Medicare Advantage plans in Upshur, TX, 2027
Upshur, Texas has 24 Medicare Advantage plans open to everyone for 2027 (29 in 2026) and 31 special needs plans, according to the CMS landscape files; 19 of the open plans have a $0 premium. 9 plans that served the county in 2026 end or leave it, with 257 members living here in September 2026.
What changes in Upshur for 2027?
| In the county | 2026 | 2027 | Change |
|---|---|---|---|
| Plans open to everyone | 29 | 24 | ▼down 5 |
| Special needs plans | 22 | 31 | ▲up 9 |
| Plans with a $0 premium | 22 | 19 | ▼down 3 |
| Plans that lower the Part B premium | 14 | 8 | ▼down 6 |
| Median out-of-pocket limit | $6,750 | $6,975 | ▲up $225 |
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 Upshur join?
| Plan | Premium | Out-of-pocket limit | Part B reduction | 2026 stars |
|---|---|---|---|---|
| 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 |
| HealthSpring PreferredH4513-026 · HMO | $0 | $4,450 | none | 4.5 of 5 |
| Devoted Core 073 TXH7993-073 · HMO | $0 | $5,750 | none | 5 of 5 |
| HumanaChoiceR4182-001 · Regional PPO | $0 | $6,000 | none | 3.5 of 5 |
| AARP Medicare Advantage from UHC TX-0010H4514-017 · HMO-POS | $0 | $6,700 | none | 4 of 5 |
| HumanaChoiceH5216-352 · PPO | $0 | $6,700 | none | 3.5 of 5 |
| Humana Value ChoiceH7617-043 · PPO | $0 | $6,700 | none | 4.5 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 |
| Aetna Medicare Signature ExtraH2293-014 · PPO | $0 | $7,150 | none | 4 of 5 |
| Devoted Giveback Extras 112 TXH7993-112 · HMO | $0 | $7,350 | $70 | 5 of 5 |
| HealthSpring Preferred SavingsH4513-083 · HMO | $0 | $7,500 | $143 | 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 |
| Devoted Giveback 074 TXH7993-074 · HMO | $0 | $9,850 | $190 | 5 of 5 |
| HumanaChoiceH5216-043 · PPO | $12 | $8,150 | none | 3.5 of 5 |
| HumanaChoiceR4182-004 · Regional PPO | $46 | $8,200 | none | 3.5 of 5 |
| HumanaChoiceH5216-042 · PPO | $62 | $6,750 | 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 Upshur 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 |
|---|---|---|
| CHRISTUS Health Medicare PlusH1189-004 | 136 | Not offered |
| CHRISTUS Health Medicare CompleteH1189-003 | 94 | Not offered |
| Blue Cross Medicare Advantage ValueH9706-001 | 14 | Not offered |
| CHRISTUS Health Medicare GuardianH1189-008 | 13 | Not offered |
| Blue Cross Medicare Advantage PreferredH8634-033 | fewer than 11 | Not offered |
| Blue Cross Medicare Advantage Dual Care PlusH9706-002 | fewer than 11 | Not offered |
| Blue Cross Medicare Advantage Dental ValueH9706-007 | fewer than 11 | Not offered |
| Blue Cross Medicare Advantage SaverH9706-008 | fewer than 11 | Not offered |
| UHC Complete Care Support TX-1AR6801-008 | 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 |
|---|---|---|
| Humana Gold Plus: Diabetes and HeartH4461-068 | Chronic or Disabling Condition | $0 |
| UHC Dual Advantage TX-V11H3868-005 | Dual-Eligible | $0 |
| Devoted C-SNP Enhanced 075 TXH7993-075 | Chronic or Disabling Condition | $0 |
| Devoted C-SNP Giveback Extras 085 TXH7993-085 | Chronic or Disabling Condition | $0 |
| Humana Gold Plus SNP-DEH0028-032 | Dual-Eligible | $0 |
| ProCare AdvantageH3467-001 | Institutional | $0 |
| UHC Dual Complete TX-Q6H3868-003 | Dual-Eligible | $0 |
| UHC Dual Complete TX-S6H3868-004 | Dual-Eligible | $0 |
| UHC Dual Complete TX-YL2H3868-007 | Dual-Eligible | $0 |
| Humana Gold Plus SNP-DEH4461-071 | Dual-Eligible | $0 |
| Humana Gold Plus SNP-DEH4461-072 | Dual-Eligible | $0 |
| HealthSpring TotalCare PlusH4513-105 | Dual-Eligible | $0 |
| Aetna Medicare Full Dual Extra CareH4523-034 | Dual-Eligible | $0 |
| Aetna Medicare QMB Only Extra CareH4523-041 | Dual-Eligible | $0 |
| Humana Together in HealthH5216-369 | Institutional | $0 |
| Humana Together in HealthH7617-138 | Institutional | $0 |
| Molina Medicare Complete CareH7678-006 | Dual-Eligible | $0 |
| Devoted C-SNP Plus 117 TXH7993-117 | Chronic or Disabling Condition | $0 |
| Devoted Dual 118 TXH7993-118 | Dual-Eligible | $0 |
| Devoted Dual Full 119 TXH7993-119 | Dual-Eligible | $0 |
Show the other 11 special needs plans
| Plan | Who can join | Premium |
|---|---|---|
| Aetna Medicare Full Dual CareH8597-001 | Dual-Eligible | $0 |
| Aetna Medicare QMB Only CareH8597-004 | Dual-Eligible | $0 |
| Wellpoint Full Dual AdvantageH8849-026 | 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 |
| HealthSpring TotalCareH4513-027 | Dual-Eligible | $0.90 |
| Texas Independence Health Plan, Inc.H5015-001 | Institutional | $3.90 |
| Texas Independence Community PlanH5015-002 | Institutional | $6.30 |
| Provider Partners Texas Advantage PlanH4054-001 | Institutional | $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 Upshur use Medicare Advantage?
5,514 of the county's 10,236 people with Medicare were in a Medicare Advantage plan in September 2026, 53.9%; 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