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  1. 🏠
  2. Special Needs Plans
  3. Texas
  4. Hidalgo County

2027 Medicare Special Needs Plans in Hidalgo County, TX

Last update: October 5, 2026.

For 2027, Hidalgo County, TX includes 36 Medicare Special Needs Plans. Enrollment across these plans totals approximately 34,997, with 48% rated 4 stars or higher.

Special Needs Plans (SNPs) are designed for specific healthcare or eligibility situations. Other options may also be available. Visit Medicare Options in Hidalgo County, TX to explore additional plan types and coverage choices.

  • D-SNP Plans
  • C-SNP Plans
  • I-SNP Plans

At a Glance

County-level summary of Medicare Special Needs Plan availability and enrollment based on CMS data.

  • Average Monthly Premium: $3.24/mo
  • $0 Premium Plans: 32
  • Average MOOP: $8,389 ($9,250 max. Excludes zero-cost D-SNPs.)
  • Star Ratings (Plan Mix): 4+ Stars: 48% · 3 Stars: 52% · Below 3: 0%
  • Average Part D Deductible: $457.50
  • Total SNP Enrollment: 34,997
  • SNP Plans with the Highest Enrollment
    (as of October 5, 2026)
    1. HealthSpring TotalCare (D-SNP) — 6,820 enrollees
    2. Wellcare Superior HealthPlan Dual Align (D-SNP) — 5,945 enrollees
    3. Prominence Dual (D-SNP) — 5,320 enrollees

Dual Eligible Special Needs Plans (D-SNPs)

Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid. Plan availability varies by county.

Total D-SNP Plans
20
Average Monthly Premium
$0.00/mo
Beneficiaries Enrolled
25,379
$0 Premium Plans
20
Zero Cost Plans
15
Top D-SNP by Enrollment
HealthSpring TotalCare (D-SNP) — 6,820 enrollees
Plans without Drug Coverage
0
2027 D-SNP Medicare plans in Hidalgo County, Texas (comparison chart)
SNP Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
Humana Gold Plus SNP-DE H0028-036
☆☆☆☆☆
$0 9850.00 $700 H0028-036-0
Humana Gold Plus SNP-DE H4461-069
☆☆☆☆☆
$0 9850.00 $700 H4461-069-0
Humana Gold Plus SNP-DE H4461-070
☆☆☆☆☆
$0 9850.00 $700 H4461-070-0
Prominence Bridge
☆☆☆☆☆
$0 3400.00 $300 H7680-021-0
Prominence Dual
☆☆☆☆☆
$0 9850.00 $300 H7680-007-0
Aetna Medicare Full Dual Care
☆☆☆☆☆
$0 9850.00 $700 H8597-001-0
Aetna Medicare QMB Only Care
☆☆☆☆☆
$0 9850.00 $700 H8597-004-0
HealthSpring TotalCare
☆☆☆☆☆
$0 9850.00 $300 H4513-060-2
HealthSpring TotalCare Plus
☆☆☆☆☆
$0 9850.00 $300 H4513-105-0
Wellpoint Dual Advantage
☆☆☆☆☆
$0 9850.00 $105 H8849-030-0
Wellpoint Dual Advantage Plus
☆☆☆☆☆
$0 9850.00 $105 H8849-028-0
Wellpoint Full Dual Advantage
☆☆☆☆☆
$0 9850.00 $105 H8849-027-0
Aetna Medicare Full Dual Extra Care
☆☆☆☆☆
$0 9850.00 $700 H4523-034-0
Aetna Medicare QMB Only Extra Care
☆☆☆☆☆
$0 9850.00 $700 H4523-041-0
UHC Dual Complete TX-S001
☆☆☆☆☆
$0 9850.00 $400 R6801-011-0
Molina Medicare Complete Care Plus
☆☆☆☆☆
$0 9850.00 $700 H6515-005-0
UHC Dual Advantage TX-V11
☆☆☆☆☆
$0 4450.00 $75 H3868-005-0
UHC Dual Complete TX-Q6
☆☆☆☆☆
$0 9850.00 $75 H3868-003-2
UHC Dual Complete TX-Y1
☆☆☆☆☆
$0 9850.00 $130 H3868-001-0
Wellcare Superior HealthPlan Dual Align
☆☆☆☆☆
$0 9850.00 $700 H0062-012-0

What is the average monthly premium for D-SNP plans in Hidalgo County?

D-SNP plans in Hidalgo County cost $0.00 per month.

Which D-SNP plan has the highest enrollment in Hidalgo County?

The most popular D-SNP plan in Hidalgo County is HealthSpring TotalCare (D-SNP), with 6,820 enrollees.

How many D-SNP plans are available in Hidalgo County?

In 2027, Hidalgo County offers 20 D-SNP plans with 25,379 enrollees.

Institutional Special Needs Plans (I-SNPs)

Institutional Special Needs Plans (I-SNPs) are Medicare Advantage plans for individuals who reside in or require institutional-level care. Plan availability varies by county.

Total I-SNP Plans
4
Average Monthly Premium
$2.55/mo
Beneficiaries Enrolled
605
$0 Premium Plans
2
Average MOOP
$9,550
Top I-SNP by Enrollment
Texas Independence Health Plan, Inc. (I-SNP) — 497 enrollees
Plans without Drug Coverage
0
2027 I-SNP Medicare plans in Hidalgo County, Texas (comparison chart)
SNP Plan Name Rating* Premium Network
Humana Together in Health
☆☆☆☆☆
$0 9850.00 $250 H7617-138-0
Texas Independence Community Plan
☆☆☆☆☆
$6 9250.00 $700 H5015-002-0
Texas Independence Health Plan, Inc.
☆☆☆☆☆
$4 9250.00 $700 H5015-001-0
Humana Together in Health
☆☆☆☆☆
$0 9850.00 $700 H5216-369-0

What is the typical premium for I-SNP plans in Hidalgo County?

I-SNP plans in Hidalgo County cost $2.55 per month.

Which I-SNP plan do most beneficiaries choose in Hidalgo County?

The most popular I-SNP plan in Hidalgo County is Texas Independence Health Plan, Inc. (I-SNP), with 497 enrollees.

How many Institutional SNP plans are offered in Hidalgo County?

In 2027, Hidalgo County offers 4 I-SNP plans with 605 enrollees.

Medicare Chronic Condition Special Needs Plans (C-SNPs)

Chronic Condition Special Needs Plans (C-SNPs) are Medicare Advantage plans that limit enrollment to beneficiaries with certain chronic conditions identified under CMS eligibility guidelines.

Total C-SNP Plans
12
Average Monthly Premium
$8.86/mo
Beneficiaries Enrolled
9,013
$0 Premium C-SNPs
10
Average MOOP
$6,554
Most Popular C-SNP
UHC Complete Care TX-19 (C-SNP) with 4,732 enrollees
C-SNPs Without Drug Coverage
0
2027 C-SNP Medicare plans in Hidalgo County, Texas (comparison chart)
SNP Plan Name Rating* Premium Network
Humana Gold Plus - Diabetes and Heart
☆☆☆☆☆
$0 3450.00 $700 H0028-039-0
Humana Gold Plus - Diabetes and Heart
☆☆☆☆☆
$0 9850.00 $50 H4461-085-0
Humana Gold Plus - Diabetes and Heart
☆☆☆☆☆
$0 3450.00 $700 H4461-066-0
Prominence Diabetes and Heart Care Plus
☆☆☆☆☆
$0 3400.00 $100 H7680-016-0
Prominence Diabetes and Heart Giveback
☆☆☆☆☆
$0 7500.00 $250 H7680-020-0
UHC Complete Care TX-19
☆☆☆☆☆
$0 3900.00 $440 H4527-042-0
HealthSpring Achieve
☆☆☆☆☆
$0 3500.00 $300 H4513-098-0
HealthSpring Achieve Savings
☆☆☆☆☆
$0 6900.00 $300 H4513-108-0
Wellpoint Chronic Care Advantage
☆☆☆☆☆
$6 9850.00 $700 H8849-031-0
Aetna Medicare Chronic Care
☆☆☆☆☆
$0 7150.00 $700 H4523-047-0
Aetna Medicare Chronic Care Total
☆☆☆☆☆
$0 9850.00 $700 H4523-050-0
UHC Complete Care TX-29
☆☆☆☆☆
$100 9850.00 $685 R6801-009-0
What is the most popular C-SNP plan in Hidalgo County?

UHC Complete Care TX-19 (C-SNP) is the top C-SNP in Hidalgo County, with 4,732 enrollees.

What is the total number of C-SNP plans in Hidalgo County?

There are 12 C-SNP plans in 2027, covering 9,013 enrollees.

Primary CMS datasets used for this Medicare Special Needs Plan county resource.
Data Source Publisher CMS Version
Landscape Source Files Centers for Medicare & Medicaid Services CY2027 Landscape (202609.1)
Medicare Part C & D Performance Centers for Medicare & Medicaid Services 2027 Star Ratings Data Tables
Plan Benefits Package Centers for Medicare & Medicaid Services PBP Benefits-2027
Monthly Enrollment by Contract/Plan/State/County Centers for Medicare & Medicaid Services 2026-09

All plan counts, enrollment totals, averages, and percentage distributions are calculated at the county level using CMS data and include Medicare Special Needs Plans (SNP) only, based on a consistent aggregation methodology.

Data sources and methodology documentation.

Secondary Medicare references and explanatory resources.
Publisher Reference Last Accessed
Medicare.gov Understanding Medicare Advantage Plans 20 August, 2026
Medicare.gov Compare Original Medicare & Medicare Advantage 22 August, 2026
NCOA.org 5 Steps to Choosing the Right Medicare Plan for You 24 August, 2026

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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.

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