Falls County, Texas — 2026 Medicare Advantage plans
34 individual Medicare Advantage plan segments from 7 parent organizations are filed for Falls County for 2026, per CMS public files. This page reports what was filed; it does not rank or recommend plans.
CMS public dataReported, not recommendedNo broker influenceNo paid placementDirect from CMS sources
34plans filed −4 vs prior year
19with a $0 premium −2 vs prior year
$6,750median in-network MOOP +$25 vs prior year
23on 4-star or better contracts
29report comprehensive dental
27report an OTC allowance
Quick filters:
| Plan | Type | Premium | In-network MOOP | Part D deductible | Star rating | OTC allowance | Supplemental benefits reported |
|---|---|---|---|---|---|---|---|
| AARP Medicare Advantage CareFlex from UHC TX-47 (HMO-POS) UnitedHealth Group, Inc. · H4527-053-000 · SoB ✓ | HMO-POS | $0 | $6,700 | $600 | 4.5out of 5 stars, Above average | Reported | Vision exam Eyewear Hearing aids OTC allowance |
| AARP Medicare Advantage Essentials from UHC TX-12 (HMO-POS) UnitedHealth Group, Inc. · H4527-002-000 · SoB ✓ | HMO-POS | $0 | $5,900 | $355 | 4.5out of 5 stars, Above average | Reported | Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Aetna Medicare Dual Care (HMO D-SNP) CVS Health Corporation · H8597-001-000 · SoB ✓ | HMO D-SNP | $0 | $9,250 | $615 | 3.5out of 5 stars, Average | $120 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Aetna Medicare Full Dual Care (HMO D-SNP) CVS Health Corporation · H4523-034-000 · SoB ✓ | HMO D-SNP | $0 | $9,250 | $615 | 4.0out of 5 stars, Above average | $160 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Aetna Medicare Signature (PPO) CVS Health Corporation · H3288-008-000 · SoB ✓ | PPO | $0 | $6,750 | $615 | 3.5out of 5 stars, Average | $15 | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| BSW SeniorCare Advantage Basic (PPO) Baylor Scott & White Health · H2032-002-000 · SoB | PPO | $0 | $6,750 | $250 | 4.0out of 5 stars, Above average | $30 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| BSW SeniorCare Advantage Select Rx (HMO-POS) Baylor Scott & White Health · H8142-001-000 · SoB | HMO-POS | $0 | $5,800 | $250 | 4.0out of 5 stars, Above average | $80 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Humana Together in Health (PPO I-SNP) Humana Inc. · H5216-369-000 · SoB ✓ | PPO I-SNP | $0 | $9,250 | $610 | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| UHC Dual Complete TX-D007 (HMO-POS D-SNP) UnitedHealth Group, Inc. · H5322-025-000 · SoB ✓ | HMO-POS D-SNP | $0 | $9,250 | $464 | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance |
| UHC Dual Complete TX-V010 (HMO-POS D-SNP) UnitedHealth Group, Inc. · H5322-038-000 · SoB ✓ | HMO-POS D-SNP | $0 | $4,200 | $615 | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance |
| Wellcare Simple Value (HMO-POS) Centene Corporation · H4506-030-000 · SoB ✓ | HMO-POS | $0 | $9,250 | $615 | 4.0out of 5 stars, Above average | — | Vision exam Eyewear |
| UHC Dual Complete TX-S003 (HMO-POS D-SNP) UnitedHealth Group, Inc. · H4514-021-000 · SoB ✓ | HMO-POS D-SNP | $0.40 | $9,250 | $615 | 4.0out of 5 stars, Above average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance |
| Aetna Medicare Partial Dual Care (HMO D-SNP) CVS Health Corporation · H4523-041-000 · SoB ✓ | HMO D-SNP | $4.60 | $9,250 | $615 | 4.0out of 5 stars, Above average | $90 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| BSW SeniorCare Advantage Essentials (HMO-POS) Baylor Scott & White Health · H8142-009-000 · SoB | HMO-POS | $4.80 | $5,800 | $615 | 4.0out of 5 stars, Above average | $50 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) Health Care Service Corporation · H9706-002-000 · SoB ✓ | HMO D-SNP | $4.80 | $9,250 | $615 | 2.5out of 5 stars, Below average | $105 | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Provider Partners Texas Advantage Plan (HMO I-SNP) Rifkin Managed Care Holding, LLC · H4054-001-000 · SoB | HMO I-SNP | $4.80 | $9,250 | $615 | 4.0out of 5 stars, Above average | $70 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance |
| Wellcare Dual Access (HMO D-SNP) Centene Corporation · H0174-004-000 · SoB ✓ | HMO D-SNP | $4.80 | $9,250 | $545 | 4.0out of 5 stars, Above average | Reported | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Wellcare Dual Liberty Sync (HMO D-SNP) Centene Corporation · H0174-025-000 · SoB ✓ | HMO D-SNP | $4.80 | $9,250 | $580 | 4.0out of 5 stars, Above average | Reported | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Wellcare Dual Reserve (HMO D-SNP) Centene Corporation · H0174-022-000 · SoB ✓ | HMO D-SNP | $4.80 | $3,450 | $615 | 4.0out of 5 stars, Above average | Reported | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| AARP Medicare Advantage from UHC TX-46 (HMO-POS) UnitedHealth Group, Inc. · H4527-052-000 · SoB ✓ | HMO-POS | $21 | $5,500 | $355 | 4.5out of 5 stars, Above average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Humana Gold Choice H8145-084 (PFFS) Humana Inc. · H8145-084-000 · SoB ✓ | PFFS | $29 | $6,750 | $615 | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| HumanaChoice H7617-027 (PPO) Humana Inc. · H7617-027-000 · SoB ✓ | PPO | $36 | $7,650 | $615 | 4.5out of 5 stars, Above average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals |
| Blue Cross Medicare Advantage Preferred (PPO) Health Care Service Corporation · H8634-033-000 · SoB ✓ | PPO | $110 | $8,000 | $450 | 3.0out of 5 stars, Average | — | Vision exam Eyewear Hearing aids |
| BSW SeniorCare Advantage Platinum (PPO) Baylor Scott & White Health · H2032-003-000 · SoB | PPO | $135 | $4,600 | $50 | 4.0out of 5 stars, Above average | $30 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| BSW SeniorCare Advantage Preferred Rx (HMO-POS) Baylor Scott & White Health · H8142-002-000 · SoB | HMO-POS | $143 | $4,600 | $0 | 4.0out of 5 stars, Above average | $30 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| BSW SeniorCare Advantage Premium Rx (HMO-POS) Baylor Scott & White Health · H8142-003-000 · SoB | HMO-POS | $255 | $4,800 | $0 | 4.0out of 5 stars, Above average | $30 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| AARP Medicare Advantage Patriot No Rx TX-MA01 (HMO-POS) UnitedHealth Group, Inc. · H4527-024-000 · SoB ✓ | HMO-POS | — | $6,700 | — | 4.5out of 5 stars, Above average | — | Vision exam Eyewear Hearing aids |
| BSW SeniorCare Advantage Preferred (HMO-POS) Baylor Scott & White Health · H8142-005-000 · SoB | HMO-POS | — | $4,500 | — | 4.0out of 5 stars, Above average | $30 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| BSW SeniorCare Advantage Premium (HMO-POS) Baylor Scott & White Health · H8142-006-000 · SoB | HMO-POS | — | $4,500 | — | 4.0out of 5 stars, Above average | $30 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| BSW SeniorCare Advantage Select (HMO-POS) Baylor Scott & White Health · H8142-004-000 · SoB | HMO-POS | — | $5,900 | — | 4.0out of 5 stars, Above average | $30 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Humana Gold Choice H8145-126 (PFFS) Humana Inc. · H8145-126-000 · SoB ✓ | PFFS | — | $6,700 | — | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Humana USAA Honor Giveback (PPO) Humana Inc. · H5216-348-000 · SoB ✓ | PPO | — | $7,900 | — | 3.5out of 5 stars, Average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals |
| Humana USAA Honor Giveback (PPO) Humana Inc. · H7617-062-000 · SoB ✓ | PPO | — | $7,900 | — | 4.5out of 5 stars, Above average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals |
| Humana USAA Honor Giveback (PPO) Humana Inc. · H5216-128-000 · SoB ✓ | PPO | — | $6,750 | — | 3.5out of 5 stars, Average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals |
What the star rating means. CMS rates every Medicare Advantage contract (the "H" number in the plan ID — all plans under it share the rating) on a 1-to-5 scale each October, from about 40 measures of care quality, member experience, complaints and appeals, customer service and, for plans with drug coverage, drug safety and pricing. The 2026 rating is largely based on performance measured in 2024.
5 Excellent4 Above average3 Average2 Below average1 Poor
Not rated means CMS published no overall rating — usually a contract too new to be measured or with too few members ("not enough data"); it is not a low score. A 5-star contract can be joined outside the normal enrollment windows (the 5-star Special Enrollment Period, Dec 8 – Nov 30). Medicare.gov flags contracts rated below 3 stars for three years running as low-performing. Stars describe the contract's past performance as CMS measured it; they are not a recommendation, and they do not tell you whether a plan's network, drugs or costs fit you.
How to read this table
Yes — the plan's approved bid reports the benefit. No — the bid reports it is not offered. — — CMS did not publish a value for this field; that is not the same as No. Reported under an allowance column means the benefit is offered but CMS published no dollar amount. Premium is the CMS consolidated monthly premium (Part C + Part D). MOOP is the in-network maximum out-of-pocket. Star rating is the contract's overall rating in the CMS file used for this build. SNP plans (D-SNP, C-SNP, I-SNP) are limited to people who meet the plan's eligibility rules. A plan's own Summary of Benefits and Evidence of Coverage govern the details.
Click a column header to sort. On small screens the Part D deductible and OTC columns are hidden; open a plan for the full record.
Is a drug covered by plans in Falls County?
Before enrolling or making a coverage decision, confirm current details with the plan, Medicare.gov, your State Health Insurance Assistance Program (SHIP), or 1-800-MEDICARE (1-800-633-4227, TTY 1-877-486-2048). MedicareBenefits.care reports CMS-filed data and does not verify provider networks, pharmacy participation, or final plan terms.
Download all 34 Falls County plans as CSVEvery column on this page plus the 14 benefit flags and published allowances — part of Pro, $99/month or $990/year.