Medicare Advantage · Texas · 2026 plan year

Medicare Advantage in Hidalgo, TX

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

68
Plans available
5.0★
Best plan: Top-rated
$0
Lowest premium/mo
$8.96
Avg premium/mo
RSS updates for this county

The short answer

Hidalgo has 68 Medicare Advantage plans for 2026, the best earns 5.0★ from CMS, 37 reach 4★ or higher, and 38 carry a $0 monthly premium.

68
plans to compare
5.0★
highest CMS rating here
38
$0-premium plans
37
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 Hidalgo, TX

Hidalgo, TX (FIPS 48215): 68 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: 37 HMO, 20 Local PPO, 9 HMO POS, 2 PFFS. Monthly plan premiums (Part C + D) range $0 – $142.00 (avg $8.96), with 38 $0-premium plans. 66 of 68 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 Hidalgo sits on CMS quality

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

3.95★ Top 19% higher than 81% 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 Hidalgo, ranked by CMS rating

#PlanInsurerTypePremium/moCMS stars
1Texas Independence Health Plan, Inc. (SNP)Texas Independence Health PlanHMO$4.805.0★
2Texas Independence Health Plan, Inc. (SNP)Texas Independence Health PlanHMO$4.805.0★
3Healthspring Life & Health Insurance Company, Inc. (SNP)Cigna HealthCareHMO-4.5★
4Physicians Health Choice OF Texas, LLC (SNP)UnitedHealthcareHMO POS-4.5★
5Emphesys Insurance Company (SNP)HumanaLocal PPO-4.5★
6Healthspring Life & Health Insurance Company, Inc. (SNP)Cigna HealthCareHMO$04.5★
7Healthspring Life & Health Insurance Company, Inc. (SNP)Cigna HealthCareHMO$04.5★
8Healthspring Life & Health Insurance Company, Inc. (SNP)Cigna HealthCareHMO$04.5★
9Healthspring Life & Health Insurance Company, Inc. (SNP)Cigna HealthCareHMO$04.5★
10Healthspring Life & Health Insurance Company, Inc. (SNP)Cigna HealthCareHMO$04.5★
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★
18Prominence Healthfirst OF Texas (SNP)Prominence Health PlanHMO$04.5★
19Prominence Healthfirst OF Texas (SNP)Prominence Health PlanHMO$04.5★
20Prominence Healthfirst OF Texas (SNP)Prominence Health PlanHMO$04.5★
21Prominence Healthfirst OF Texas (SNP)Prominence Health PlanHMO$04.5★
22Prominence Healthfirst OF Texas (SNP)Prominence Health PlanHMO$04.5★
23Prominence Healthfirst OF Texas (SNP)Prominence Health PlanHMO$04.5★
24Prominence Healthfirst OF Texas (SNP)Prominence Health PlanHMO$4.204.5★
25Emphesys Insurance Company (SNP)HumanaLocal PPO$20.004.5★
26Physicians Health Choice OF Texas, LLC (SNP)UnitedHealthcareHMO POS$24.004.5★
27Silverscript Insurance Company (SNP)Aetna MedicareLocal PPO$04.0★
28Cariten Health Plan Inc. (SNP)HumanaHMO$04.0★
29Cariten Health Plan Inc. (SNP)HumanaHMO$04.0★
30Cariten Health Plan Inc. (SNP)HumanaHMO$04.0★
31Aetna Health Inc. (TX) (SNP)Aetna MedicareHMO$04.0★
32Aetna Health Inc. (TX) (SNP)Aetna MedicareHMO$04.0★
33Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareHMO POS$04.0★
34Unitedhealthcare Community Plan OF Texas, L.L.C. (SNP)UnitedHealthcareHMO POS$0.404.0★
35Cariten Health Plan Inc. (SNP)HumanaHMO$2.204.0★
36Aetna Health Inc. (TX) (SNP)Aetna MedicareHMO$4.604.0★
37Cariten Health Plan Inc. (SNP)HumanaHMO$14.004.0★
38Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO-3.5★
39Aetna Health AND Life Insurance Company (SNP)Aetna MedicareLocal PPO-3.5★
40Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
41Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
42Superior Healthplan, Inc. (SNP)Wellcare By AllwellHMO-3.5★
43Humana Insurance Company (SNP)HumanaPFFS-3.5★
44CHA HMO, Inc. (SNP)HumanaHMO$03.5★
45CHA HMO, Inc. (SNP)HumanaHMO$03.5★
46Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$03.5★
47Wellpoint Texas, Inc. (SNP)WellpointHMO$03.5★
48Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
49Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
50Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
51Superior Healthplan, Inc. (SNP)Wellcare By AllwellHMO$03.5★
52Wellcare National Health Insurance Company (SNP)WellcareLocal PPO$03.5★
53GHS Insurance Company (SNP)Blue Cross and Blue Shield of TexasHMO$03.5★
54GHS Insurance Company (SNP)Blue Cross and Blue Shield of OK, TXHMO$03.5★
55Aetna Better Health OF Texas Inc. (SNP)Aetna MedicareHMO$03.5★
56CHA HMO, Inc. (SNP)HumanaHMO$2.403.5★
57Superior Healthplan, Inc. (SNP)Wellcare By AllwellHMO$4.803.5★
58Superior Healthplan, Inc. (SNP)Wellcare By AllwellHMO$4.803.5★
59Humana Insurance Company (SNP)HumanaLocal PPO$20.003.5★
60Humana Insurance Company (SNP)HumanaPFFS$29.003.5★
61Aetna Health AND Life Insurance Company (SNP)Aetna MedicareLocal PPO$45.003.5★
62Healthspring Life & Health Insurance Company, Inc. (SNP)Cigna HealthCareLocal PPO$03.0★
63Hcsc Insurance Services Company (SNP)Blue Cross and Blue Shield of NM, TXLocal PPO$77.003.0★
64Health Care Service Corporation (SNP)Blue Cross and Blue Shield of IL, NM, OK, TXLocal PPO$110.003.0★
65Hcsc Insurance Services Company (SNP)Blue Cross and Blue Shield of NM, TXLocal PPO$142.003.0★
66Hcsc Insurance Services Company (SNP)Blue Cross and Blue Shield of TexasHMO$4.802.5★
67Superior Healthplan, Inc. (SNP)Wellcare By AllwellHMO$4.80N/R
68Molina Healthcare OF Texas, Inc. (SNP)Molina Healthcare of Texas, Inc.HMO$4.80N/R

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 (37 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 Hidalgo, TX?

There are 68 Medicare Advantage plans available in Hidalgo, TX for the 2026 plan year, including 37 HMO, 20 Local PPO, 9 HMO POS, 2 PFFS. 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 Hidalgo?

The highest-rated plan in Hidalgo 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 Hidalgo?

Monthly plan premiums (Part C + D combined) in Hidalgo range from $0 to $142.00, averaging $8.96. 38 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 Hidalgo?

Hidalgo has 37 HMO, 20 Local PPO, 9 HMO POS, 2 PFFS. 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