2027 Medicare Special Needs Plans in Texas by County
This 2027 Medicare Special Needs Plan research resource provides statewide plan statistics and comparisons for Texas. Review plan counts, average premiums, out-of-pocket limits, CMS ratings, and enrollment-ranked plans organized by SNP type. For geographically specific coverage and eligibility information, select your County using the directory below.
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Texas Medicare Special Needs Plan Research and Facts
How do Medicare Special Needs Plans compare across Texas in 2027? CMS data identifies 193 distinct SNPs statewide, including 176 with no monthly plan premium. The average premium across these plans is $1.00, and the statewide average maximum out-of-pocket (MOOP) limit is $8,431.80. Plans with published CMS star ratings average 3.81 out of 5. Below, we examine D-SNP, C-SNP, and I-SNP plans separately, highlighting those with the highest reported statewide beneficiary enrollment.
Enrollment figures reflect reported beneficiary participation and should not be interpreted as a measure of plan quality or suitability. Enrollment is influenced by factors such as local plan availability, market competition, and historical participation. Higher enrollment does not necessarily indicate a better plan.
Most-Enrolled D-SNP Plans in Texas
For 2027, Texas has 119 Dual Eligible Special Needs Plans (D-SNPs) for individuals who qualify for both Medicare and Medicaid. Of these, 112 have a $0 monthly plan premium. The average monthly plan premium is $0.33, and the average maximum out-of-pocket (MOOP) limit is $9,554.62. Among rated D-SNPs, the average CMS star rating is 3.7 out of 5. The following table identifies up to 10 D-SNP plans with the highest reported statewide enrollment.
| Provider | Plan ID | Plan Name | Premium | MOOP | Stars | Enrollment |
|---|---|---|---|---|---|---|
| HealthSpring | H4513-060-2 | HealthSpring TotalCare | $0.00 | $9,850 | 3.5 / 5 | 12,590 |
| Aetna Medicare | H8597-001-0 | Aetna Medicare Full Dual Care | $0.00 | $9,850 | 3.5 / 5 | 10,172 |
| UnitedHealthcare | R6801-011-0 | UHC Dual Complete TX-S001 | $0.00 | $9,850 | 3.0 / 5 | 8,862 |
| Prominence Health Plan | H7680-007-0 | Prominence Dual | $0.00 | $9,850 | 4.0 / 5 | 8,315 |
| Humana | H4461-071-0 | Humana Gold Plus SNP-DE H4461-071 | $0.00 | $9,850 | 4.5 / 5 | 8,076 |
| HealthSpring | H4513-060-1 | HealthSpring TotalCare | $0.00 | $9,850 | 3.5 / 5 | 7,932 |
| UnitedHealthcare | H5322-025-0 | UHC Dual Complete TX-Q8 | $0.00 | $9,850 | 3.5 / 5 | 7,753 |
| Humana | H4461-069-0 | Humana Gold Plus SNP-DE H4461-069 | $0.00 | $9,850 | 4.5 / 5 | 7,603 |
| UnitedHealthcare | H3868-001-0 | UHC Dual Complete TX-Y1 | $0.00 | $9,850 | Not Rated | 7,240 |
| Wellcare | H0174-004-0 | Wellcare Superior HealthPlan Dual Access | $0.00 | $9,850 | 3.5 / 5 | 6,786 |
Most-Enrolled C-SNP Plans in Texas
Chronic Condition Special Needs Plans (C-SNPs) serve individuals with qualifying chronic or disabling conditions. In 2027, Texas has 67 C-SNP plans, including 61 with a $0 monthly plan premium. The average monthly plan premium is $1.96, and the average maximum out-of-pocket (MOOP) limit is $6,307.28. Among rated C-SNPs, the average CMS star rating is 3.93 out of 5. Below are the 10 most-enrolled C-SNP plans, or all available plans if fewer than 10 qualify.
| Provider | Plan ID | Plan Name | Premium | MOOP | Stars | Enrollment |
|---|---|---|---|---|---|---|
| UnitedHealthcare | H0609-062-0 | UHC Complete Care TX-3P | $0.00 | $3,900 | 4.0 / 5 | 48,110 |
| UnitedHealthcare | H0609-058-0 | UHC Complete Care TX-24 | $0.00 | $4,200 | 4.0 / 5 | 23,948 |
| Humana | H4461-066-0 | Humana Gold Plus - Diabetes and Heart | $0.00 | $3,450 | 4.5 / 5 | 16,745 |
| UnitedHealthcare | H4527-042-0 | UHC Complete Care TX-19 | $0.00 | $3,900 | 4.0 / 5 | 15,346 |
| Humana | H4461-067-0 | Humana Gold Plus - Diabetes and Heart | $0.00 | $3,950 | 4.5 / 5 | 13,945 |
| UnitedHealthcare | H4527-041-0 | UHC Complete Care TX-18 | $0.00 | $3,700 | 4.0 / 5 | 13,417 |
| Humana | H0028-039-0 | Humana Gold Plus - Diabetes and Heart | $0.00 | $3,450 | 4.5 / 5 | 11,551 |
| UnitedHealthcare | R6801-009-0 | UHC Complete Care TX-29 | $100.00 | $9,850 | 3.0 / 5 | 9,315 |
| UnitedHealthcare | H4514-015-0 | UHC Complete Care TX-2P | $0.00 | $4,200 | 4.0 / 5 | 8,589 |
| UnitedHealthcare | H4527-039-0 | UHC Complete Care TX-16 | $0.00 | $5,900 | 4.0 / 5 | 8,238 |
Most-Enrolled I-SNP Plans in Texas
Institutional Special Needs Plans (I-SNPs) serve eligible individuals who live in qualifying institutions or meet applicable institutional-level care requirements. For 2027, Texas has 7 I-SNP plans, including 3 with a $0 monthly plan premium. The average monthly plan premium is $3.26, and the average maximum out-of-pocket (MOOP) limit is $9,678.57. Among rated I-SNPs, the average CMS star rating is 4.42 out of 5. The following table ranks up to 10 I-SNP plans by reported statewide enrollment.
| Provider | Plan ID | Plan Name | Premium | MOOP | Stars | Enrollment |
|---|---|---|---|---|---|---|
| Texas Independence Health Plan | H5015-001-0 | Texas Independence Health Plan, Inc. | $3.90 | $9,250 | 4.5 / 5 | 2,819 |
| Provider Partners Health Plans | H4054-001-0 | Provider Partners Texas Advantage Plan | $6.30 | $9,850 | 4.0 / 5 | 2,437 |
| ProCare Advantage | H3467-001-0 | ProCare Advantage | $0.00 | $9,850 | Not Rated | 927 |
| UnitedHealthcare | H0710-020-0 | UHC Nursing Home Plan TX-F001 | $6.30 | $9,850 | 5.0 / 5 | 914 |
| Humana | H5216-369-0 | Humana Together in Health | $0.00 | $9,850 | 4.0 / 5 | 752 |
| Texas Independence Health Plan | H5015-002-0 | Texas Independence Community Plan | $6.30 | $9,250 | 4.5 / 5 | 0 |
| Humana | H7617-138-0 | Humana Together in Health | $0.00 | $9,850 | 4.5 / 5 | 0 |
- 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
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Data sources and methodology documentation.
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.
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