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Medicare plans in Madison 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, Madison County, Texas has 46 Medicare plans (14 Medicare Advantage with drug coverage, 6 without, 12 standalone Part D, 14 Special Needs) from 9 carriers. 10 Medicare Advantage plans have a $0 premium. The lowest in-network out-of-pocket maximum is $4,200.
Market snapshot
- Residents 65 and older
- 2,109
- Residents 60–64, aging in over the next five years
- 740
- Medicare eligibles
- 2,723
- Medicare Advantage penetration
- 53.3%
- Plans per 1,000 residents 65+
- 21.8
Carriers by number of plans
- Humana — 10 plans
- UnitedHealthcare — 10 plans
- Baylor Scott & White Health Plan — 9 plans
- Aetna Medicare — 6 plans
- Wellcare — 4 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 |
|---|
| HumanaChoice H7617-027 (PPO) (H7617-027-0) | Humana | MA-PD | PPO | $36 | $615 | $7,650 | 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 |
|---|
| UHC Dual Complete TX-D007 (HMO-POS D-SNP) (H5322-025-0) | UnitedHealthcare | SNP | HMO-POS D-SNP | $0 | $464 | $9,250 | 4.0 |
|---|
| UHC Dual Complete TX-V010 (HMO-POS D-SNP) (H5322-038-0) | UnitedHealthcare | SNP | HMO-POS D-SNP | $0 | $615 | $4,200 | 4.0 |
|---|
| UHC Dual Complete TX-S003 (HMO-POS D-SNP) (H4514-021-0) | UnitedHealthcare | SNP | HMO-POS D-SNP | $0.40 | $615 | $9,250 | 4.0 |
|---|
| Aetna Medicare Partial Dual Care (HMO D-SNP) (H4523-041-0) | Aetna Medicare | SNP | HMO D-SNP | $4.60 | $615 | $9,250 | 4.0 |
|---|
Showing 10 of 46 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.