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Medicare plans in Nacogdoches 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, Nacogdoches County, Texas has 58 Medicare plans (21 Medicare Advantage with drug coverage, 5 without, 12 standalone Part D, 20 Special Needs) from 11 carriers. 28 Medicare Advantage plans have a $0 premium. The lowest in-network out-of-pocket maximum is $3,400.
Market snapshot
- Residents 65 and older
- 10,242
- Residents 60–64, aging in over the next five years
- 3,294
- Medicare eligibles
- 12,778
- Medicare Advantage penetration
- 51.7%
- Plans per 1,000 residents 65+
- 5.7
Carriers by number of plans
- Humana — 18 plans
- UnitedHealthcare — 13 plans
- HealthSpring — 8 plans
- Aetna Medicare — 6 plans
- Blue Cross and Blue Shield of IL, NM, OK, TX — 3 plans
- Blue Cross and Blue Shield of Texas — 3 plans
- Wellcare — 2 plans
- Wellpoint — 2 plans
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 Essentials from UHC TX-26 (HMO-POS) (H0609-060-0) | UnitedHealthcare | MA-PD | HMO-POS | $0 | $355 | $4,900 | 4.5 |
|---|
| AARP Medicare Advantage Extras from UHC TX-48 (HMO-POS) (H0609-080-0) | UnitedHealthcare | MA-PD | HMO-POS | $0 | $440 | $6,700 | 4.5 |
|---|
| AARP Medicare Advantage Giveback from UHC TX-41 (HMO-POS) (H0609-068-0) | UnitedHealthcare | MA-PD | HMO-POS | $0 | $600 | $8,500 | 4.5 |
|---|
| HealthSpring Preferred (HMO) (H4513-061-1) | HealthSpring | MA-PD | HMO | $0 | $200 | $3,500 | 4.5 |
|---|
| HealthSpring Preferred Full Savings (HMO) (H4513-091-0) | HealthSpring | MA-PD | HMO | $0 | $500 | $7,500 | 4.5 |
|---|
| HealthSpring Preferred Savings (HMO) (H4513-083-1) | HealthSpring | MA-PD | HMO | $0 | $300 | $6,900 | 4.5 |
|---|
| HealthSpring TotalCare (HMO D-SNP) (H4513-060-1) | HealthSpring | SNP | HMO D-SNP | $0 | $615 | $3,400 | 4.5 |
|---|
| Humana Essentials Plus Giveback H7617-035 (PPO) (H7617-035-0) | Humana | MA-PD | PPO | $0 | $350 | $8,300 | 4.5 |
|---|
| HealthSpring Courage (HMO) (H4513-009-0) | HealthSpring | MA | HMO | | | $4,300 | 4.5 |
|---|
Showing 10 of 58 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.