Medicare Advantage · Texas · 2026 plan year

Medicare Advantage in Wharton, TX

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

48
Plans available
5.0★
Best plan: Top-rated
$0
Lowest premium/mo
$9.57
Avg premium/mo
RSS updates for this county

The short answer

Wharton has 48 Medicare Advantage plans for 2026, the best earns 5.0★ from CMS, 20 reach 4★ or higher, and 22 carry a $0 monthly premium.

48
plans to compare
5.0★
highest CMS rating here
22
$0-premium plans
20
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 Wharton, TX

Wharton, TX (FIPS 48481): 48 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: 19 HMO, 19 Local PPO, 9 HMO POS, 1 PFFS. Monthly plan premiums (Part C + D) range $0 – $142.00 (avg $9.57), with 22 $0-premium plans. 48 of 48 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 Wharton sits on CMS quality

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

3.78★ Top 51% higher than 49% 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 Wharton, 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★
3KS Plan Administrators, LLC (SNP)KelseyCare AdvantageHMO-4.5★
4Physicians Health Choice OF Texas, LLC (SNP)UnitedHealthcareHMO POS-4.5★
5Emphesys Insurance Company (SNP)HumanaLocal PPO-4.5★
6KS Plan Administrators, LLC (SNP)KelseyCare AdvantageHMO POS$04.5★
7Physicians Health Choice OF Texas, LLC (SNP)UnitedHealthcareHMO POS$04.5★
8Emphesys Insurance Company (SNP)HumanaLocal PPO$04.5★
9Emphesys Insurance Company (SNP)HumanaLocal PPO$04.5★
10Wellcare OF Texas, Inc. (SNP)WellcareHMO$04.0★
11Wellcare OF Texas, Inc. (SNP)WellcareHMO$04.0★
12Aetna Health Inc. (TX) (SNP)Aetna MedicareHMO$04.0★
13Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareHMO POS$04.0★
14Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareHMO POS$04.0★
15Unitedhealthcare Community Plan OF Texas, L.L.C. (SNP)UnitedHealthcareHMO POS$0.404.0★
16Wellcare OF Texas, Inc. (SNP)WellcareHMO$4.804.0★
17Wellcare OF Texas, Inc. (SNP)WellcareHMO$4.804.0★
18Wellcare OF Texas, Inc. (SNP)WellcareHMO$4.804.0★
19Wellcare OF Texas, Inc. (SNP)WellcareHMO$4.804.0★
20Aetna Health Inc. (TX) (SNP)Aetna MedicareHMO$4.804.0★
21Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO-3.5★
22Aetna Health AND Life Insurance Company (SNP)Aetna MedicareLocal PPO-3.5★
23Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
24Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
25Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$03.5★
26Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$03.5★
27Wellpoint Texas, Inc. (SNP)WellpointHMO POS$03.5★
28Wellpoint Texas, Inc. (SNP)WellpointHMO$03.5★
29Wellpoint Texas, Inc. (SNP)WellpointHMO POS$03.5★
30Aetna Health AND Life Insurance Company (SNP)Aetna MedicareLocal PPO$03.5★
31Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
32Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
33Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
34Wellcare National Health Insurance Company (SNP)WellcareLocal PPO$03.5★
35Molina Healthcare OF Texas, Inc. (SNP)Molina Healthcare of Texas, Inc.HMO$03.5★
36Aetna Better Health OF Texas Inc. (SNP)Aetna MedicareHMO$03.5★
37Wellpoint Insurance Company (SNP)WellpointHMO$2.403.5★
38Wellpoint Texas, Inc. (SNP)WellpointHMO$4.803.5★
39Aetna Health AND Life Insurance Company (SNP)Aetna MedicareLocal PPO$4.803.5★
40Wellpoint Insurance Company (SNP)WellpointHMO$4.803.5★
41Humana Insurance Company (SNP)HumanaPFFS$29.003.5★
42Humana Insurance Company (SNP)HumanaLocal PPO$60.003.5★
43Hcsc Insurance Services Company (SNP)Blue Cross and Blue Shield of NM, TXLocal PPO$03.0★
44Hcsc Insurance Services Company (SNP)Blue Cross and Blue Shield of NM, TXLocal PPO$96.003.0★
45Hcsc Insurance Services Company (SNP)Blue Cross and Blue Shield of NM, TXLocal PPO$142.003.0★
46Hcsc Insurance Services Company (SNP)Blue Cross and Blue Shield of TexasHMO$4.802.5★
47Procare Advantage, LLC (SNP)ProCare AdvantageHMO POS$4.80N/R
48Community 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 (20 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 Wharton, TX?

There are 48 Medicare Advantage plans available in Wharton, TX for the 2026 plan year, including 19 HMO, 19 Local PPO, 9 HMO POS, 1 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 Wharton?

The highest-rated plan in Wharton 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 Wharton?

Monthly plan premiums (Part C + D combined) in Wharton range from $0 to $142.00, averaging $9.57. 22 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 Wharton?

Wharton has 19 HMO, 19 Local PPO, 9 HMO POS, 1 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