Medicare Advantage · Texas · 2026 plan year

Medicare Advantage in Hays, TX

According to the Centers for Medicare & Medicaid Services (CMS) 2026 Landscape and Star Ratings files, every Medicare Advantage plan available in Hays, TX for 2026 is ranked by CMS star rating, with premiums and benefits laid out plainly.

57
Plans available
5.0★
Best plan: Top-rated
$0
Lowest premium/mo
$8.26
Avg premium/mo
RSS updates for this county

The short answer

Hays has 57 Medicare Advantage plans for 2026, the best earns 5.0★ from CMS, 32 reach 4★ or higher, and 32 carry a $0 monthly premium.

57
plans to compare
5.0★
highest CMS rating here
32
$0-premium plans
32
plans rated 4★ or higher

Premiums shown are the monthly plan premium (Part C + D). Every enrollee also pays the standard Part B premium (about $202.90/mo in 2026). Confirm any plan's current details on Medicare.gov before enrolling.

What the CMS Plan Finder Shows for Hays, TX

Hays, TX (FIPS 48209): 57 individual Medicare Advantage plans available (employer-group plans excluded). Highest CMS Star rating: 5.0/5 via TEXAS INDEPENDENCE HEALTH PLAN, INC.. Plan-type mix: 27 HMO, 19 Local PPO, 11 HMO POS. Monthly plan premiums (Part C + D) range $0 – $142.00 (avg $8.26), with 32 $0-premium plans. 57 of 57 plans include Part D drug coverage. CMS Star Ratings methodology →

How to read these figures

The figures above come from the Centers for Medicare & Medicaid Services 2026 plan year file, which CMS publishes each autumn before the October 15 to December 7 open enrollment window. A county premium reflects only the Part C portion that a plan charges. Most enrollees still pay the standard Part B premium of about $202.90 a month on top of it, so a $0 plan is rarely free in practice. The CMS star rating runs from one to five and weights more than 40 measures, including how well a plan manages chronic conditions, how fast it answers member calls, and how members rate their own care. A plan that holds five stars earns a special enrollment period that lets people switch into it at almost any time of year. Premiums alone can mislead a shopper, because a low monthly cost often pairs with a higher deductible or a tighter provider network. Federal rules cap in-network out-of-pocket spending at $9,250 for 2026, which is why two plans with identical premiums can leave very different bills after a hospital stay. Read our methodology for how each value here is sourced and computed.

Where Hays sits on CMS quality

Average CMS star rating across the plans sold in this county, against every county with rated plans

3.91★ Top 25% higher than 75% of 3,121 US counties

2.5★–2.75★: 19 US counties (1%). Below this entry. 2.75★–3★: 5 US counties (0%). Below this entry. 3★–3.25★: 31 US counties (1%). Below this entry. 3.25★–3.5★: 164 US counties (5%). Below this entry. 3.5★–3.75★: 1,089 US counties (35%). Below this entry. 3.75★–4★: 1,344 US counties (43%). This entry sits in this band. 4★–4.25★: 351 US counties (11%). Above this entry. 4.25★–4.5★: 37 US counties (1%). Above this entry. 4.5★–4.75★: 3 US counties (0%). Above this entry. 4.75★–5★: 78 US counties (2%). Above this entry. This county 2.5★ 5★ every rated county, bucketed by value

Each bar is a band; taller bars hold more US counties. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Advantage Star Ratings 2026 · 2026-09-01

All plans in Hays, ranked by CMS rating

#PlanInsurerTypePremium/moCMS stars
1Devoted Health Plan OF Texas, Inc. (SNP)Devoted HealthHMO$05.0★
2Devoted Health Plan OF Texas, Inc. (SNP)Devoted HealthHMO$05.0★
3Texas Independence Health Plan, Inc. (SNP)Texas Independence Health PlanHMO$4.805.0★
4Texas Independence Health Plan, Inc. (SNP)Texas Independence Health PlanHMO$4.805.0★
5Devoted Health Plan OF Texas, Inc. (SNP)Devoted HealthHMO$4.805.0★
6Devoted Health Plan OF Texas, Inc. (SNP)Devoted HealthHMO$4.805.0★
7Devoted Health Plan OF Texas, Inc. (SNP)Devoted HealthHMO$4.805.0★
8Devoted Health Plan OF Texas, Inc. (SNP)Devoted HealthHMO$4.805.0★
9Physicians Health Choice OF Texas, LLC (SNP)UnitedHealthcareHMO POS-4.5★
10Emphesys Insurance Company (SNP)HumanaLocal PPO-4.5★
11Physicians Health Choice OF Texas, LLC (SNP)UnitedHealthcareHMO POS$04.5★
12Physicians Health Choice OF Texas, LLC (SNP)UnitedHealthcareHMO POS$04.5★
13Physicians Health Choice OF Texas, LLC (SNP)UnitedHealthcareHMO POS$04.5★
14Physicians Health Choice OF Texas, LLC (SNP)UnitedHealthcareHMO POS$04.5★
15Physicians Health Choice OF Texas, LLC (SNP)UnitedHealthcareHMO POS$04.5★
16Emphesys Insurance Company (SNP)HumanaLocal PPO$04.5★
17Emphesys Insurance Company (SNP)HumanaLocal PPO$04.5★
18Physicians Health Choice OF Texas, LLC (SNP)UnitedHealthcareHMO POS$21.004.5★
19Wellcare OF Texas, Inc. (SNP)WellcareHMO$04.0★
20Silverscript Insurance Company (SNP)Aetna MedicareLocal PPO$04.0★
21Cariten Health Plan Inc. (SNP)HumanaHMO$04.0★
22Cariten Health Plan Inc. (SNP)HumanaHMO$04.0★
23Cariten Health Plan Inc. (SNP)HumanaHMO$04.0★
24Unitedhealthcare Community Plan OF Texas, L.L.C. (SNP)UnitedHealthcareHMO POS$04.0★
25Aetna Health Inc. (TX) (SNP)Aetna MedicareHMO$04.0★
26Aetna Health Inc. (TX) (SNP)Aetna MedicareHMO$04.0★
27Aetna Health Inc. (TX) (SNP)Aetna MedicareHMO$04.0★
28Unitedhealthcare Community Plan OF Texas, L.L.C. (SNP)UnitedHealthcareHMO POS$0.404.0★
29Wellcare OF Texas, Inc. (SNP)WellcareHMO$4.804.0★
30Wellcare OF Texas, Inc. (SNP)WellcareHMO$4.804.0★
31Wellcare OF Texas, Inc. (SNP)WellcareHMO$4.804.0★
32Wellcare OF Texas, Inc. (SNP)WellcareHMO$4.804.0★
33Aetna Health AND Life Insurance Company (SNP)Aetna MedicareLocal PPO-3.5★
34Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
35Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
36Superior Healthplan, Inc. (SNP)Wellcare By AllwellHMO-3.5★
37Devoted Health Insurance Company OF Texas Inc (SNP)Devoted HealthLocal PPO-3.5★
38CHA HMO, Inc. (SNP)HumanaHMO$03.5★
39CHA HMO, Inc. (SNP)HumanaHMO$03.5★
40Wellpoint Texas, Inc. (SNP)WellpointHMO POS$03.5★
41Wellpoint Texas, Inc. (SNP)WellpointHMO POS$03.5★
42Wellpoint Texas, Inc. (SNP)WellpointHMO$03.5★
43Aetna Health AND Life Insurance Company (SNP)Aetna MedicareLocal PPO$03.5★
44Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
45Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
46Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
47Devoted Health Insurance Company OF Texas Inc (SNP)Devoted HealthLocal PPO$03.5★
48Aetna Health AND Life Insurance Company (SNP)Aetna MedicareLocal PPO$4.803.5★
49Aetna Health AND Life Insurance Company (SNP)Aetna MedicareLocal PPO$4.803.5★
50Humana Insurance Company OF Kentucky (SNP)HumanaLocal PPO$91.003.5★
51Hcsc Insurance Services Company (SNP)Blue Cross and Blue Shield of NM, TXLocal PPO$03.0★
52Hcsc Insurance Services Company (SNP)Blue Cross and Blue Shield of NM, TXLocal PPO$96.003.0★
53Hcsc Insurance Services Company (SNP)Blue Cross and Blue Shield of NM, TXLocal PPO$142.003.0★
54Hcsc Insurance Services Company (SNP)Blue Cross and Blue Shield of TexasHMO$02.5★
55Hcsc Insurance Services Company (SNP)Blue Cross and Blue Shield of TexasHMO$02.5★
56Hcsc Insurance Services Company (SNP)Blue Cross and Blue Shield of TexasHMO$02.5★
57Hcsc Insurance Services Company (SNP)Blue Cross and Blue Shield of TexasHMO$4.802.5★

Nationwide counties with similar Medicare Advantage markets

Data-derived peers across the CMS county landscape file: nearest enrollable plan count and nearest county-wide average CMS star rating. Not same-state neighbors or geographic containment.

Similar plan availability

Similar average CMS star rating

Choosing a plan in this county

Star rating first, then total cost, not the premium alone.

  • Shortlist the 4★+ plans above (32 here) - higher-rated plans manage chronic care and member service better. How star ratings work
  • Weigh total cost, not just premium: compare plan details using Medicare.gov before you enroll. Medicare Plan Compare
  • Check that your doctors and drugs are in-network before you enroll, and confirm the plan on Medicare.gov. Choosing a plan

Premiums shown are the monthly plan premium (Part C + D) from the CMS CY2026 Landscape file. Every enrollee also pays the standard Part B premium (about $202.90/mo in 2026). Always confirm current premiums, copays, and networks on Medicare.gov before enrolling.

Frequently Asked Questions

How many Medicare Advantage plans are available in Hays, TX?

There are 57 Medicare Advantage plans available in Hays, TX for the 2026 plan year, including 27 HMO, 19 Local PPO, 11 HMO POS. Counts are individual consumer plans (employer-group / EGHP offerings excluded). Plan availability is determined by CMS and individual insurers.

What is the best-rated Medicare Advantage plan in Hays?

The highest-rated plan in Hays has a CMS star rating of 5.0 out of 5 - TEXAS INDEPENDENCE HEALTH PLAN, INC.. Star ratings reflect quality measures including preventive care, chronic disease management, and member satisfaction.

How much do Medicare Advantage plans cost in Hays?

Monthly plan premiums (Part C + D combined) in Hays range from $0 to $142.00, averaging $8.26. 32 plans offer a $0 monthly premium. Every enrollee also pays the standard Part B premium (about $202.90/month in 2026) on top of the plan premium. Premiums are from the CMS CY2026 Landscape file; always confirm current details on Medicare.gov.

What types of Medicare Advantage plans are offered in Hays?

Hays has 27 HMO, 19 Local PPO, 11 HMO POS. HMO plans require in-network providers, PPO plans allow out-of-network visits at higher cost, and PFFS plans let you see any Medicare-accepting provider.

Important: PlainMedicare provides CMS data for informational purposes only. This is not medical or insurance advice. Plan availability, premiums, and benefits change annually. Always verify with Medicare.gov or call 1-800-MEDICARE before enrolling.
Data sourced from official public datasets. See our methodology for details. Retrieved and formatted by PlainMedicare