2026 Medicare Special Needs Plans in Hidalgo County, TX
Last update: . Enrollment data updated: June 13, 2026
For 2026, Hidalgo County, TX includes 28 Medicare Special Needs Plans. Enrollment across these plans totals approximately 47,004, with 58% 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.
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
- 17
- Average Monthly Premium
- $2.22/mo
- Beneficiaries Enrolled
- 37,722
- $0 Premium Plans
- 7
- Zero Cost Plans
- 13
- Top D-SNP by Enrollment
- UHC Dual Complete TX-S003 (D-SNP) — 7,177 enrollees
- Plans without Drug Coverage
- 0
- What is the average monthly premium for D-SNP plans in Hidalgo County?
- D-SNP plans in Hidalgo County cost $2.22 per month.
- Which D-SNP plan has the highest enrollment in Hidalgo County?
- The most popular D-SNP plan in Hidalgo County is UHC Dual Complete TX-S003 (D-SNP), with 7,177 enrollees.
- How many D-SNP plans are available in Hidalgo County?
- In 2026, Hidalgo County offers 17 D-SNP plans with 37,722 enrollees.
Medicare Institutional Special Needs Plans (I-SNPs)
Institutional Special Needs Plans (I-SNPs) are Medicare Advantage plans for individuals in institutional or long-term care settings. Plan availability varies by county.
- Total I-SNP Plans
- 3
- Average Monthly Premium
- $3.20/mo
- Beneficiaries Enrolled
- 578
- $0 Premium Plans
- 1
- Average MOOP
- $18,500
- Top I-SNP by Enrollment
- Texas Independence Health Plan, Inc. (I-SNP) — 472 enrollees
- Plans without Drug Coverage
- 0
| Plan Name | CMS Stars* | Premium/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 | |
| Humana Together in Health | $0 | 9250.00 | $610 | H5216-369-0 |
What is the average monthly premium for I-SNP plans in Hidalgo County?
I-SNP plans in Hidalgo County cost $3.20 per month.
Which I-SNP plan has the highest enrollment in Hidalgo County?
The most popular I-SNP plan in Hidalgo County is Texas Independence Health Plan, Inc. (I-SNP), with 472 enrollees.
How many I-SNP plans are available in Hidalgo County?
In 2026, Hidalgo County offers 3 I-SNP plans with 578 enrollees.
Chronic Condition Special Needs Plans (C-SNPs)
Chronic Condition Special Needs Plans (C-SNPs) are Medicare Advantage plans available to beneficiaries who meet CMS eligibility criteria for specific chronic or disabling health conditions.
- Total C-SNP Plans
- 8
- Average Monthly Premium
- $7.13/mo
- Beneficiaries Enrolled
- 8,704
- $0 Premium C-SNPs
- 7
- Average MOOP
- $10,513
- Most Popular C-SNP
- UHC Complete Care TX-19 (C-SNP) with 4,743 enrollees
- C-SNPs Without Drug Coverage
- 0
| Plan Name | CMS Stars* | Premium/Mo | Network | ||
|---|---|---|---|---|---|
| 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 | 3600.00 | $355 | H4527-042-0 | |
| HealthSpring Achieve | $0 | 3500.00 | $200 | H4513-098-0 | |
| Humana Gold Plus - Diabetes and Heart | $0 | 3450.00 | $615 | H4461-066-0 | |
| Humana Gold Plus - Diabetes and Heart | $0 | 3450.00 | $615 | H0028-039-0 | |
| 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 |
What is the total number of C-SNP plans in Hidalgo County?
There are 8 C-SNP plans in 2026, covering 8,704 enrollees.
How much do C-SNP plans cost in Hidalgo County?
The average C-SNP premium in Hidalgo County is $7.13 per month, with 7 plans offering $0 premiums.
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 4,743 enrollees.
What is the total number of C-SNP plans in Hidalgo County?
There are 8 C-SNP plans in 2026, covering 8,704 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
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 .
- Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed 24 May, 2025
- Medicare.gov, "Compare Original Medicare & Medicare Advantage" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 22 May, 2025
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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.