Medicare Advantage plans in Hidalgo, TX, 2027
Hidalgo, Texas has 35 Medicare Advantage plans open to everyone for 2027 (47 in 2026) and 36 special needs plans, according to the CMS landscape files; 26 of the open plans have a $0 premium. 15 plans that served the county in 2026 end or leave it, with 3,751 members living here in September 2026.
What changes in Hidalgo for 2027?
| In the county | 2026 | 2027 | Change |
|---|---|---|---|
| Plans open to everyone | 47 | 35 | ▼down 12 |
| Special needs plans | 28 | 36 | ▲up 8 |
| Plans with a $0 premium | 34 | 26 | ▼down 8 |
| Plans that lower the Part B premium | 21 | 13 | ▼down 8 |
| Median out-of-pocket limit | $6,700 | $7,100 | ▲up $400 |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026.
Which plans can anyone in Hidalgo join?
| Plan | Premium | Out-of-pocket limit | Part B reduction | 2026 stars |
|---|---|---|---|---|
| Prominence PlusH7680-002 · HMO | $0 | $3,000 | none | 4.5 of 5 |
| HealthSpring PreferredH4513-061 · HMO | $0 | $3,250 | $5 | 4.5 of 5 |
| Prominence Extra HelpH7680-009 · HMO | $0 | $3,400 | none | 4.5 of 5 |
| AARP Medicare Advantage Essentials from UHC TX-14H4527-013 · HMO-POS | $0 | $3,900 | none | 4.5 of 5 |
| Humana Gold PlusH0028-046 · HMO | $0 | $3,995 | none | 3.5 of 5 |
| Humana Total CompleteH4461-052 · HMO | $0 | $3,995 | none | 4 of 5 |
| HealthSpring CourageH4513-009 · HMO | $0 | $4,300 | $120 | 4.5 of 5 |
| Aetna Medicare Signature CareH4523-027 · HMO | $0 | $4,450 | none | 4 of 5 |
| Aetna Medicare EagleH3288-051 · PPO | $0 | $4,900 | $110 | 3.5 of 5 |
| AARP Medicare Advantage Extras from UHC TX-50H4527-055 · HMO-POS | $0 | $5,400 | none | 4.5 of 5 |
| HumanaChoiceR4182-001 · Regional PPO | $0 | $6,000 | none | 3.5 of 5 |
| Humana Value ChoiceH7617-123 · PPO | $0 | $6,500 | none | 4.5 of 5 |
| HealthSpring Preferred SavingsH4513-083 · HMO | $0 | $6,775 | $143 | 4.5 of 5 |
| HealthSpring True ChoiceH7849-154 · PPO | $0 | $6,800 | none | 3 of 5 |
| HumanaChoice GivebackH5216-350 · PPO | $0 | $7,100 | $121 | 3.5 of 5 |
| Humana Essentials Plus GivebackH7617-041 · PPO | $0 | $7,100 | $121 | 4.5 of 5 |
| AARP Medicare Advantage Patriot No Rx TX-MA05H1278-027 · PPO | $0 | $7,150 | $70 | 3.5 of 5 |
| Aetna Medicare Signature ExtraH2293-017 · PPO | $0 | $7,150 | none | 4 of 5 |
| HealthSpring Preferred Extra SavingsH4513-092 · HMO | $0 | $7,150 | $180 | 4.5 of 5 |
| AARP Medicare Advantage Patriot No Rx TX-MA01H4527-024 · HMO-POS | $0 | $7,150 | $80 | 4.5 of 5 |
Show the other 15 plans, by premium
| Plan | Premium | Out-of-pocket limit | Part B reduction | 2026 stars |
|---|---|---|---|---|
| Prominence GivebackH7680-014 · HMO | $0 | $7,500 | $202.90 | 4.5 of 5 |
| Humana USAA Honor GivebackH5216-348 · PPO | $0 | $7,900 | $135 | 3.5 of 5 |
| Humana USAA Honor GivebackH7617-062 · PPO | $0 | $7,900 | $135 | 4.5 of 5 |
| AARP Medicare Advantage Giveback from UHC TX-38H4527-051 · HMO-POS | $0 | $9,850 | $63 | 4.5 of 5 |
| Wellcare Simple ValueH5294-026 · HMO | $0 | $9,850 | none | 3.5 of 5 |
| Humana Gold ChoiceH8145-126 · PFFS | $0 | $9,850 | none | 3.5 of 5 |
| HumanaChoiceH5216-043 · PPO | $20 | $7,700 | none | 3.5 of 5 |
| HumanaChoiceH7617-059 · PPO | $23 | $7,700 | none | 4.5 of 5 |
| Humana Gold PlusH4461-053 · HMO | $24 | $3,400 | none | 4 of 5 |
| AARP Medicare Advantage from UHC TX-51H4527-058 · HMO-POS | $29 | $3,900 | none | 4.5 of 5 |
| AARP Medicare Advantage from UHC TX-0004H1278-010 · PPO | $37 | $6,700 | none | 3.5 of 5 |
| HumanaChoiceR4182-004 · Regional PPO | $46 | $8,200 | none | 3.5 of 5 |
| Aetna Medicare EnhancedH3288-009 · PPO | $55 | $7,150 | none | 3.5 of 5 |
| HumanaChoiceR4182-003 · Regional PPO | $100 | $8,200 | none | 3.5 of 5 |
| AARP Medicare Advantage from UHC TX-61R6801-012 · Regional PPO | $138 | $9,850 | none | 3.5 of 5 |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026. Stars are the contract's 2026 rating. confirm on Medicare Plan Finder.
Which plans leave Hidalgo in 2027?
Members of these plans here choose a 2027 plan during open enrollment, October 15 to December 7, 2026; choosing by December 31 means no gap; because their plan is leaving the county, they can still join until the end of February 2027, with coverage from the first of the next month. Each plan's page says what happens to its members.
| 2026 plan | Members here, Sept. 2026 | For 2027 |
|---|---|---|
| Wellcare SimpleH5294-011 | 1,310 | Not offered |
| Wellcare Dual AccessH5294-015 | 925 | Not offered |
| HumanaChoiceH5216-360 | 693 | Not offered |
| HumanaChoiceH7617-040 | 248 | Not offered |
| Wellcare AssistH5294-013 | 163 | Not offered |
| Blue Cross Medicare Advantage BasicH8133-005 | 138 | Not offered |
| Blue Cross Medicare Advantage CoreH8554-001 | 95 | Not offered |
| Wellcare Simple OpenH7323-007 | 60 | Not offered |
| Blue Cross Medicare Advantage BalanceH1666-023 | 32 | Not offered |
| UHC Complete Care Support TX-1AR6801-008 | 28 | Not offered |
| Blue Cross Medicare Advantage OptimumH1666-024 | 20 | Not offered |
| Humana Gold ChoiceH8145-084 | 20 | Not offered |
| Wellcare Patriot SimpleH5294-014 | 19 | Leaves the county |
| Blue Cross Medicare Advantage PreferredH8634-033 | fewer than 11 | Not offered |
| Blue Cross Medicare Advantage Dual Care PlusH9706-002 | fewer than 11 | Not offered |
Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11); CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
Which special needs plans are sold here?
Open only to people with Medicaid as well as Medicare, with certain chronic conditions, or living in an institution.
| Plan | Who can join | Premium |
|---|---|---|
| Prominence Diabetes and Heart Care PlusH7680-016 | Chronic or Disabling Condition | $0 |
| Prominence BridgeH7680-021 | Dual-Eligible | $0 |
| Humana Gold Plus: Diabetes and HeartH0028-039 | Chronic or Disabling Condition | $0 |
| Humana Gold Plus: Diabetes and HeartH4461-066 | Chronic or Disabling Condition | $0 |
| HealthSpring AchieveH4513-098 | Chronic or Disabling Condition | $0 |
| UHC Complete Care TX-19H4527-042 | Chronic or Disabling Condition | $0 |
| UHC Dual Advantage TX-V11H3868-005 | Dual-Eligible | $0 |
| HealthSpring Achieve SavingsH4513-108 | Chronic or Disabling Condition | $0 |
| Aetna Medicare Chronic CareH4523-047 | Chronic or Disabling Condition | $0 |
| Prominence Diabetes and Heart GivebackH7680-020 | Chronic or Disabling Condition | $0 |
| Humana Gold Plus SNP-DEH0028-036 | Dual-Eligible | $0 |
| Wellcare Superior HealthPlan Dual AlignH0062-012 | Dual-Eligible | $0 |
| UHC Dual Complete TX-Y1H3868-001 | Dual-Eligible | $0 |
| UHC Dual Complete TX-Q6H3868-003 | Dual-Eligible | $0 |
| Humana Gold Plus SNP-DEH4461-069 | Dual-Eligible | $0 |
| Humana Gold Plus SNP-DEH4461-070 | Dual-Eligible | $0 |
| Humana Gold Plus: Diabetes and HeartH4461-085 | Chronic or Disabling Condition | $0 |
| HealthSpring TotalCareH4513-060 | Dual-Eligible | $0 |
| HealthSpring TotalCare PlusH4513-105 | Dual-Eligible | $0 |
| Aetna Medicare Full Dual Extra CareH4523-034 | Dual-Eligible | $0 |
Show the other 16 special needs plans
| Plan | Who can join | Premium |
|---|---|---|
| Aetna Medicare QMB Only Extra CareH4523-041 | Dual-Eligible | $0 |
| Aetna Medicare Chronic Care TotalH4523-050 | Chronic or Disabling Condition | $0 |
| Humana Together in HealthH5216-369 | Institutional | $0 |
| Molina Medicare Complete Care PlusH6515-005 | Dual-Eligible | $0 |
| Humana Together in HealthH7617-138 | Institutional | $0 |
| Prominence DualH7680-007 | Dual-Eligible | $0 |
| Aetna Medicare Full Dual CareH8597-001 | Dual-Eligible | $0 |
| Aetna Medicare QMB Only CareH8597-004 | Dual-Eligible | $0 |
| Wellpoint Full Dual AdvantageH8849-027 | Dual-Eligible | $0 |
| Wellpoint Dual Advantage PlusH8849-028 | Dual-Eligible | $0 |
| Wellpoint Dual AdvantageH8849-030 | Dual-Eligible | $0 |
| UHC Dual Complete TX-S001R6801-011 | Dual-Eligible | $0 |
| Texas Independence Health Plan, Inc.H5015-001 | Institutional | $3.90 |
| Texas Independence Community PlanH5015-002 | Institutional | $6.30 |
| Wellpoint Chronic Care AdvantageH8849-031 | Chronic or Disabling Condition | $6.30 |
| UHC Complete Care TX-29R6801-009 | Chronic or Disabling Condition | $100 |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
How many people in Hidalgo use Medicare Advantage?
98,718 of the county's 126,589 people with Medicare were in a Medicare Advantage plan in September 2026, 78.0%; in Texas as a whole the share is 54.9%.
Source: CMS Medicare Advantage state and county penetration, September 2026.
What else should you check?
- Medicare Advantage in TexasEvery county of the state
- 10 stand-alone drug plans in TexasIf you keep Original Medicare
- Is your plan ending?Every plan not offered in 2027