2026 Medicare Special Needs Plans in Cooke County, TX
Last update: . Enrollment data updated: June 13, 2026
In Cooke County, TX, there are 26 Medicare Special Needs Plans available for 2026. Approximately 638 beneficiaries are enrolled, and about 46% are rated 4 stars or higher based on CMS quality ratings.
Special Needs Plans (SNPs) are one coverage option. Other options may include standard Medicare Advantage plans, Medicare prescription drug coverage, and Medicare Supplement insurance. Visit Medicare Options in Cooke County, TX to explore other types of coverage available locally.
D-SNP Plans (Dual Eligible Special Needs Plans)
Dual Eligible Special Needs Plans (D-SNPs) in Cooke County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.
| Special Needs Plan | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Prominence Dual | $5 | 9250.00 | $615 | H7680-017-0 | |
| Humana Gold Plus SNP-DE H4461-071 | $0 | 9250.00 | $615 | H4461-071-0 | |
| UHC Dual Complete TX-S003 | $0 | 9250.00 | $615 | H4514-021-0 | |
| Wellcare Dual Access | $5 | 9250.00 | $545 | H0174-004-0 | |
| Wellcare Dual Liberty | $5 | 9250.00 | $520 | H0174-006-0 | |
| Wellcare Dual Reserve | $5 | 3450.00 | $615 | H0174-022-0 | |
| Humana Gold Plus SNP-DE H0028-032 | $0 | 9250.00 | $615 | H0028-032-0 | |
| Molina Medicare Complete Care | $0 | 9250.00 | $615 | H7678-006-2 | |
| UHC Dual Complete TX-D007 | $0 | 9250.00 | $464 | H5322-025-0 | |
| UHC Dual Complete TX-S001 | $5 | 9250.00 | $615 | R6801-011-0 | |
| UHC Dual Complete TX-V010 | $0 | 4200.00 | $615 | H5322-038-0 | |
| Wellpoint Dual Advantage | $5 | 9250.00 | $615 | H8849-011-2 | |
| Wellpoint Dual Advantage 2 | $0 | 9250.00 | $230 | H2593-032-0 | |
| Wellpoint Full Dual Advantage | $2 | 9250.00 | $615 | H8849-010-2 | |
| Blue Cross Medicare Advantage Dual Care Plus | $5 | 9250.00 | $615 | H9706-002-0 |
What is the total number of D-SNP plans in Cooke County?
Cooke County has 15 D-SNP plans for 2026, with 347 enrollees.
How much do D-SNP plans cost in Cooke County?
The typical D-SNP premium in Cooke County is $2.43, and 6 plans have no monthly premium.
I-SNP Plans (Institutional Special Needs Plans)
Institutional Special Needs Plans (I-SNPs) are Medicare Advantage plans for individuals in long-term or institutional care settings. Plan availability varies by county.
- Total I-SNP Plans: 6
- Average Monthly Premium: $4.00/mo
- Beneficiaries Enrolled: 18
- $0 Premium Plans: 1
- Zero Cost Plans:
- Top I-SNP by Enrollment: ProCare Advantage (I-SNP) — 18 enrollees
- Plans without Drug Coverage: 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| Texas Independence Community Plan | $5 | 9250.00 | $615 | H5015-002-0 | |
| Texas Independence Health Plan, Inc. | $5 | 9250.00 | $615 | H5015-001-0 | |
| Provider Partners Texas Advantage Plan | $5 | 9250.00 | $615 | H4054-001-0 | |
| Humana Together in Health | $0 | 9250.00 | $610 | H5216-369-0 | |
| American Health Advantage of Texas | $5 | 9250.00 | $615 | H6891-001-0 | |
| ProCare Advantage | $5 | 9250.00 | $615 | H3467-001-0 |
What is the total number of I-SNP plans in Cooke County?
There are 6 I-SNP plans in 2026, covering 18 enrollees.
How much do I-SNP plans cost in Cooke County?
The average I-SNP premium in Cooke County is $4.00 per month, with 1 plans offering $0 premiums.
What is the most popular I-SNP plan in Cooke County?
ProCare Advantage (I-SNP) is the top I-SNP in Cooke County, with 18 enrollees.
What is the total number of I-SNP plans in Cooke County?
There are 6 I-SNP plans in 2026, covering 18 enrollees.
C-SNP Plans (Chronic Condition Special Needs Plans)
Chronic Condition Special Needs Plans (C-SNPs) are a category of Medicare Advantage plans offered to beneficiaries with qualifying chronic conditions, as defined by CMS program rules.
- Total C-SNP Plans 5
- Average Monthly Premium $11.40/mo
- Beneficiaries Enrolled 273
- $0 Premium C-SNPs 4
- Average MOOP $10,820
- Most Popular C-SNP UHC Complete Care TX-3P (C-SNP) with 259 enrollees
- C-SNPs Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| Prominence Diabetes and Heart Giveback | $0 | 3100.00 | $0 | H7680-015-0 | |
| UHC Complete Care TX-3P | $0 | 3900.00 | $440 | H0609-062-0 | |
| UHC Complete Care Support TX-1A | $0 | 9250.00 | $584 | R6801-008-0 | |
| UHC Complete Care TX-29 | $57 | 7900.00 | $600 | R6801-009-0 | |
| Wellpoint Kidney Care | $0 | 2900.00 | $275 | H2593-043-0 |
- What is the average monthly premium for C-SNP plans in Cooke County?
- C-SNP plans in Cooke County cost $11.40 per month.
- Which C-SNP plan has the highest enrollment in Cooke County?
- The most popular C-SNP plan in Cooke County is UHC Complete Care TX-3P (C-SNP), with 259 enrollees.
- How many C-SNP plans are available in Cooke County?
- In 2026, Cooke County offers 5 C-SNP plans with 273 enrollees.
- CMS.gov, Medicare Advantage 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
This page presents county-level Medicare Special Needs Plans (SNP) data, including plan counts, enrollment totals, averages, and percentage distributions, derived from CMS datasets using a standardized aggregation approach.
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 23 May, 2025
- AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — Last accessed 20 May, 2025
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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.