2026 Medicare Special Needs Plans in Wharton County, TX
Last update: . Enrollment data updated: June 13, 2026
In Wharton County, TX, there are 24 Medicare Special Needs Plans available for 2026. Approximately 609 beneficiaries are enrolled, and about 36% 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 Wharton 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 Wharton County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.
What is the total number of D-SNP plans in Wharton County?
Wharton County has 17 D-SNP plans for 2026, with 520 enrollees.
How much do D-SNP plans cost in Wharton County?
The typical D-SNP premium in Wharton County is $2.71, and 6 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: 4
- Average Monthly Premium: $3.60/mo
- Beneficiaries Enrolled: 30
- $0 Premium Plans: 1
- Zero Cost Plans:
- Top I-SNP by Enrollment: Texas Independence Health Plan, Inc. (I-SNP) — 30 enrollees
- Plans without Drug Coverage: 0
| Health Plan Name | CMS Rating* | Premium Per 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 | |
| ProCare Advantage | $5 | 9250.00 | $615 | H3467-001-0 |
What is the total number of I-SNP plans in Wharton County?
There are 4 I-SNP plans in 2026, covering 30 enrollees.
How much do I-SNP plans cost in Wharton County?
The average I-SNP premium in Wharton County is $3.60 per month, with 1 plans offering $0 premiums.
What is the most popular I-SNP plan in Wharton County?
Texas Independence Health Plan, Inc. (I-SNP) is the top I-SNP in Wharton County, with 30 enrollees.
What is the total number of I-SNP plans in Wharton County?
There are 4 I-SNP plans in 2026, covering 30 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 59
- $0 Premium C-SNPs 2
- Average MOOP $13,367
- Most Popular C-SNP UHC Complete Care TX-29 (C-SNP) with 39 enrollees
- C-SNPs Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| 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 | |
| Wellpoint Kidney Care | $0 | 2900.00 | $275 | H2593-043-0 |
- What is the average monthly premium for C-SNP plans in Wharton County?
- C-SNP plans in Wharton County cost $19.00 per month.
- Which C-SNP plan has the highest enrollment in Wharton County?
- The most popular C-SNP plan in Wharton County is UHC Complete Care TX-29 (C-SNP), with 39 enrollees.
- How many C-SNP plans are available in Wharton County?
- In 2026, Wharton County offers 3 C-SNP plans with 59 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.