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Medicare plans in Falls County, TX — 2027
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 2027, Falls County, Texas has 51 Medicare plans (14 Medicare Advantage with drug coverage, 8 without, 10 standalone Part D, 19 Special Needs) from 8 carriers. 28 Medicare Advantage plans have a $0 premium. The lowest in-network out-of-pocket maximum is $3,450.
What changed vs 2026
- 2 fewer plans than 2026
- Carriers entered: ProCare Advantage
- Carriers exited: Blue Cross and Blue Shield of Texas
- $0-premium plans up 9
- Average star rating up 0.1
Market snapshot
- Residents 65 and older
- 3,341
- Residents 60–64, aging in over the next five years
- 1,290
- Medicare eligibles
- 3,760
- Medicare Advantage penetration
- 61.9%
- Plans per 1,000 residents 65+
- 15.3
Carriers by number of plans
- UnitedHealthcare — 14 plans
- Humana — 12 plans
- Baylor Scott & White Health Plan — 8 plans
- Wellcare — 7 plans
- Aetna Medicare — 6 plans
- HealthSpring — 2 plans
- ProCare Advantage — 1 plan
- Provider Partners Health Plans — 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 |
|---|---|---|---|---|---|---|---|
| BSW SeniorCare Advantage Select (HMO-POS) (H8142-004-0) | Baylor Scott & White Health Plan | MA | HMO-POS | $0 | $6,400 | 4.5 | |
| BSW SeniorCare Advantage Select Rx (HMO-POS) (H8142-001-0) | Baylor Scott & White Health Plan | MA-PD | HMO-POS | $0 | $500 | $7,150 | 4.5 |
| Humana Together in Health (PPO I-SNP) (H7617-138-0) | Humana | SNP | PPO I-SNP | $0 | $250 | $9,850 | 4.5 |
| Humana USAA Honor Giveback (PPO) (H7617-062-0) | Humana | MA | PPO | $0 | $7,900 | 4.5 | |
| Humana Basic Rx Plan (PDP) (S5884-143-0) | Humana | PDP | PDP | $6.30 | $700 | 4.5 | |
| Humana Value Rx Plan (PDP) (S5884-201-0) | Humana | PDP | PDP | $33.20 | $687 | 4.5 | |
| HumanaChoice H7617-027 (PPO) (H7617-027-0) | Humana | MA-PD | PPO | $48 | $700 | $7,650 | 4.5 |
| BSW SeniorCare Advantage Preferred (HMO-POS) (H8142-005-0) | Baylor Scott & White Health Plan | MA | HMO-POS | $65 | $4,500 | 4.5 | |
| Humana Premier Rx Plan (PDP) (S5884-168-0) | Humana | PDP | PDP | $137.50 | $350 | 4.5 | |
| BSW SeniorCare Advantage Preferred Rx (HMO-POS) (H8142-002-0) | Baylor Scott & White Health Plan | MA-PD | HMO-POS | $152 | $250 | $5,400 | 4.5 |
Showing 10 of 51 plans.
Nearby counties
Agent Tools
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- Marketplace (ACA) plans in this county
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About this data
Source: CMS Medicare Advantage/Part D Landscape files, plan year 2027; population: U.S. Census Bureau ACS 5-year 2024; MA penetration: CMS October 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.