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2027 Medicare Special Needs Plans in Madison County, TX

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In Madison County, TX, there are 21 Medicare Special Needs Plans available for 2027. Approximately 60 beneficiaries are enrolled, and about 53% 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 Madison County, TX to explore other types of coverage available locally.

At a Glance

Average Monthly Premium
$5.06/mo
Plans with $0 Premium
19
Average MOOP Limit
$9,302 ($9,250 max.)
Star Ratings (Plan Mix)
4+ Stars: 53% · 3 Stars: 47% · Below 3: 0%
Average Part D Deductible
$536.19
Total SNP Enrollment
60
SNP Plans with the Highest Enrollment
(as of October 5, 2026)
1. Aetna Medicare Full Dual Care (D-SNP) — 24 enrollees
2. UHC Dual Complete TX-S001 (D-SNP) — 18 enrollees
3. UHC Complete Care TX-29 (C-SNP) — 18 enrollees

D-SNP Plans (Dual Eligible Special Needs Plans)

Dual Eligible Special Needs Plans (D-SNPs) in Madison County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.

  • Total D-SNP Plans: 13
  • Average Monthly Premium: $0.00/mo
  • Beneficiaries Enrolled: 42
  • $0 Premium Plans: 13
  • Zero Cost Plans: 8
  • Top D-SNP by Enrollment: Aetna Medicare Full Dual Care (D-SNP) — 24 enrollees
  • Plans without Drug Coverage: 0
Comparison table of 2027 D-SNP Medicare Plans available in Madison County, Texas
Special Needs Plan CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
DEVOTED DUAL 118 TX
☆☆☆☆☆
 $0 9850.00 $300 H7993-118-0
DEVOTED DUAL FULL 119 TX
☆☆☆☆☆
 $0 9850.00 $400 H7993-119-0
Aetna Medicare Full Dual Care
☆☆☆☆☆
 $0 9850.00 $700 H8597-001-0
Aetna Medicare QMB Only Care
☆☆☆☆☆
 $0 9850.00 $700 H8597-004-0
Wellcare Superior HealthPlan Dual Liberty Sync
☆☆☆☆☆
 $0 9850.00 $700 H5294-024-0
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
UHC Dual Advantage TX-V11
☆☆☆☆☆
 $0 4450.00 $75 H3868-005-0
UHC Dual Complete TX-Q6
☆☆☆☆☆
 $0 9850.00 $75 H3868-003-3
UHC Dual Complete TX-S6
☆☆☆☆☆
 $0 9850.00 $75 H3868-004-2
UHC Dual Complete TX-YL2
☆☆☆☆☆
 $0 9850.00 $700 H3868-007-0
Wellcare Superior HealthPlan Dual Reserve Value
☆☆☆☆☆
 $0 9850.00 $700 H0062-013-0
What is the total number of D-SNP plans in Madison County?

There are 13 D-SNP plans in 2027, covering 42 enrollees.

How much do D-SNP plans cost in Madison County?

The average D-SNP premium in Madison County is $0.00 per month, with 13 plans offering $0 premiums.

What is the most popular D-SNP plan in Madison County?

Aetna Medicare Full Dual Care (D-SNP) is the top D-SNP in Madison County, with 24 enrollees.

What is the total number of D-SNP plans in Madison County?

There are 13 D-SNP plans in 2027, covering 42 enrollees.

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
4
Average Monthly Premium
$1.58/mo
Beneficiaries Enrolled
0
$0 Premium Plans
3
Average MOOP
$9,850
Top I-SNP by Enrollment
— 0 enrollees
Plans without Drug Coverage
0
Comparison table of 2027 I-SNP Medicare Plans available in Madison County, Texas
Health Plan Name CMS Rating* Premium Per Mo Network
Humana Together in Health
☆☆☆☆☆
 $0 9850.00 $250 H7617-138-0
Humana Together in Health
☆☆☆☆☆
 $0 9850.00 $700 H5216-369-0
Provider Partners Texas Advantage Plan
☆☆☆☆☆
 $6 9850.00 $700 H4054-001-0
ProCare Advantage
☆☆☆☆☆
 $0 9850.00 $700 H3467-001-0
What is the most popular I-SNP plan in Madison County?

is the top I-SNP in Madison County, with 0 enrollees.

What is the total number of I-SNP plans in Madison County?

There are 4 I-SNP plans in 2027, 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 4
  • Average Monthly Premium $25.00/mo
  • Beneficiaries Enrolled 18
  • $0 Premium C-SNPs 3
  • Average MOOP $8,325
  • Most Popular C-SNP UHC Complete Care TX-29 (C-SNP) with 18 enrollees
  • C-SNPs Without Drug Coverage 0
Comparison table of 2027 C-SNP Medicare Plans available in Madison County, Texas
Health Plan Name CMS Rating* Premium Per Mo Network
DEVOTED C-SNP ENHANCED 075 TX
☆☆☆☆☆
 $0 6250.00 $650 H7993-075-0
DEVOTED C-SNP GIVEBACK EXTRAS 085 TX
☆☆☆☆☆
 $0 7350.00 $700 H7993-085-0
DEVOTED C-SNP PLUS 117 TX
☆☆☆☆☆
 $0 9850.00 $650 H7993-117-0
UHC Complete Care TX-29
☆☆☆☆☆
 $100 9850.00 $685 R6801-009-0

What is the average monthly premium for C-SNP plans in Madison County?

C-SNP plans in Madison County cost $25.00 per month.

Which C-SNP plan has the highest enrollment in Madison County?

The most popular C-SNP plan in Madison County is UHC Complete Care TX-29 (C-SNP), with 18 enrollees.

How many C-SNP plans are available in Madison County?

In 2027, Madison County offers 4 C-SNP plans with 18 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

County-level figures shown on this page, including plan counts, enrollment totals, averages, and percentage distributions, reflect Medicare Special Needs Plans (SNP) only and are derived from CMS datasets using a standardized aggregation methodology.

Data sources and methodology documentation.

Secondary Medicare references and explanatory resources.
Publisher Reference Last Accessed
Medicare.gov Compare types of Medicare Advantage Plans 20 August, 2026
Medicare.gov Your coverage options 22 August, 2026
Medicare.gov Joining a plan 24 August, 2026

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