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2027 Medicare Special Needs Plans in Upshur County, TX

Last update: .

For 2027, Upshur County, TX includes 31 Medicare Special Needs Plans. Enrollment across these plans totals approximately 441, with 54% 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 Upshur County, TX to explore additional plan types and coverage choices.

At a Glance

  • Average Monthly Premium: $3.79/mo
  • $0 Premium Plans: 26
  • Average MOOP: $9,248 ($9,250 max. Excludes zero-cost D-SNPs.)
  • Star Ratings (Plan Mix): 4+ Stars: 54% · 3 Stars: 46% · Below 3: 0%
  • Average Part D Deductible: $496.13
  • Total SNP Enrollment: 441
  • SNP Plans with the Highest Enrollment
    (as of October 5, 2026)
    1. Humana Gold Plus - Diabetes and Heart (C-SNP) — 147 enrollees
    2. HealthSpring TotalCare (D-SNP) — 87 enrollees
    3. Humana Gold Plus SNP-DE H0028-032 (D-SNP) — 41 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
$0.05/mo
Beneficiaries Enrolled
250
$0 Premium Plans
19
Zero Cost Plans
14
Top D-SNP by Enrollment
HealthSpring TotalCare (D-SNP) — 87 enrollees
Plans without Drug Coverage
0
2027 D-SNP Medicare plans in Upshur County, Texas (comparison chart)
Medicare SNP Plan CMS Stars* Premium/Mo MOOP Rx Ded. CMS ID
DEVOTED DUAL 118 TX
☆☆☆☆☆
 $0 9850.00 $300 H7993-118-0
DEVOTED DUAL FULL 119 TX
☆☆☆☆☆
 $0 9850.00 $400 H7993-119-0
Humana Gold Plus SNP-DE H0028-032
☆☆☆☆☆
 $0 9850.00 $700 H0028-032-0
Humana Gold Plus SNP-DE H4461-071
☆☆☆☆☆
 $0 9850.00 $700 H4461-071-0
Humana Gold Plus SNP-DE H4461-072
☆☆☆☆☆
 $0 9850.00 $700 H4461-072-0
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
☆☆☆☆☆
 $1 9850.00 $700 H4513-027-0
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 H8849-026-0
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
Molina Medicare Complete Care
☆☆☆☆☆
 $0 9850.00 $205 H7678-006-2
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 H3868-004-1
UHC Dual Complete TX-YL2
☆☆☆☆☆
 $0 9850.00 $700 H3868-007-0
What is the average monthly premium for D-SNP plans in Upshur County?
D-SNP plans in Upshur County cost $0.05 per month.
Which D-SNP plan has the highest enrollment in Upshur County?
The most popular D-SNP plan in Upshur County is HealthSpring TotalCare (D-SNP), with 87 enrollees.
How many D-SNP plans are available in Upshur County?
In 2027, Upshur County offers 20 D-SNP plans with 250 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
6
Average Monthly Premium
$2.75/mo
Beneficiaries Enrolled
12
$0 Premium Plans
3
Average MOOP
$9,650
Top I-SNP by Enrollment
Provider Partners Texas Advantage Plan (I-SNP) — 12 enrollees
Plans without Drug Coverage
0
2027 I-SNP Medicare plans in Upshur County, Texas (comparison chart)
Plan Name CMS Stars* Premium/Mo 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
Provider Partners Texas Advantage Plan
☆☆☆☆☆
 $6 9850.00 $700 H4054-001-0
ProCare Advantage
☆☆☆☆☆
 $0 9850.00 $700 H3467-001-0

What is the average monthly premium for I-SNP plans in Upshur County?

I-SNP plans in Upshur County cost $2.75 per month.

Which I-SNP plan has the highest enrollment in Upshur County?

The most popular I-SNP plan in Upshur County is Provider Partners Texas Advantage Plan (I-SNP), with 12 enrollees.

How many I-SNP plans are available in Upshur County?

In 2027, Upshur County offers 6 I-SNP plans with 12 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
5
Average Monthly Premium
$20.00/mo
Beneficiaries Enrolled
179
$0 Premium C-SNPs
4
Average MOOP
$7,440
Most Popular C-SNP
Humana Gold Plus - Diabetes and Heart (C-SNP) with 147 enrollees
C-SNPs Without Drug Coverage
0
2027 C-SNP Medicare plans in Upshur County, Texas (comparison chart)
Plan Name CMS Stars* Premium/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
Humana Gold Plus - Diabetes and Heart
☆☆☆☆☆
 $0 3900.00 $500 H4461-068-0
UHC Complete Care TX-29
☆☆☆☆☆
 $100 9850.00 $685 R6801-009-0
What is the total number of C-SNP plans in Upshur County?

There are 5 C-SNP plans in 2027, covering 179 enrollees.

How much do C-SNP plans cost in Upshur County?

The average C-SNP premium in Upshur County is $20.00 per month, with 4 plans offering $0 premiums.

What is the most popular C-SNP plan in Upshur County?

Humana Gold Plus - Diabetes and Heart (C-SNP) is the top C-SNP in Upshur County, with 147 enrollees.

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

There are 5 C-SNP plans in 2027, covering 179 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 .