County Plan Watch
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Texas

Medicare Advantage plans in Real County, TX: what changed for 2027

For 2027, Real County in Texas has 15 Medicare Advantage plans that include drug coverage, compared with 15 in 2026, according to the CMS plan landscape files.

Advantage plans with drug coverage15no change
Advantage plans without drug coverage5-1 from 2026
Special Needs Plans21+3 from 2026
$0 premium plans with drug coverage7no change
Median out-of-pocket limit$7,1502026: $6,750
Plans rated 4 stars or more8+3 from 2026

Companies no longer offering Advantage plans here in 2027

If you are in one of their plans, you should have received a notice. You can choose a new plan during Open Enrollment, and special enrollment rules can apply when a plan leaves your area.

Companies newly offering Advantage plans here in 2027

5 Advantage plan IDs (not counting Special Needs or Cost plans) listed here for 2026 are not in the 2027 file and 4 plan IDs are new. Some of these are the same plan renamed or merged, so check the Annual Notice of Change from your plan.

How many people here are in Medicare Advantage

In October 2026, 519 of the 1,344 people eligible for Medicare in Real County were enrolled in a Medicare Advantage or other Medicare health plan, 38.6%. A year earlier it was 520 of 1,343 (38.7%).

CMS counts enrollees in all Medicare health plans, including Advantage, cost and PACE plans, by the county where they live.

Before you choose a plan

Compare plans for your ZIP code, drugs and doctors on the official Medicare Plan Finder, or call 1-800-MEDICARE (1-800-633-4227). Free, unbiased counselling is available from your State Health Insurance Assistance Program at shiphelp.org.

Advantage plans with drug coverage for 2027 (15)

PlanCompanyTypeMonthly premiumIn-network out-of-pocket limitStar rating
Aetna Medicare Signature (PPO)Aetna MedicarePPO$0$7,1503.5 of 5
DEVOTED CORE 003 TX (HMO)Devoted HealthHMO$0$3,9004.5 of 5
DEVOTED GIVEBACK 021 TX (HMO)Devoted HealthHMO$0$9,8504.5 of 5
DEVOTED GIVEBACK EXTRAS 116 TX (HMO)Devoted HealthHMO$0$6,6004.5 of 5
Humana Value Choice (PPO)HumanaPPO$0$6,5004.5 of 5
Wellcare Simple (HMO)WellcareHMO$0$4,5003.5 of 5
Wellpoint Medicare Advantage 2 (HMO-POS)WellpointHMO-POS$0$9,8503 of 5
DEVOTED PREMIUM 004 TX (HMO)Devoted HealthHMO$5.00$3,9004.5 of 5
HumanaChoice H5216-043 (PPO)HumanaPPO$20.00$7,7004 of 5
HumanaChoice H7617-059 (PPO)HumanaPPO$23.00$7,7004.5 of 5
HumanaChoice R4182-004 (Regional PPO)HumanaRegional PPO$46.00$8,2003.5 of 5
Aetna Medicare Enhanced (PPO)Aetna MedicarePPO$55.00$7,1503.5 of 5
HumanaChoice H5216-042 (PPO)HumanaPPO$62.00$6,7504 of 5
HumanaChoice R4182-003 (Regional PPO)HumanaRegional PPO$100.00$8,2003.5 of 5
AARP Medicare Advantage from UHC TX-61 (Regional PPO)UnitedHealthcareRegional PPO$138.00$9,8503 of 5

Advantage plans without drug coverage for 2027 (5)

PlanCompanyTypeMonthly premiumIn-network out-of-pocket limitStar rating
DEVOTED MA ONLY 020 TX (HMO)Devoted HealthHMONot listed$9,2504.5 of 5
Humana USAA Honor Giveback (PPO)HumanaPPONot listed$7,9004 of 5
Humana USAA Honor Giveback (PPO)HumanaPPONot listed$7,9004.5 of 5
HumanaChoice R4182-001 (Regional PPO)HumanaRegional PPONot listed$6,0003.5 of 5
Wellcare Patriot Simple (HMO)WellcareHMONot listed$3,4003.5 of 5

Special Needs Plans for 2027 (21)

PlanCompanyTypeMonthly premiumIn-network out-of-pocket limitStar rating
Aetna Medicare Full Dual Care (HMO D-SNP)Aetna MedicareHMO D-SNP · Dual-Eligible$0$9,8503.5 of 5
Aetna Medicare Full Dual Extra Care (HMO D-SNP)Aetna MedicareHMO D-SNP · Dual-Eligible$0$9,8503 of 5
Aetna Medicare QMB Only Care (HMO D-SNP)Aetna MedicareHMO D-SNP · Dual-Eligible$0$9,8503.5 of 5
Aetna Medicare QMB Only Extra Care (HMO D-SNP)Aetna MedicareHMO D-SNP · Dual-Eligible$0$9,8503 of 5
DEVOTED C-SNP 046 TX (HMO C-SNP)Devoted HealthHMO C-SNP · Chronic or Disabling Condition$0$4,4504.5 of 5
DEVOTED C-SNP GIVEBACK EXTRAS 089 TX (HMO C-SNP)Devoted HealthHMO C-SNP · Chronic or Disabling Condition$0$6,6004.5 of 5
DEVOTED C-SNP PLUS 033 TX (HMO C-SNP)Devoted HealthHMO C-SNP · Chronic or Disabling Condition$0$9,8504.5 of 5
DEVOTED DUAL 012 TX (HMO D-SNP)Devoted HealthHMO D-SNP · Dual-Eligible$0$9,8504.5 of 5
DEVOTED DUAL FULL 041 TX (HMO D-SNP)Devoted HealthHMO D-SNP · Dual-Eligible$0$9,8504.5 of 5
Humana Together in Health (PPO I-SNP)HumanaPPO I-SNP · Institutional$0$9,8504 of 5
Humana Together in Health (PPO I-SNP)HumanaPPO I-SNP · Institutional$0$9,8504.5 of 5
ProCare Advantage (HMO-POS I-SNP)ProCare AdvantageHMO-POS I-SNP · Institutional$0$9,850Not Enough Data Available
UHC Dual Complete TX-S001 (Regional PPO D-SNP)UnitedHealthcareRegional PPO D-SNP · Dual-Eligible$0$9,8503 of 5
Wellcare Superior HealthPlan Dual Liberty Sync (HMO D-SNP)WellcareHMO D-SNP · Dual-Eligible$0$9,8503.5 of 5
Wellcare Superior HealthPlan Dual Reserve Value (HMO D-SNP)WellcareHMO D-SNP · Dual-Eligible$0$9,850Not Enough Data Available
Wellpoint Dual Advantage (HMO D-SNP)WellpointHMO D-SNP · Dual-Eligible$0$9,8503.5 of 5
Wellpoint Dual Advantage Plus (HMO D-SNP)WellpointHMO D-SNP · Dual-Eligible$0$9,8503.5 of 5
Wellpoint Full Dual Advantage Aligned (HMO D-SNP)WellpointHMO D-SNP · Dual-Eligible$0$9,8503.5 of 5
Texas Independence Health Plan, Inc. (HMO I-SNP)Texas Independence Health PlanHMO I-SNP · Institutional$3.90$9,2504.5 of 5
Texas Independence Community Plan (HMO I-SNP)Texas Independence Health PlanHMO I-SNP · Institutional$6.30$9,2504.5 of 5
UHC Complete Care TX-29 (Regional PPO C-SNP)UnitedHealthcareRegional PPO C-SNP · Chronic or Disabling Condition$100.00$9,8503 of 5

Stand-alone Part D drug plans are offered statewide: see Texas drug plans.

Sources

  1. Centers for Medicare & Medicaid Services, CY2027 Medicare Advantage and Part D Landscape file (data last updated 18 October 2026)
  2. Centers for Medicare & Medicaid Services, CY2026 Medicare Advantage and Part D Landscape file (September 2026 release)
  3. Centers for Medicare & Medicaid Services, MA State/County Penetration files, October 2026 and October 2025

Checked 29 October 2026. Plans and premiums can change before 1 January 2027. Confirm any plan on Medicare.gov before you enrol.