2026 Medicare Special Needs Plans in Lamar County, TX
Last update: . Enrollment data updated: June 13, 2026
In Lamar County, TX, there are 16 Medicare Special Needs Plans available for 2026. Approximately 1,138 beneficiaries are enrolled, and about 33% 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 Lamar 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 Lamar 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 |
|---|---|---|---|---|---|
| Aetna Medicare Full Dual Care | $0 | 9250.00 | $615 | H4523-034-0 | |
| Aetna Medicare Partial Dual Care | $5 | 9250.00 | $615 | H4523-041-0 | |
| 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 | |
| Aetna Medicare Dual Care | $0 | 9250.00 | $615 | H8597-001-0 | |
| 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 | |
| Blue Cross Medicare Advantage Dual Care Plus | $5 | 9250.00 | $615 | H9706-002-0 |
What is the total number of D-SNP plans in Lamar County?
Lamar County has 11 D-SNP plans for 2026, with 945 enrollees.
How much do D-SNP plans cost in Lamar County?
The typical D-SNP premium in Lamar County is $1.33, and 7 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: 2
- Average Monthly Premium: $2.40/mo
- Beneficiaries Enrolled: 0
- $0 Premium Plans: 1
- Zero Cost Plans:
- Top I-SNP by Enrollment: — 0 enrollees
- Plans without Drug Coverage: 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| Humana Together in Health | $0 | 9250.00 | $610 | H5216-369-0 | |
| American Health Advantage of Texas | $5 | 9250.00 | $615 | H6891-001-0 |
What is the total number of I-SNP plans in Lamar County?
There are 2 I-SNP plans in 2026, covering 0 enrollees.
How much do I-SNP plans cost in Lamar County?
The average I-SNP premium in Lamar County is $2.40 per month, with 1 plans offering $0 premiums.
What is the most popular I-SNP plan in Lamar County?
is the top I-SNP in Lamar County, with 0 enrollees.
What is the total number of I-SNP plans in Lamar County?
There are 2 I-SNP plans in 2026, covering 0 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 3
- Average Monthly Premium $19.00/mo
- Beneficiaries Enrolled 193
- $0 Premium C-SNPs 2
- Average MOOP $14,033
- Most Popular C-SNP Humana Gold Plus - Diabetes and Heart (C-SNP) with 78 enrollees
- C-SNPs Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| Humana Gold Plus - Diabetes and Heart | $0 | 3900.00 | $615 | H4461-068-0 | |
| 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 average monthly premium for C-SNP plans in Lamar County?
- C-SNP plans in Lamar County cost $19.00 per month.
- Which C-SNP plan has the highest enrollment in Lamar County?
- The most popular C-SNP plan in Lamar County is Humana Gold Plus - Diabetes and Heart (C-SNP), with 78 enrollees.
- How many C-SNP plans are available in Lamar County?
- In 2026, Lamar County offers 3 C-SNP plans with 193 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.