Medicare Advantage plans in Nacogdoches, TX, 2027
Nacogdoches, Texas has 22 Medicare Advantage plans open to everyone for 2027 (26 in 2026) and 22 special needs plans, according to the CMS landscape files; 17 of the open plans have a $0 premium. 6 plans that served the county in 2026 end or leave it, with 72 members living here in September 2026.
What changes in Nacogdoches for 2027?
| In the county | 2026 | 2027 | Change |
|---|---|---|---|
| Plans open to everyone | 26 | 22 | ▼down 4 |
| Special needs plans | 20 | 22 | ▲up 2 |
| Plans with a $0 premium | 22 | 17 | ▼down 5 |
| Plans that lower the Part B premium | 14 | 9 | ▼down 5 |
| Median out-of-pocket limit | $6,775 | $7,175 | ▲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 Nacogdoches join?
| Plan | Premium | Out-of-pocket limit | Part B reduction | 2026 stars |
|---|---|---|---|---|
| HealthSpring PreferredH4513-061 · HMO | $0 | $4,000 | $5 | 4.5 of 5 |
| Humana Gold PlusH0028-041 · HMO | $0 | $4,250 | none | 3.5 of 5 |
| Humana Gold PlusH4461-055 · HMO | $0 | $4,250 | none | 4 of 5 |
| HealthSpring CourageH4513-009 · HMO | $0 | $4,300 | $120 | 4.5 of 5 |
| AARP Medicare Advantage Essentials from UHC TX-26H0609-060 · HMO-POS | $0 | $4,900 | none | 4.5 of 5 |
| HumanaChoiceR4182-001 · Regional PPO | $0 | $6,000 | none | 3.5 of 5 |
| Aetna Medicare SignatureH3288-008 · PPO | $0 | $6,750 | none | 3.5 of 5 |
| HealthSpring True ChoiceH7849-154 · PPO | $0 | $6,800 | none | 3 of 5 |
| AARP Medicare Advantage Extras from UHC TX-48H0609-080 · HMO-POS | $0 | $7,150 | none | 4.5 of 5 |
| Aetna Medicare Signature ExtraH2293-014 · PPO | $0 | $7,150 | none | 4 of 5 |
| HealthSpring Preferred SavingsH4513-083 · HMO | $0 | $7,200 | $143 | 4.5 of 5 |
| HealthSpring Preferred Extra SavingsH4513-091 · HMO | $0 | $7,500 | $176 | 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 |
| HumanaChoice GivebackH5216-358 · PPO | $0 | $8,300 | $81 | 3.5 of 5 |
| Humana Essentials Plus GivebackH7617-035 · PPO | $0 | $8,300 | $81 | 4.5 of 5 |
| AARP Medicare Advantage Giveback from UHC TX-41H0609-068 · HMO-POS | $0 | $9,850 | $96 | 4.5 of 5 |
| AARP Medicare Advantage from UHC TX-0007H1278-015 · PPO | $10 | $7,150 | none | 3.5 of 5 |
| HumanaChoiceH0473-005 · PPO | $13 | $7,300 | none | 3.5 of 5 |
| HumanaChoiceR4182-004 · Regional PPO | $46 | $8,200 | 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 Nacogdoches 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 |
|---|---|---|
| American Health Advantage of TexasH6891-001 | 37 | Not offered |
| UHC Complete Care Support TX-1AR6801-008 | 23 | Not offered |
| Blue Cross Medicare Advantage Dental ValueH9706-007 | 12 | Not offered |
| Blue Cross Medicare Advantage PreferredH8634-033 | fewer than 11 | Not offered |
| Blue Cross Medicare Advantage ValueH9706-001 | 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.
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 Nacogdoches use Medicare Advantage?
6,601 of the county's 12,778 people with Medicare were in a Medicare Advantage plan in September 2026, 51.7%; 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