Medicare Advantage · Texas · 2026 plan year

Medicare Advantage in Matagorda, TX

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

43
Plans available
5.0★
Best plan: Top-rated
$0
Lowest premium/mo
$7.98
Avg premium/mo
RSS updates for this county

The short answer

Matagorda has 43 Medicare Advantage plans for 2026, the best earns 5.0★ from CMS, 17 reach 4★ or higher, and 21 carry a $0 monthly premium.

43
plans to compare
5.0★
highest CMS rating here
21
$0-premium plans
17
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 Matagorda, TX

Matagorda, TX (FIPS 48321): 43 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: 21 HMO, 14 Local PPO, 8 HMO POS. Monthly plan premiums (Part C + D) range $0 – $142.00 (avg $7.98), with 21 $0-premium plans. 43 of 43 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 Matagorda sits on CMS quality

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

3.68★ Top 66% higher than 34% 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%). This entry sits in this band. 3.75★–4★: 1,344 US counties (43%). Above this entry. 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 Matagorda, 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★
3Physicians Health Choice OF Texas, LLC (SNP)UnitedHealthcareHMO POS-4.5★
4Emphesys Insurance Company (SNP)HumanaLocal PPO-4.5★
5Physicians Health Choice OF Texas, LLC (SNP)UnitedHealthcareHMO POS$04.5★
6Emphesys Insurance Company (SNP)HumanaLocal PPO$04.5★
7Wellcare OF Texas, Inc. (SNP)WellcareHMO$04.0★
8Wellcare OF Texas, Inc. (SNP)WellcareHMO$04.0★
9Aetna Health Inc. (TX) (SNP)Aetna MedicareHMO$04.0★
10Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareHMO POS$04.0★
11Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareHMO POS$04.0★
12Unitedhealthcare Community Plan OF Texas, L.L.C. (SNP)UnitedHealthcareHMO POS$0.404.0★
13Wellcare OF Texas, Inc. (SNP)WellcareHMO$4.804.0★
14Wellcare OF Texas, Inc. (SNP)WellcareHMO$4.804.0★
15Wellcare OF Texas, Inc. (SNP)WellcareHMO$4.804.0★
16Wellcare OF Texas, Inc. (SNP)WellcareHMO$4.804.0★
17Aetna Health Inc. (TX) (SNP)Aetna MedicareHMO$4.804.0★
18Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO-3.5★
19Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
20Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
21Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$03.5★
22Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$03.5★
23Wellpoint Texas, Inc. (SNP)WellpointHMO POS$03.5★
24Wellpoint Texas, Inc. (SNP)WellpointHMO$03.5★
25Wellpoint Texas, Inc. (SNP)WellpointHMO POS$03.5★
26Aetna Health AND Life Insurance Company (SNP)Aetna MedicareLocal PPO$03.5★
27Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
28Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
29Wellcare National Health Insurance Company (SNP)WellcareLocal PPO$03.5★
30Molina Healthcare OF Texas, Inc. (SNP)Molina Healthcare of Texas, Inc.HMO$03.5★
31Aetna Better Health OF Texas Inc. (SNP)Aetna MedicareHMO$03.5★
32Wellpoint Insurance Company (SNP)WellpointHMO$2.403.5★
33Wellpoint Texas, Inc. (SNP)WellpointHMO$4.803.5★
34Aetna Health AND Life Insurance Company (SNP)Aetna MedicareLocal PPO$4.803.5★
35Wellpoint Insurance Company (SNP)WellpointHMO$4.803.5★
36Hcsc Insurance Services Company (SNP)Blue Cross and Blue Shield of NM, TXLocal PPO$96.003.0★
37Hcsc Insurance Services Company (SNP)Blue Cross and Blue Shield of NM, TXLocal PPO$142.003.0★
38Hcsc Insurance Services Company (SNP)Blue Cross and Blue Shield of TexasHMO$02.5★
39Hcsc Insurance Services Company (SNP)Blue Cross and Blue Shield of TexasHMO$02.5★
40Hcsc Insurance Services Company (SNP)Blue Cross and Blue Shield of TexasHMO$02.5★
41Hcsc Insurance Services Company (SNP)Blue Cross and Blue Shield of TexasHMO$4.802.5★
42Procare Advantage, LLC (SNP)ProCare AdvantageHMO POS$4.80N/R
43Community Health Choice Texas, Inc. (SNP)Community Health ChoiceHMO$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 (17 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 Matagorda, TX?

There are 43 Medicare Advantage plans available in Matagorda, TX for the 2026 plan year, including 21 HMO, 14 Local PPO, 8 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 Matagorda?

The highest-rated plan in Matagorda 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 Matagorda?

Monthly plan premiums (Part C + D combined) in Matagorda range from $0 to $142.00, averaging $7.98. 21 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 Matagorda?

Matagorda has 21 HMO, 14 Local PPO, 8 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