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Medicare plans in Falls County, TX — 2026
What agents look up before working a county: plan count, carriers, $0-premium share, star distribution, MOOP range, the 65+ and 60–64 population, and what changed since last year.
In 2026, Falls County, Texas has 53 Medicare plans (17 Medicare Advantage with drug coverage, 9 without, 12 standalone Part D, 15 Special Needs) from 9 carriers. 12 Medicare Advantage plans have a $0 premium. The lowest in-network out-of-pocket maximum is $3,450.
Market snapshot
- Residents 65 and older
- 3,341
- Residents 60–64, aging in over the next five years
- 1,290
- Medicare eligibles
- 3,755
- Medicare Advantage penetration
- 62.0%
- Plans per 1,000 residents 65+
- 15.9
Carriers by number of plans
- Humana — 13 plans
- UnitedHealthcare — 13 plans
- Baylor Scott & White Health Plan — 9 plans
- Wellcare — 6 plans
- Aetna Medicare — 5 plans
- Blue Cross and Blue Shield of IL, NM, OK, TX — 3 plans
- HealthSpring — 2 plans
- Blue Cross and Blue Shield of Texas — 1 plan
Plans sorted by CMS star rating, then premium
| Plan | Carrier | Category | Plan type | Monthly premium | Drug deductible | Out-of-pocket maximum | Star rating |
|---|
| Provider Partners Texas Advantage Plan (HMO I-SNP) (H4054-001-0) | Provider Partners Health Plans | SNP | HMO I-SNP | $4.80 | $615 | $9,250 | 5.0 |
|---|
| AARP Medicare Advantage CareFlex from UHC TX-47 (HMO-POS) (H4527-053-0) | UnitedHealthcare | MA-PD | HMO-POS | $0 | $600 | $6,700 | 4.5 |
|---|
| AARP Medicare Advantage Essentials from UHC TX-12 (HMO-POS) (H4527-002-0) | UnitedHealthcare | MA-PD | HMO-POS | $0 | $355 | $5,900 | 4.5 |
|---|
| AARP Medicare Advantage from UHC TX-46 (HMO-POS) (H4527-052-0) | UnitedHealthcare | MA-PD | HMO-POS | $21 | $355 | $5,500 | 4.5 |
|---|
| HumanaChoice H7617-027 (PPO) (H7617-027-0) | Humana | MA-PD | PPO | $36 | $615 | $7,650 | 4.5 |
|---|
| AARP Medicare Advantage Patriot No Rx TX-MA01 (HMO-POS) (H4527-024-0) | UnitedHealthcare | MA | HMO-POS | | | $6,700 | 4.5 |
|---|
| Humana USAA Honor Giveback (PPO) (H7617-062-0) | Humana | MA | PPO | | | $7,900 | 4.5 |
|---|
| Aetna Medicare Full Dual Care (HMO D-SNP) (H4523-034-0) | Aetna Medicare | SNP | HMO D-SNP | $0 | $615 | $9,250 | 4.0 |
|---|
| BSW SeniorCare Advantage Basic (PPO) (H2032-002-0) | Baylor Scott & White Health Plan | MA-PD | PPO | $0 | $250 | $6,750 | 4.0 |
|---|
| BSW SeniorCare Advantage Select Rx (HMO-POS) (H8142-001-0) | Baylor Scott & White Health Plan | MA-PD | HMO-POS | $0 | $250 | $5,800 | 4.0 |
|---|
Showing 10 of 53 plans.
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About this data
Source: CMS Medicare Advantage/Part D Landscape files, plan year 2026; population: U.S. Census Bureau ACS 5-year 2024; MA penetration: CMS September 2026.
This page summarizes publicly available CMS data. It is not a plan finder and does not recommend plans. To compare and enroll in plans, use Medicare.gov or talk to a licensed agent. Medicare.gov plan finder.