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2027 Medicare Special Needs Plans in Wharton County, TX

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In Wharton County, TX, there are 27 Medicare Special Needs Plans available for 2027. Approximately 132 beneficiaries are enrolled, and about 26% 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.

At a Glance

Average Monthly Premium
$4.08/mo
Plans with $0 Premium
24
Average MOOP Limit
$8,954 ($9,250 max.)
Star Ratings (Plan Mix)
4+ Stars: 26% · 3 Stars: 74% · Below 3: 0%
Average Part D Deductible
$502.04
Total SNP Enrollment
132
SNP Plans with the Highest Enrollment
(as of October 5, 2026)
1. UHC Complete Care TX-29 (C-SNP) — 38 enrollees
2. Texas Independence Health Plan, Inc. (I-SNP) — 33 enrollees
3. UHC Dual Complete TX-S001 (D-SNP) — 27 enrollees

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.

  • Total D-SNP Plans: 19
  • Average Monthly Premium: $0.00/mo
  • Beneficiaries Enrolled: 61
  • $0 Premium Plans: 19
  • Zero Cost Plans: 14
  • Top D-SNP by Enrollment: UHC Dual Complete TX-S001 (D-SNP) — 27 enrollees
  • Plans without Drug Coverage: 0
Comparison table of 2027 D-SNP Medicare Plans available in Wharton County, Texas
Special Needs Plan CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Aetna Medicare Full Dual Care
☆☆☆☆☆
 $0 9850.00 $700 H8597-003-0
Aetna Medicare QMB Only Care
☆☆☆☆☆
 $0 9850.00 $700 H8597-006-0
Wellcare Superior HealthPlan Dual Access
☆☆☆☆☆
 $0 9850.00 $700 H0174-004-0
Wellcare Superior HealthPlan Dual Liberty
☆☆☆☆☆
 $0 9850.00 $700 H0174-027-1
Wellcare Superior HealthPlan Dual Reserve
☆☆☆☆☆
 $0 3450.00 $700 H0174-022-0
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 H4523-029-0
Aetna Medicare QMB Only Extra Care
☆☆☆☆☆
 $0 9850.00 $700 H4523-043-0
Molina Medicare Complete Care
☆☆☆☆☆
 $0 9850.00 $205 H7678-006-2
UHC Dual Complete TX-S001
☆☆☆☆☆
 $0 9850.00 $400 R6801-011-0
Community DualCare Access
☆☆☆☆☆
 $0 9850.00 $700 H9826-007-0
Community DualCare Aligned
☆☆☆☆☆
 $0 9850.00 $700 H9826-003-0
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
Wellcare Superior HealthPlan Dual Reserve Value
☆☆☆☆☆
 $0 9850.00 $700 H0062-013-0
What is the total number of D-SNP plans in Wharton County?

There are 19 D-SNP plans in 2027, covering 61 enrollees.

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

The average D-SNP premium in Wharton County is $0.00 per month, with 19 plans offering $0 premiums.

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

UHC Dual Complete TX-S001 (D-SNP) is the top D-SNP in Wharton County, with 27 enrollees.

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

There are 19 D-SNP plans in 2027, covering 61 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
5
Average Monthly Premium
$2.04/mo
Beneficiaries Enrolled
33
$0 Premium Plans
3
Average MOOP
$9,610
Top I-SNP by Enrollment
Texas Independence Health Plan, Inc. (I-SNP) — 33 enrollees
Plans without Drug Coverage
0
Comparison table of 2027 I-SNP Medicare Plans available in Wharton County, Texas
Health Plan Name CMS Rating* Premium Per 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
ProCare Advantage
☆☆☆☆☆
 $0 9850.00 $700 H3467-001-0
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 33 enrollees.

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

There are 5 I-SNP plans in 2027, covering 33 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 $33.33/mo
  • Beneficiaries Enrolled 38
  • $0 Premium C-SNPs 2
  • Average MOOP $6,117
  • Most Popular C-SNP UHC Complete Care TX-29 (C-SNP) with 38 enrollees
  • C-SNPs Without Drug Coverage 0
Comparison table of 2027 C-SNP Medicare Plans available in Wharton County, Texas
Health Plan Name CMS Rating* Premium Per Mo Network
DEVOTED C-SNP GIVEBACK EXTRAS 087 TX
☆☆☆☆☆
 $0 5600.00 $700 H7993-087-0
UHC Complete Care TX-29
☆☆☆☆☆
 $100 9850.00 $685 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 $33.33 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 38 enrollees.

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

In 2027, Wharton County offers 3 C-SNP plans with 38 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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