May 7, 2026
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed May 6, 2026
- Medicare.gov, "Get Medigap Basics" — Last accessed May 5, 2026
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.