Medicare Advantage plans in Texas, 2027
387 Medicare Advantage plans are sold in Texas for 2027 (398 in 2026); 214 are open to everyone and 170 of those have a $0 premium everywhere they are sold. 201,273 Texas members in September 2026 were in plans that end or leave their county for 2027.
What changes in Texas for 2027?
| In the state | 2026 | 2027 | Change |
|---|---|---|---|
| Plans sold in the state | 398 | 387 | ▼down 11 |
| Plans open to everyone | 259 | 214 | ▼down 45 |
| Plans with a $0 premium everywhere they are sold | 208 | 170 | ▼down 38 |
| Plans that lower the Part B premium | 93 | 51 | ▼down 42 |
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 companies sell the most plans in Texas?
Plans open to everyone, by parent company and the brands it sells under, 2027
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
Which Texas counties lose the most?
Plans end in or leave Texas counties 2,360 times for 2027. Counties with the most members in those plans come first; each links to its 2027 plan list.
| County | Plans open to all | $0 premium | Plans that end or leave | Their members here |
|---|---|---|---|---|
| Harris | 49 | 41 | 26 | 26,999 |
| Tarrant | 40 | 28 | 19 | 18,435 |
| Dallas | 42 | 29 | 21 | 17,899 |
| Bexar | 48 | 37 | 18 | 14,373 |
| Denton | 32 | 24 | 19 | 11,163 |
| Collin | 40 | 28 | 28 | 9,081 |
| Fort Bend | 40 | 35 | 22 | 8,539 |
| Galveston | 33 | 27 | 24 | 6,951 |
| Montgomery | 43 | 37 | 17 | 5,210 |
| Brazoria | 35 | 30 | 15 | 4,599 |
| Hidalgo | 35 | 26 | 15 | 3,751 |
| Comal | 41 | 30 | 17 | 3,686 |
| Smith | 25 | 19 | 14 | 3,051 |
| Henderson | 19 | 13 | 23 | 2,850 |
| Kerr | 17 | 11 | 5 | 2,407 |
| Guadalupe | 40 | 30 | 13 | 2,138 |
| Nueces | 31 | 21 | 14 | 2,136 |
| El Paso | 42 | 34 | 12 | 2,059 |
| Burnet | 26 | 14 | 18 | 1,759 |
| Ellis | 32 | 21 | 9 | 1,748 |
| Lubbock | 20 | 14 | 11 | 1,734 |
| Travis | 28 | 20 | 10 | 1,683 |
| Cameron | 34 | 25 | 15 | 1,678 |
| Kaufman | 22 | 13 | 19 | 1,653 |
| Taylor | 10 | 6 | 6 | 1,606 |
| Grayson | 30 | 21 | 14 | 1,552 |
| Jefferson | 38 | 30 | 16 | 1,483 |
| Brazos | 19 | 9 | 12 | 1,480 |
| Wichita | 8 | 4 | 3 | 1,479 |
| Parker | 34 | 24 | 11 | 1,285 |
| Johnson | 38 | 27 | 13 | 1,257 |
| Williamson | 35 | 22 | 14 | 1,208 |
| Colorado | 18 | 9 | 15 | 1,130 |
| Cherokee | 17 | 9 | 13 | 1,118 |
| Kendall | 39 | 29 | 17 | 1,004 |
| Hunt | 19 | 12 | 9 | 933 |
| Wood | 21 | 14 | 10 | 921 |
| Wise | 33 | 23 | 11 | 920 |
| Starr | 22 | 15 | 7 | 909 |
| Hood | 26 | 18 | 9 | 882 |
| Matagorda | 16 | 12 | 17 | 882 |
| Rockwall | 33 | 22 | 10 | 789 |
| Cooke | 31 | 21 | 11 | 778 |
| Bandera | 39 | 29 | 16 | 743 |
| Wilson | 40 | 30 | 16 | 713 |
| Medina | 41 | 31 | 16 | 667 |
| Liberty | 38 | 32 | 16 | 644 |
| Gregg | 25 | 19 | 10 | 627 |
| Van Zandt | 32 | 25 | 13 | 613 |
| Hays | 31 | 23 | 14 | 578 |
| Bowie | 15 | 12 | 12 | 574 |
| Orange | 29 | 24 | 13 | 572 |
| Burleson | 20 | 10 | 9 | 519 |
| Grimes | 25 | 14 | 11 | 519 |
| Webb | 28 | 20 | 14 | 508 |
| Aransas | 26 | 17 | 13 | 507 |
| Wharton | 24 | 19 | 12 | 430 |
| Austin | 23 | 18 | 12 | 398 |
| Hardin | 35 | 29 | 16 | 398 |
| Limestone | 17 | 6 | 5 | 387 |
| Chambers | 29 | 24 | 11 | 383 |
| Ector | 18 | 12 | 7 | 380 |
| Bell | 21 | 11 | 7 | 378 |
| Bosque | 22 | 10 | 13 | 368 |
| San Patricio | 20 | 12 | 14 | 330 |
| Polk | 25 | 19 | 8 | 329 |
| Waller | 25 | 20 | 12 | 309 |
| Jim Wells | 25 | 16 | 17 | 308 |
| Montague | 25 | 16 | 9 | 289 |
| Coryell | 24 | 13 | 9 | 285 |
| Zapata | 19 | 13 | 10 | 277 |
| Bastrop | 25 | 15 | 12 | 276 |
| Upshur | 24 | 19 | 9 | 257 |
| Hopkins | 13 | 8 | 9 | 251 |
| Fannin | 26 | 20 | 7 | 244 |
| Midland | 17 | 10 | 8 | 217 |
| Atascosa | 39 | 29 | 13 | 216 |
| Harrison | 27 | 21 | 8 | 215 |
| Lee | 25 | 15 | 14 | 213 |
| Rusk | 25 | 19 | 13 | 213 |
| Lampasas | 29 | 17 | 9 | 202 |
| Hockley | 14 | 9 | 8 | 199 |
| Palo Pinto | 17 | 11 | 7 | 199 |
| Tom Green | 13 | 10 | 7 | 199 |
| McCulloch | 7 | 3 | 9 | 193 |
| Randall | 24 | 17 | 14 | 191 |
| Real | 20 | 12 | 7 | 185 |
| Potter | 24 | 17 | 12 | 184 |
| Cass | 18 | 15 | 10 | 173 |
| Caldwell | 31 | 21 | 16 | 170 |
| Anderson | 21 | 15 | 12 | 164 |
| Walker | 27 | 21 | 8 | 164 |
| Newton | 11 | 5 | 5 | 162 |
| Brewster | 4 | 1 | 6 | 161 |
| McLennan | 25 | 11 | 4 | 160 |
| Brown | 7 | 3 | 1 | 157 |
| Carson | 13 | 7 | 9 | 154 |
| Eastland | 17 | 11 | 2 | 149 |
| Young | 7 | 3 | 9 | 141 |
| Blanco | 30 | 19 | 9 | 138 |
| Edwards | 13 | 6 | 8 | 138 |
| Refugio | 15 | 12 | 12 | 135 |
| Lamb | 14 | 9 | 9 | 133 |
| Hamilton | 23 | 11 | 14 | 125 |
| Morris | 14 | 8 | 12 | 124 |
| Kleberg | 25 | 16 | 18 | 122 |
| Val Verde | 15 | 8 | 1 | 116 |
| Runnels | 8 | 4 | 9 | 110 |
| Shackelford | 12 | 6 | 10 | 104 |
| DeWitt | 14 | 9 | 12 | 97 |
| Reeves | 7 | 3 | 6 | 95 |
| Coleman | 10 | 4 | 11 | 93 |
| Yoakum | 5 | 2 | 9 | 93 |
| Martin | 12 | 6 | 12 | 91 |
| Willacy | 34 | 26 | 19 | 89 |
| Scurry | 4 | 1 | 1 | 85 |
| Hill | 25 | 13 | 7 | 84 |
| Camp | 11 | 5 | 12 | 81 |
| Marion | 15 | 9 | 8 | 81 |
| Jack | 15 | 9 | 10 | 80 |
| Somervell | 25 | 12 | 5 | 80 |
| Titus | 14 | 11 | 9 | 80 |
| Terry | 14 | 9 | 11 | 76 |
| Nacogdoches | 22 | 17 | 6 | 72 |
| Schleicher | 8 | 4 | 10 | 72 |
| Maverick | 20 | 11 | 9 | 69 |
| Panola | 18 | 10 | 12 | 69 |
| Karnes | 19 | 13 | 8 | 68 |
| Hale | 15 | 11 | 8 | 66 |
| San Jacinto | 35 | 29 | 10 | 63 |
| Fayette | 24 | 15 | 7 | 62 |
| Washington | 27 | 16 | 5 | 62 |
| Winkler | 4 | 1 | 6 | 60 |
| Frio | 23 | 14 | 9 | 58 |
| Baylor | 8 | 4 | 10 | 57 |
| Ward | 7 | 3 | 2 | 57 |
| Crane | 5 | 2 | 10 | 56 |
| Gonzales | 28 | 17 | 7 | 56 |
| Howard | 15 | 8 | 9 | 56 |
| Lamar | 14 | 11 | 7 | 56 |
| Lavaca | 12 | 7 | 8 | 56 |
| Franklin | 14 | 9 | 8 | 55 |
| Jasper | 21 | 16 | 3 | 53 |
| Jackson | 12 | 7 | 7 | 51 |
| Milam | 30 | 20 | 7 | 51 |
| Trinity | 15 | 11 | 8 | 51 |
| Mitchell | 4 | 1 | 6 | 49 |
| Wilbarger | 8 | 3 | 1 | 49 |
| Hutchinson | 10 | 5 | 10 | 48 |
| Pecos | 8 | 4 | 6 | 48 |
| Crosby | 15 | 10 | 11 | 47 |
| Gaines | 4 | 1 | 1 | 46 |
| Armstrong | 15 | 9 | 12 | 45 |
| Navarro | 33 | 17 | 6 | 44 |
| Callahan | 10 | 4 | 2 | 41 |
| Houston | 15 | 10 | 6 | 41 |
| Lynn | 16 | 11 | 10 | 40 |
| Duval | 14 | 8 | 10 | 39 |
| Freestone | 23 | 11 | 5 | 39 |
| Llano | 29 | 19 | 7 | 39 |
| Erath | 22 | 11 | 5 | 38 |
| Kimble | 4 | 1 | 11 | 38 |
| Jones | 10 | 5 | 2 | 37 |
| Parmer | 4 | 1 | 1 | 37 |
| Stephens | 9 | 4 | 9 | 35 |
| Swisher | 10 | 7 | 11 | 35 |
| Falls | 22 | 11 | 5 | 34 |
| Uvalde | 19 | 11 | 3 | 34 |
| Childress | 4 | 1 | 8 | 31 |
| Dallam | 5 | 2 | 4 | 31 |
| Upton | 5 | 2 | 9 | 31 |
| Mills | 25 | 14 | 8 | 29 |
| Bee | 25 | 16 | 15 | 28 |
| Menard | 5 | 2 | 9 | 28 |
| Presidio | 5 | 2 | 5 | 28 |
| Brooks | 17 | 11 | 8 | 27 |
| Comanche | 8 | 4 | 1 | 26 |
| Dawson | 10 | 4 | 9 | 26 |
| Moore | 13 | 9 | 9 | 25 |
| Zavala | 21 | 13 | 10 | 25 |
| Shelby | 14 | 8 | 7 | 24 |
| Tyler | 26 | 20 | 9 | 24 |
| Angelina | 19 | 15 | 1 | 23 |
| Fisher | 6 | 3 | 10 | 22 |
| Haskell | 8 | 4 | 10 | 21 |
| Nolan | 11 | 7 | 3 | 21 |
| Cochran | 5 | 2 | 4 | 19 |
| Hardeman | 4 | 1 | 5 | 19 |
| Knox | 5 | 2 | 10 | 19 |
| Live Oak | 14 | 9 | 11 | 19 |
| Ochiltree | 4 | 1 | 1 | 19 |
| Crockett | 5 | 2 | 2 | 18 |
| Robertson | 21 | 10 | 4 | 18 |
| Jim Hogg | 17 | 11 | 11 | 17 |
| Leon | 22 | 11 | 5 | 17 |
| Bailey | 8 | 5 | 5 | 16 |
| Garza | 14 | 9 | 11 | 16 |
| Gray | 15 | 9 | 2 | 16 |
| Kinney | 11 | 5 | 9 | 16 |
| Mason | 10 | 7 | 6 | 16 |
| Victoria | 20 | 15 | 4 | 16 |
| Donley | 4 | 1 | 6 | 15 |
| Hansford | 5 | 2 | 9 | 15 |
| Clay | 11 | 6 | 7 | 14 |
| Madison | 21 | 9 | 4 | 13 |
| Reagan | 5 | 2 | 6 | 13 |
| Culberson | 4 | 1 | 9 | 12 |
| Deaf Smith | 16 | 10 | 8 | 12 |
| Lipscomb | 4 | 1 | 1 | 12 |
| Wheeler | 5 | 2 | 6 | 12 |
| Castro | 8 | 5 | 10 | 11 |
| Collingsworth | 4 | 1 | 1 | 11 |
| Cottle | 4 | 1 | 2 | 11 |
| Rains | 14 | 9 | 5 | 11 |
| Sutton | 5 | 2 | 8 | 11 |
| Andrews | 10 | 5 | 6 | 0 |
| Archer | 10 | 5 | 7 | 0 |
| Borden | 6 | 3 | 10 | 0 |
| Briscoe | 7 | 4 | 10 | 0 |
| Calhoun | 14 | 11 | 9 | 0 |
| Coke | 9 | 4 | 7 | 0 |
| Concho | 9 | 4 | 7 | 0 |
| Delta | 18 | 13 | 8 | 0 |
| Dickens | 9 | 4 | 6 | 0 |
| Dimmit | 15 | 8 | 7 | 0 |
| Floyd | 10 | 7 | 11 | 0 |
| Foard | 4 | 1 | 8 | 0 |
| Gillespie | 26 | 14 | 6 | 0 |
| Glasscock | 6 | 3 | 9 | 0 |
| Goliad | 17 | 12 | 10 | 0 |
| Hall | 8 | 3 | 9 | 0 |
| Hartley | 9 | 4 | 9 | 0 |
| Hemphill | 4 | 1 | 1 | 0 |
| Hudspeth | 22 | 15 | 6 | 0 |
| Irion | 8 | 3 | 6 | 0 |
| Jeff Davis | 4 | 1 | 4 | 0 |
| Kenedy | 8 | 4 | 11 | 0 |
| Kent | 6 | 3 | 10 | 0 |
| King | 4 | 1 | 6 | 0 |
| La Salle | 18 | 13 | 8 | 0 |
| Loving | 4 | 1 | 9 | 0 |
| McMullen | 11 | 6 | 10 | 0 |
| Motley | 6 | 3 | 9 | 0 |
| Oldham | 5 | 2 | 9 | 0 |
| Red River | 14 | 11 | 13 | 0 |
| Roberts | 5 | 2 | 9 | 0 |
| Sabine | 10 | 4 | 1 | 0 |
| San Augustine | 13 | 7 | 6 | 0 |
| San Saba | 22 | 11 | 4 | 0 |
| Sherman | 5 | 2 | 9 | 0 |
| Sterling | 6 | 3 | 10 | 0 |
| Stonewall | 5 | 2 | 9 | 0 |
| Terrell | 4 | 1 | 1 | 0 |
| Throckmorton | 11 | 6 | 8 | 0 |
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 crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).
Which large plans sold in Texas end?
| 2026 plan | Brand | Members in all states, Sept. 2026 |
|---|---|---|
| AARP Medicare Advantage from UHC TX-0005H1278-013 | UnitedHealthcare | 34,336 |
| AARP Medicare Advantage from UHC TX-0006H1278-014 | UnitedHealthcare | 15,638 |
| Memorial Hermann AdvantageH7115-001 | Memorial Hermann Health Plan | 14,319 |
| HumanaChoiceH5216-360 | Humana | 14,240 |
| AARP Medicare Advantage from UHC TX-0003H1278-005 | UnitedHealthcare | 6,766 |
| HumanaChoiceH7617-040 | Humana | 5,940 |
| Wellcare GivebackH0174-019 | Wellcare | 5,759 |
| UHC Complete Care Support TX-1AR6801-008 | UnitedHealthcare | 4,849 |
| Erickson Advantage SignatureH5652-001 | UnitedHealthcare | 4,520 |
| CHRISTUS Health Medicare PlusH1189-004 | CHRISTUS Health Advantage | 4,106 |
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).
Which plans in Texas lower the Part B premium?
51 plans open to everyone and sold in at least one Texas county pay part of the Part B premium in 2027; the largest reduction comes first.
| 2027 plan | Brand | Monthly reduction |
|---|---|---|
| Prominence GivebackH7680-014 | Prominence Health Plan | $202.90 |
| Devoted Giveback 006 TXH7993-006 | Devoted Health | $202 |
| Devoted Giveback 008 TXH7993-008 | Devoted Health | $202 |
| Devoted Giveback 074 TXH7993-074 | Devoted Health | $190 |
| Devoted Giveback 021 TXH7993-021 | Devoted Health | $184.70 |
| Devoted Giveback 048 TXH7993-048 | Devoted Health | $184.70 |
| Devoted MA Only 020 TXH7993-020 | Devoted Health | $184.70 |
| HealthSpring Preferred Extra SavingsH4513-092 | HealthSpring | $180 |
| HealthSpring Preferred Extra SavingsH4513-093 | HealthSpring | $180 |
| HealthSpring Preferred Extra SavingsH4513-091 | HealthSpring | $176 |
| Devoted Choice Giveback 001 TXH6813-001 | Devoted Health | $163.90 |
| HumanaChoice GivebackH5216-433 | Humana | $161 |
| Devoted Choice MA Only 006 TXH6813-006 | Devoted Health | $158 |
| Alignment Health Smart 010H5472-010 | Alignment Health Plan | $153.90 |
| Clover Health ValorH5141-062 | Clover Health | $150 |
| HealthSpring Preferred SavingsH4513-083 | HealthSpring | $143 best in its area |
| AARP Medicare Advantage Patriot No Rx TX-MA03H0609-056 | UnitedHealthcare | $140 |
| Alignment Health Smart 012H5472-012 | Alignment Health Plan | $140 |
| Prominence GivebackH7680-012 | Prominence Health Plan | $140 |
| AARP Medicare Advantage Patriot No Rx TX-MA02H0609-055 | UnitedHealthcare | $135 |
Show the other 31 giveback plans
Source: CMS plan benefit package files, 2027 and 2026; CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
2,770,279 of Texas's 5,048,956 people with Medicare were in a Medicare Advantage plan in September 2026 (55%).
What else should you check?
- Every plan not offered in 2027By company and state
- Part B giveback plansWhere they are sold
- Every statePlan counts for 2027