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Medicare plans in Nacogdoches 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, Nacogdoches County, Texas has 54 Medicare plans (18 Medicare Advantage with drug coverage, 4 without, 10 standalone Part D, 22 Special Needs) from 8 carriers. 37 Medicare Advantage plans have a $0 premium. The lowest in-network out-of-pocket maximum is $3,900.
What changed vs 2026
- 4 fewer plans than 2026
- Carriers exited: American Health Advantage of Texas, Blue Cross and Blue Shield of Texas
- $0-premium plans up 4
- Average star rating up 0.1
Market snapshot
- Residents 65 and older
- 10,242
- Residents 60–64, aging in over the next five years
- 3,294
- Medicare eligibles
- 12,816
- Medicare Advantage penetration
- 51.6%
- Plans per 1,000 residents 65+
- 5.3
Carriers by number of plans
- Humana — 18 plans
- UnitedHealthcare — 13 plans
- HealthSpring — 9 plans
- Aetna Medicare — 7 plans
- Wellpoint — 3 plans
- Wellcare — 2 plans
- Molina Healthcare of Texas, Inc. — 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 |
|---|---|---|---|---|---|---|---|
| Humana Essentials Plus Giveback (PPO) (H7617-035-0) | Humana | MA-PD | PPO | $0 | $50 | $8,300 | 4.5 |
| Humana Gold Plus - Diabetes and Heart (HMO C-SNP) (H4461-068-0) | Humana | SNP | HMO C-SNP | $0 | $500 | $3,900 | 4.5 |
| Humana Gold Plus H0028-041 (HMO) (H0028-041-0) | Humana | MA-PD | HMO | $0 | $700 | $4,250 | 4.5 |
| Humana Gold Plus H4461-055 (HMO) (H4461-055-0) | Humana | MA-PD | HMO | $0 | $700 | $4,250 | 4.5 |
| Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP) (H0028-032-0) | Humana | SNP | HMO D-SNP | $0 | $700 | $9,850 | 4.5 |
| Humana Gold Plus SNP-DE H4461-071 (HMO D-SNP) (H4461-071-0) | Humana | SNP | HMO D-SNP | $0 | $700 | $9,850 | 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 |
Showing 10 of 54 plans.
Nearby counties
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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.