Medicare Advantage · Texas · 2026 plan year

Medicare Advantage in Upshur, TX

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

44
Plans available
5.0★
Best plan: Top-rated
$0
Lowest premium/mo
$6.06
Avg premium/mo
RSS updates for this county

The short answer

Upshur has 44 Medicare Advantage plans for 2026, the best earns 5.0★ from CMS, 21 reach 4★ or higher, and 27 carry a $0 monthly premium.

44
plans to compare
5.0★
highest CMS rating here
27
$0-premium plans
21
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 Upshur, TX

Upshur, TX (FIPS 48459): 44 individual Medicare Advantage plans available (employer-group plans excluded). Highest CMS Star rating: 5.0/5 via PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.. Plan-type mix: 26 HMO, 14 Local PPO, 4 HMO POS. Monthly plan premiums (Part C + D) range $0 – $110.00 (avg $6.06), with 27 $0-premium plans. 44 of 44 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 Upshur sits on CMS quality

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

3.77★ Top 53% higher than 47% 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 Upshur, ranked by CMS rating

#PlanInsurerTypePremium/moCMS stars
1Provider Partners Health Plan OF Texas, Inc. (SNP)Provider Partners Health PlansHMO$4.805.0★
2Texas Independence Health Plan, Inc. (SNP)Texas Independence Health PlanHMO$4.805.0★
3Texas Independence Health Plan, Inc. (SNP)Texas Independence Health PlanHMO$4.805.0★
4Healthspring Life & Health Insurance Company, Inc. (SNP)Cigna HealthCareHMO-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★
9Emphesys Insurance Company (SNP)HumanaLocal PPO$04.5★
10Emphesys Insurance Company (SNP)HumanaLocal PPO$04.5★
11Silverscript Insurance Company (SNP)Aetna MedicareLocal PPO$04.0★
12Cariten Health Plan Inc. (SNP)HumanaHMO$04.0★
13Cariten Health Plan Inc. (SNP)HumanaHMO$04.0★
14Cariten Health Plan Inc. (SNP)HumanaHMO$04.0★
15Cariten Health Plan Inc. (SNP)HumanaHMO$04.0★
16Unitedhealthcare Community Plan OF Texas, L.L.C. (SNP)UnitedHealthcareHMO POS$04.0★
17Aetna Health Inc. (TX) (SNP)Aetna MedicareHMO$04.0★
18Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareHMO POS$04.0★
19Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareHMO POS$04.0★
20Unitedhealthcare Community Plan OF Texas, L.L.C. (SNP)UnitedHealthcareHMO POS$0.404.0★
21Aetna Health Inc. (TX) (SNP)Aetna MedicareHMO$4.604.0★
22Christus Health Plan (SNP)CHRISTUS Health AdvantageHMO-3.5★
23Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
24Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
25CHA HMO, Inc. (SNP)HumanaHMO$03.5★
26CHA HMO, Inc. (SNP)HumanaHMO$03.5★
27Christus Health Plan (SNP)CHRISTUS Health AdvantageHMO$03.5★
28Aetna Health AND Life Insurance Company (SNP)Aetna MedicareLocal PPO$03.5★
29Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
30Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
31Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
32Molina Healthcare OF Texas, Inc. (SNP)Molina Healthcare of Texas, Inc.HMO$03.5★
33Aetna Better Health OF Texas Inc. (SNP)Aetna MedicareHMO$03.5★
34Wellpoint Insurance Company (SNP)WellpointHMO$2.403.5★
35Wellpoint Insurance Company (SNP)WellpointHMO$4.803.5★
36Humana Insurance Company (SNP)HumanaLocal PPO$15.003.5★
37Christus Health Plan (SNP)CHRISTUS Health AdvantageHMO$20.003.5★
38Humana Insurance Company (SNP)HumanaLocal PPO$60.003.5★
39Healthspring Life & Health Insurance Company, Inc. (SNP)Cigna HealthCareLocal PPO$03.0★
40Health Care Service Corporation (SNP)Blue Cross and Blue Shield of IL, NM, OK, TXLocal PPO$110.003.0★
41Hcsc Insurance Services Company (SNP)Blue Cross and Blue Shield of TexasHMO$02.5★
42Hcsc Insurance Services Company (SNP)Blue Cross and Blue Shield of TexasHMO$02.5★
43Hcsc Insurance Services Company (SNP)Blue Cross and Blue Shield of TexasHMO$02.5★
44Hcsc 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 (21 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 Upshur, TX?

There are 44 Medicare Advantage plans available in Upshur, TX for the 2026 plan year, including 26 HMO, 14 Local PPO, 4 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 Upshur?

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

How much do Medicare Advantage plans cost in Upshur?

Monthly plan premiums (Part C + D combined) in Upshur range from $0 to $110.00, averaging $6.06. 27 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 Upshur?

Upshur has 26 HMO, 14 Local PPO, 4 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