Medicare plan changes in Texas for 2027
Across 254 counties in Texas, the 2027 CMS file lists 3,463 county listings of Medicare Advantage plans with drug coverage, compared with 4,599 in 2026. By our count, 0 counties have none in 2027, including counties that do not appear in the CMS file at all.
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.
By county
| County | 2026 plans | 2027 plans | Change | Companies leaving |
|---|---|---|---|---|
| Anderson County | 22 | 18 | -4 | CHRISTUS Health, Health Care Service Corporation |
| Andrews County | 11 | 7 | -4 | Centene Corporation, Health Care Service Corporation |
| Angelina County | 15 | 15 | +0 | None |
| Aransas County | 28 | 20 | -8 | CHRISTUS Health |
| Archer County | 11 | 7 | -4 | Centene Corporation, Health Care Service Corporation |
| Armstrong County | 18 | 11 | -7 | Health Care Service Corporation |
| Atascosa County | 38 | 30 | -8 | None |
| Austin County | 21 | 18 | -3 | Health Care Service Corporation |
| Bailey County | 9 | 6 | -3 | Health Care Service Corporation |
| Bandera County | 39 | 29 | -10 | None |
| Bastrop County | 24 | 18 | -6 | Health Care Service Corporation |
| Baylor County | 11 | 5 | -6 | Health Care Service Corporation |
| Bee County | 28 | 19 | -9 | CHRISTUS Health, Centene Corporation, Health Care Service Corporation |
| Bell County | 18 | 14 | -4 | Health Care Service Corporation |
| Bexar County | 47 | 38 | -9 | None |
| Blanco County | 26 | 21 | -5 | Health Care Service Corporation |
| Borden County | 11 | 4 | -7 | Health Care Service Corporation |
| Bosque County | 23 | 17 | -6 | Health Care Service Corporation |
| Bowie County | 18 | 11 | -7 | CHRISTUS Health, Health Care Service Corporation |
| Brazoria County | 32 | 28 | -4 | Centene Corporation, Memorial Hermann Health System |
| Brazos County | 20 | 12 | -8 | Health Care Service Corporation |
| Brewster County | 6 | 3 | -3 | Health Care Service Corporation |
| Briscoe County | 12 | 5 | -7 | Health Care Service Corporation |
| Brooks County | 18 | 13 | -5 | Centene Corporation, Health Care Service Corporation |
| Brown County | 4 | 4 | +0 | None |
| Burleson County | 18 | 13 | -5 | CVS Health Corporation, Health Care Service Corporation |
| Burnet County | 29 | 19 | -10 | CVS Health Corporation, Health Care Service Corporation |
| Caldwell County | 31 | 23 | -8 | CHRISTUS Health, Health Care Service Corporation |
| Calhoun County | 15 | 10 | -5 | Health Care Service Corporation |
| Callahan County | 7 | 7 | +0 | None |
| Cameron County | 37 | 26 | -11 | Centene Corporation |
| Camp County | 15 | 7 | -8 | CHRISTUS Health, Health Care Service Corporation |
| Carson County | 13 | 10 | -3 | Centene Corporation, Health Care Service Corporation |
| Cass County | 18 | 15 | -3 | CHRISTUS Health, Health Care Service Corporation |
| Castro County | 13 | 6 | -7 | Health Care Service Corporation |
| Chambers County | 27 | 24 | -3 | None |
| Cherokee County | 17 | 14 | -3 | CHRISTUS Health, CVS Health Corporation, Health Care Service Corporation |
| Childress County | 8 | 3 | -5 | Health Care Service Corporation |
| Clay County | 11 | 8 | -3 | Health Care Service Corporation |
| Cochran County | 5 | 4 | -1 | Health Care Service Corporation |
| Coke County | 9 | 5 | -4 | Health Care Service Corporation |
| Coleman County | 13 | 7 | -6 | Health Care Service Corporation |
| Collin County | 46 | 32 | -14 | None |
| Collingsworth County | 3 | 3 | +0 | None |
| Colorado County | 16 | 12 | -4 | CVS Health Corporation, Centene Corporation, Health Care Service Corporation |
| Comal County | 40 | 32 | -8 | CHRISTUS Health |
| Comanche County | 5 | 5 | +0 | None |
| Concho County | 9 | 6 | -3 | Health Care Service Corporation |
| Cooke County | 29 | 26 | -3 | Health Care Service Corporation |
| Coryell County | 23 | 17 | -6 | CVS Health Corporation, Health Care Service Corporation |
| Cottle County | 4 | 3 | -1 | Centene Corporation |
| Crane County | 9 | 4 | -5 | Health Care Service Corporation |
| Crockett County | 4 | 4 | +0 | None |
| Crosby County | 18 | 11 | -7 | Baylor Scott & White Health, Health Care Service Corporation |
| Culberson County | 9 | 3 | -6 | Centene Corporation, Health Care Service Corporation |
| Dallam County | 5 | 4 | -1 | Health Care Service Corporation |
| Dallas County | 46 | 33 | -13 | None |
| Dawson County | 13 | 7 | -6 | Centene Corporation, Health Care Service Corporation |
| DeWitt County | 14 | 9 | -5 | CVS Health Corporation, Health Care Service Corporation |
| Deaf Smith County | 16 | 13 | -3 | Centene Corporation, Health Care Service Corporation |
| Delta County | 20 | 15 | -5 | Health Care Service Corporation |
| Denton County | 34 | 25 | -9 | None |
| Dickens County | 9 | 6 | -3 | Health Care Service Corporation |
| Dimmit County | 14 | 11 | -3 | Health Care Service Corporation |
| Donley County | 6 | 3 | -3 | Health Care Service Corporation |
| Duval County | 15 | 10 | -5 | Centene Corporation, Health Care Service Corporation |
| Eastland County | 13 | 13 | +0 | None |
| Ector County | 17 | 13 | -4 | Health Care Service Corporation |
| Edwards County | 12 | 10 | -2 | Health Care Service Corporation |
| El Paso County | 43 | 34 | -9 | None |
| Ellis County | 26 | 25 | -1 | Health Care Service Corporation |
| Erath County | 17 | 15 | -2 | Health Care Service Corporation |
| Falls County | 17 | 14 | -3 | Health Care Service Corporation |
| Fannin County | 25 | 22 | -3 | Health Care Service Corporation |
| Fayette County | 17 | 18 | +1 | Health Care Service Corporation |
| Fisher County | 11 | 4 | -7 | Health Care Service Corporation |
| Floyd County | 15 | 8 | -7 | Baylor Scott & White Health, Health Care Service Corporation |
| Foard County | 8 | 3 | -5 | Health Care Service Corporation |
| Fort Bend County | 44 | 34 | -10 | Memorial Hermann Health System |
| Franklin County | 12 | 11 | -1 | CHRISTUS Health, Health Care Service Corporation |
| Freestone County | 17 | 17 | +0 | Health Care Service Corporation |
| Frio County | 19 | 17 | -2 | Health Care Service Corporation |
| Gaines County | 3 | 3 | +0 | None |
| Galveston County | 36 | 27 | -9 | Centene Corporation, Memorial Hermann Health System |
| Garza County | 17 | 10 | -7 | Baylor Scott & White Health, Health Care Service Corporation |
| Gillespie County | 21 | 18 | -3 | Health Care Service Corporation |
| Glasscock County | 10 | 4 | -6 | Health Care Service Corporation |
| Goliad County | 15 | 13 | -2 | Centene Corporation, Health Care Service Corporation |
| Gonzales County | 24 | 20 | -4 | Health Care Service Corporation |
| Gray County | 12 | 12 | +0 | None |
| Grayson County | 32 | 25 | -7 | Health Care Service Corporation |
| Gregg County | 26 | 20 | -6 | CHRISTUS Health |
| Grimes County | 21 | 17 | -4 | Centene Corporation, Health Care Service Corporation |
| Guadalupe County | 37 | 31 | -6 | CHRISTUS Health |
| Hale County | 15 | 11 | -4 | Baylor Scott & White Health, Health Care Service Corporation |
| Hall County | 11 | 5 | -6 | Centene Corporation, Health Care Service Corporation |
| Hamilton County | 22 | 16 | -6 | CVS Health Corporation, Health Care Service Corporation |
| Hansford County | 9 | 4 | -5 | Health Care Service Corporation |
| Hardeman County | 6 | 3 | -3 | Health Care Service Corporation |
| Hardin County | 37 | 30 | -7 | CHRISTUS Health |
| Harris County | 56 | 41 | -15 | Memorial Hermann Health System |
| Harrison County | 25 | 23 | -2 | CHRISTUS Health |
| Hartley County | 11 | 6 | -5 | Health Care Service Corporation |
| Haskell County | 10 | 5 | -5 | Health Care Service Corporation |
| Hays County | 30 | 25 | -5 | Health Care Service Corporation |
| Hemphill County | 3 | 3 | +0 | None |
| Henderson County | 28 | 16 | -12 | CHRISTUS Health, CVS Health Corporation, Health Care Service Corporation |
| Hidalgo County | 37 | 27 | -10 | None |
| Hill County | 22 | 17 | -5 | Health Care Service Corporation |
| Hockley County | 15 | 10 | -5 | Baylor Scott & White Health, Health Care Service Corporation |
| Hood County | 23 | 21 | -2 | None |
| Hopkins County | 16 | 10 | -6 | CHRISTUS Health, Health Care Service Corporation |
| Houston County | 12 | 12 | +0 | Health Care Service Corporation |
| Howard County | 17 | 12 | -5 | Health Care Service Corporation |
| Hudspeth County | 19 | 19 | +0 | Health Care Service Corporation |
| Hunt County | 18 | 14 | -4 | Health Care Service Corporation |
| Hutchinson County | 12 | 7 | -5 | Centene Corporation, Health Care Service Corporation |
| Irion County | 8 | 5 | -3 | Health Care Service Corporation |
| Jack County | 16 | 11 | -5 | Centene Corporation, Health Care Service Corporation |
| Jackson County | 11 | 9 | -2 | Health Care Service Corporation |
| Jasper County | 15 | 17 | +2 | CHRISTUS Health |
| Jeff Davis County | 5 | 3 | -2 | Centene Corporation, Health Care Service Corporation |
| Jefferson County | 41 | 31 | -10 | CHRISTUS Health |
| Jim Hogg County | 20 | 13 | -7 | Centene Corporation, Health Care Service Corporation |
| Jim Wells County | 29 | 19 | -10 | CHRISTUS Health, Centene Corporation, Health Care Service Corporation |
| Johnson County | 37 | 31 | -6 | None |
| Jones County | 7 | 7 | +0 | None |
| Karnes County | 17 | 14 | -3 | Centene Corporation, Health Care Service Corporation |
| Kaufman County | 28 | 18 | -10 | CVS Health Corporation, Centene Corporation, Health Care Service Corporation |
| Kendall County | 40 | 30 | -10 | None |
| Kenedy County | 11 | 5 | -6 | Centene Corporation, Health Care Service Corporation |
| Kent County | 11 | 4 | -7 | Health Care Service Corporation |
| Kerr County | 13 | 12 | -1 | None |
| Kimble County | 9 | 3 | -6 | Centene Corporation, Health Care Service Corporation |
| King County | 7 | 3 | -4 | Centene Corporation, Health Care Service Corporation |
| Kinney County | 11 | 8 | -3 | Health Care Service Corporation |
| Kleberg County | 28 | 18 | -10 | CHRISTUS Health, Centene Corporation, Health Care Service Corporation |
| Knox County | 9 | 4 | -5 | Health Care Service Corporation |
| La Salle County | 17 | 14 | -3 | Health Care Service Corporation |
| Lamar County | 15 | 11 | -4 | Health Care Service Corporation |
| Lamb County | 15 | 9 | -6 | Baylor Scott & White Health, Health Care Service Corporation |
| Lampasas County | 26 | 21 | -5 | CVS Health Corporation, Health Care Service Corporation |
| Lavaca County | 11 | 9 | -2 | Health Care Service Corporation |
| Lee County | 24 | 17 | -7 | Health Care Service Corporation |
| Leon County | 15 | 16 | +1 | Health Care Service Corporation |
| Liberty County | 38 | 32 | -6 | Memorial Hermann Health System |
| Limestone County | 14 | 11 | -3 | Health Care Service Corporation |
| Lipscomb County | 3 | 3 | +0 | None |
| Live Oak County | 14 | 11 | -3 | Centene Corporation, Health Care Service Corporation |
| Llano County | 24 | 21 | -3 | Health Care Service Corporation |
| Loving County | 9 | 3 | -6 | Centene Corporation, Health Care Service Corporation |
| Lubbock County | 22 | 14 | -8 | Baylor Scott & White Health, Health Care Service Corporation |
| Lynn County | 17 | 11 | -6 | Baylor Scott & White Health, Health Care Service Corporation |
| Madison County | 14 | 15 | +1 | Health Care Service Corporation |
| Marion County | 14 | 12 | -2 | CHRISTUS Health, Health Care Service Corporation |
| Martin County | 16 | 8 | -8 | Health Care Service Corporation |
| Mason County | 9 | 8 | -1 | Centene Corporation, Health Care Service Corporation |
| Matagorda County | 20 | 12 | -8 | Centene Corporation, Health Care Service Corporation |
| Maverick County | 19 | 14 | -5 | Centene Corporation, Health Care Service Corporation |
| McCulloch County | 8 | 4 | -4 | Centene Corporation, Health Care Service Corporation |
| McLennan County | 19 | 17 | -2 | Health Care Service Corporation |
| McMullen County | 12 | 9 | -3 | Centene Corporation, Health Care Service Corporation |
| Medina County | 41 | 31 | -10 | None |
| Menard County | 9 | 4 | -5 | Health Care Service Corporation |
| Midland County | 15 | 12 | -3 | Health Care Service Corporation |
| Milam County | 26 | 21 | -5 | Health Care Service Corporation |
| Mills County | 23 | 19 | -4 | Health Care Service Corporation |
| Mitchell County | 6 | 3 | -3 | Health Care Service Corporation |
| Montague County | 26 | 21 | -5 | Health Care Service Corporation |
| Montgomery County | 42 | 36 | -6 | Memorial Hermann Health System |
| Moore County | 15 | 10 | -5 | Health Care Service Corporation |
| Morris County | 16 | 11 | -5 | CHRISTUS Health, Health Care Service Corporation |
| Motley County | 10 | 5 | -5 | Health Care Service Corporation |
| Nacogdoches County | 21 | 18 | -3 | None |
| Navarro County | 29 | 27 | -2 | Health Care Service Corporation |
| Newton County | 11 | 8 | -3 | CHRISTUS Health |
| Nolan County | 9 | 7 | -2 | None |
| Nueces County | 32 | 23 | -9 | CHRISTUS Health, Centene Corporation |
| Ochiltree County | 3 | 3 | +0 | None |
| Oldham County | 9 | 4 | -5 | Health Care Service Corporation |
| Orange County | 31 | 24 | -7 | CHRISTUS Health |
| Palo Pinto County | 16 | 13 | -3 | Centene Corporation, Health Care Service Corporation |
| Panola County | 19 | 15 | -4 | CHRISTUS Health, Health Care Service Corporation |
| Parker County | 30 | 27 | -3 | None |
| Parmer County | 3 | 3 | +0 | None |
| Pecos County | 9 | 5 | -4 | Centene Corporation, Health Care Service Corporation |
| Polk County | 22 | 21 | -1 | None |
| Potter County | 25 | 18 | -7 | Health Care Service Corporation |
| Presidio County | 7 | 4 | -3 | Health Care Service Corporation |
| Rains County | 14 | 11 | -3 | Health Care Service Corporation |
| Randall County | 25 | 18 | -7 | Health Care Service Corporation |
| Reagan County | 7 | 4 | -3 | Health Care Service Corporation |
| Real County | 15 | 15 | +0 | Health Care Service Corporation |
| Red River County | 19 | 11 | -8 | CHRISTUS Health, Health Care Service Corporation |
| Reeves County | 8 | 4 | -4 | Centene Corporation, Health Care Service Corporation |
| Refugio County | 13 | 10 | -3 | CHRISTUS Health, CVS Health Corporation, Centene Corporation, Health Care Service Corporation |
| Roberts County | 9 | 4 | -5 | Health Care Service Corporation |
| Robertson County | 13 | 15 | +2 | Health Care Service Corporation |
| Rockwall County | 32 | 27 | -5 | Health Care Service Corporation |
| Runnels County | 10 | 5 | -5 | Health Care Service Corporation |
| Rusk County | 26 | 21 | -5 | CHRISTUS Health |
| Sabine County | 7 | 7 | +0 | None |
| San Augustine County | 13 | 10 | -3 | Health Care Service Corporation |
| San Jacinto County | 33 | 29 | -4 | None |
| San Patricio County | 23 | 16 | -7 | CHRISTUS Health, CVS Health Corporation, Centene Corporation, Health Care Service Corporation |
| San Saba County | 16 | 15 | -1 | Health Care Service Corporation |
| Schleicher County | 11 | 5 | -6 | Health Care Service Corporation |
| Scurry County | 3 | 3 | +0 | None |
| Shackelford County | 14 | 8 | -6 | Health Care Service Corporation |
| Shelby County | 14 | 11 | -3 | Health Care Service Corporation |
| Sherman County | 9 | 4 | -5 | Health Care Service Corporation |
| Smith County | 26 | 20 | -6 | CHRISTUS Health |
| Somervell County | 21 | 18 | -3 | Health Care Service Corporation |
| Starr County | 21 | 16 | -5 | Centene Corporation, Health Care Service Corporation |
| Stephens County | 11 | 6 | -5 | Health Care Service Corporation |
| Sterling County | 11 | 4 | -7 | Health Care Service Corporation |
| Stonewall County | 9 | 4 | -5 | Health Care Service Corporation |
| Sutton County | 8 | 4 | -4 | Health Care Service Corporation |
| Swisher County | 14 | 7 | -7 | Health Care Service Corporation |
| Tarrant County | 42 | 31 | -11 | None |
| Taylor County | 8 | 7 | -1 | None |
| Terrell County | 3 | 3 | +0 | None |
| Terry County | 17 | 10 | -7 | Baylor Scott & White Health, Health Care Service Corporation |
| Throckmorton County | 12 | 7 | -5 | Health Care Service Corporation |
| Titus County | 16 | 11 | -5 | CHRISTUS Health, Health Care Service Corporation |
| Tom Green County | 13 | 9 | -4 | Health Care Service Corporation |
| Travis County | 25 | 22 | -3 | Centene Corporation, Health Care Service Corporation |
| Trinity County | 14 | 12 | -2 | Centene Corporation, Health Care Service Corporation |
| Tyler County | 23 | 21 | -2 | CHRISTUS Health |
| Upshur County | 23 | 20 | -3 | CHRISTUS Health |
| Upton County | 9 | 4 | -5 | Health Care Service Corporation |
| Uvalde County | 11 | 13 | +2 | Health Care Service Corporation |
| Val Verde County | 9 | 11 | +2 | None |
| Van Zandt County | 30 | 26 | -4 | CHRISTUS Health |
| Victoria County | 14 | 15 | +1 | Health Care Service Corporation |
| Walker County | 26 | 21 | -5 | None |
| Waller County | 27 | 20 | -7 | None |
| Ward County | 5 | 4 | -1 | Centene Corporation |
| Washington County | 21 | 21 | +0 | Health Care Service Corporation |
| Webb County | 31 | 21 | -10 | Centene Corporation |
| Wharton County | 23 | 18 | -5 | Health Care Service Corporation |
| Wheeler County | 7 | 4 | -3 | Health Care Service Corporation |
| Wichita County | 7 | 6 | -1 | None |
| Wilbarger County | 5 | 5 | +0 | None |
| Willacy County | 40 | 26 | -14 | Centene Corporation |
| Williamson County | 32 | 26 | -6 | Health Care Service Corporation |
| Wilson County | 40 | 30 | -10 | None |
| Winkler County | 7 | 3 | -4 | Centene Corporation, Health Care Service Corporation |
| Wise County | 31 | 27 | -4 | None |
| Wood County | 20 | 17 | -3 | CHRISTUS Health, Health Care Service Corporation |
| Yoakum County | 9 | 4 | -5 | Health Care Service Corporation |
| Young County | 10 | 4 | -6 | Centene Corporation, Health Care Service Corporation |
| Zapata County | 19 | 15 | -4 | Centene Corporation, Health Care Service Corporation |
| Zavala County | 18 | 14 | -4 | Health Care Service Corporation |
Stand-alone Part D drug plans in Texas for 2027
10 plans in 2027, compared with 12 in 2026. Lowest monthly drug plan premium: $5.30 (2026: $0).
| Plan | Company | Monthly premium | Deductible | Star rating |
|---|---|---|---|---|
| Wellcare Value Script (PDP) | Wellcare | $5.30 | $700 | Not Applicable |
| Humana Basic Rx Plan (PDP) | Humana | $6.30 | $700 | Not Applicable |
| Wellcare Classic (PDP) | Wellcare | $7.30 | $700 | Not Applicable |
| Humana Value Rx Plan (PDP) | Humana | $33.20 | $687 | Not Applicable |
| HealthSpring Assurance Rx (PDP) | HealthSpring | $98.00 | $700 | Not Applicable |
| SilverScript Choice (PDP) | Aetna Medicare | $111.40 | $700 | Not Applicable |
| AARP Medicare Rx Saver from UHC (PDP) | UnitedHealthcare | $115.70 | $700 | Not Applicable |
| Humana Premier Rx Plan (PDP) | Humana | $137.50 | $350 | Not Applicable |
| HealthSpring Extra RX (PDP) | HealthSpring | $164.70 | $700 | Not Applicable |
| AARP Medicare Rx Preferred from UHC (PDP) | UnitedHealthcare | $199.00 | $300 | Not Applicable |
Sources
- Centers for Medicare & Medicaid Services, CY2027 Medicare Advantage and Part D Landscape file (data last updated 18 October 2026)
- Centers for Medicare & Medicaid Services, CY2026 Medicare Advantage and Part D Landscape file (September 2026 release)
- US Census Bureau, 2024 Gazetteer Files, counties
Checked 29 October 2026. Plans and premiums can change before 1 January 2027. Confirm any plan on Medicare.gov before you enrol.