Medicare Advantage Plans in Frio County, TX:
Your Complete 2026 Guide
For 2026, residents of Frio County, TX can choose from 27 Medicare Advantage plan options. Of these, 19 cost nothing beyond the Part B premium. Enrollment in the County stands at approximately 687, with 44% of plans achieving 4 stars or better. The totals and data on this page do not cover Special Needs Plans. View SNPs available in Frio County, TX.
- Page Updated
- Enrollment Data
- October 13, 2025
- CMS Quality Ratings
- * CMS reviews Medicare Advantage plans annually with a 5-star rating program. Data sources
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to choose care from both in-network and out-of-network providers. While using out-of-network doctors or hospitals usually means higher costs, PPOs may appeal to people who want more flexibility in how they access their healthcare.
- Total PPO Plans
- 15
- Average Premium
- $22.87/mo
- Beneficiaries Enrolled
- 285
- $0 Premium PPOs
- 9
- Average MOOP
- $7,257
- Most Popular PPO
- HumanaChoice H5216-043 (PPO) with 190 enrollees
- PPOs Without Drug Coverage
- 5
| PPO Plan Name | Rating* | Premium | MOOP | Rx Ded. |
|---|---|---|---|---|
| Humana USAA Honor Giveback | $0 | $7,900 | N/A | |
| HumanaChoice H7617-059 | $20 | $7,700 | $420 | |
| Humana USAA Honor Giveback | $0 | $6,750 | N/A | |
| Humana USAA Honor Giveback | $0 | $7,900 | N/A | |
| HumanaChoice H5216-042 | $60 | $6,750 | $615 | |
| HumanaChoice H5216-043 | $20 | $7,700 | $420 | |
| HumanaChoice R4182-001 | $0 | $5,950 | N/A | |
| HumanaChoice R4182-003 | $97 | $7,650 | $615 | |
| HumanaChoice R4182-004 | $44 | $7,650 | $615 | |
| UHC Medicare Advantage TX-0030 | $102 | $8,200 | $600 | |
| Wellcare Simple Open | $0 | $5,000 | $615 | |
| Blue Cross Medicare Advantage Complete | $0 | $6,750 | $450 | |
| Blue Cross Medicare Advantage Dental Premier | $0 | $6,750 | $615 | |
| Blue Cross Medicare Advantage Health Choice | $0 | $9,250 | $615 | |
| Blue Cross Medicare Advantage Protect | $0 | $6,950 | N/A |
What is the typical premium for PPO plans available in Frio?
On average, PPO plans in Frio cost $22.87 per month.
Which PPO plan do most beneficiaries choose in Frio?
The most popular PPO in Frio is HumanaChoice H5216-043 (PPO), covering 190 beneficiaries.
How many PPO options are offered without drug coverage in Frio?
5 PPO plans available in Frio do not include Part D benefits.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans generally require members to use doctors, hospitals, and other providers within the plan’s network, except in emergencies. Because of this structure, HMOs often come with lower premiums and out-of-pocket costs compared with other plan types.
- Total HMO Plans 4
- Average Premium $0.00/mo
- Beneficiaries Enrolled 20
- $0 Premium HMOs 4
- Average MOOP $6,575
- Most Popular HMO DEVOTED GIVEBACK 021 TX (HMO) with 20 enrollees
- HMOs Without Drug Coverage 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. |
|---|---|---|---|---|
| DEVOTED CORE 003 TX | $0 | $3,900 | $0 | |
| DEVOTED CORE 004 TX | $0 | $3,900 | $615 | |
| DEVOTED GIVEBACK 021 TX | $0 | $9,250 | $605 | |
| DEVOTED MA ONLY 020 TX | $0 | $9,250 | N/A |
What is the total number of HMO plans offered in Frio?
In 2026, Frio County has 4 HMO plans with 20 members.
How much do HMO plans cost on average in Frio?
The mean monthly HMO premium is $0.00, and 4 have no premium.
Medicare Advantage HMO-POS Plans
HMO-POS plans are structured like HMOs, requiring in-network care for the lowest costs, but they also permit some use of out-of-network doctors and hospitals. Those services are generally more expensive, but the added access can be valuable for people who don’t want to be fully limited to a single network.
- Total HMO-POS Plans
- 6
- Average Premium
- $4.00/mo
- Beneficiaries Enrolled
- 343
- $0 Premium HMO-POS
- 5
- Average MOOP
- $5,875
- Most Popular HMO-POS
- AARP Medicare Advantage Essentials from UHC TX-14 (HMO-POS) with 300 enrollees
- HMO-POS Without Drug Coverage
- 1
| HMO-POS Plan Name | Rating* | Premium | MOOP | Rx Ded. |
|---|---|---|---|---|
| AARP Medicare Advantage Essentials from UHC TX-14 | $0 | $3,600 | $355 | |
| AARP Medicare Advantage Extras from UHC TX-50 | $0 | $4,200 | $440 | |
| AARP Medicare Advantage from UHC TX-51 | $24 | $3,600 | $355 | |
| AARP Medicare Advantage Giveback from UHC TX-38 | $0 | $7,900 | $203 | |
| AARP Medicare Advantage Patriot No Rx TX-MA01 | $0 | $6,700 | N/A | |
| Wellcare Simple Value | $0 | $9,250 | $615 |
- What is the average monthly premium for HMO-POS plans?
- On average, HMO-POS plans in Frio cost $4.00 per month.
- Which HMO-POS plan is most popular in Frio?
- The leading HMO-POS in Frio is AARP Medicare Advantage Essentials from UHC TX-14 (HMO-POS), with 300 members.
- How many HMO-POS plans in Frio do not include drug coverage?
- There are 1 HMO-POS plans in Frio without Part D benefits.
Medicare Advantage PFFS Plans
Private Fee-for-Service (PFFS) plans let members visit any Medicare-approved provider that accepts the plan’s payment rules and terms. This structure gives you more flexibility in selecting doctors and hospitals, but it’s important to check provider acceptance before receiving care.
- Total PFFS Plans 2
- Average Premium $14.50/mo
- Beneficiaries Enrolled 39
- $0 Premium PFFS 1
- Average MOOP $6,725
- Most Popular PFFS Humana Gold Choice H8145-084 (PFFS) with 39 enrollees
- PFFS Without Drug Coverage 1
| PFFS Plan Name | Rating* | Premium | MOOP | Rx Ded. |
|---|---|---|---|---|
| Humana Gold Choice H8145-084 | $29 | $6,750 | $615 | |
| Humana Gold Choice H8145-126 | $0 | $6,700 | N/A |
What is the total number of PFFS plans in Frio?
There are 2 PFFS plans in 2026, covering 39 beneficiaries.
How much do PFFS plans cost on average in Frio?
The average PFFS premium is $14.50, with 1 costing $0.
What is the top PFFS plan in Frio?
Humana Gold Choice H8145-084 (PFFS) is the most popular PFFS plan in Frio, with 39 enrollees.
What is the number of PFFS plans without Part D coverage in Frio?
1 PFFS plans in Frio do not include prescription drug coverage.
The table below shows the quality ratings for Medicare Advantage plans offered in Frio County, TX for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | 4 | 15% |
| 4 Stars (includes 5 Stars) | 12 | 44% |
| 3 Stars | 15 | 56% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.93 | |
Medicare Advantage comes with strict enrollment windows. By knowing when and how to sign up, you’ll avoid missed deadlines and keep your healthcare coverage aligned with your needs.
Understanding Enrollment Windows
- Initial Enrollment Period (IEP): Beginning three months before you turn 65 and lasting until three months after, this is the initial chance to join Medicare. You may also select a Medicare Advantage plan if it fits your needs. Learn more
- Medicare Advantage Open Enrollment Period (MA OEP): Running from January 1 to March 31 each year, this period allows one change to your current Medicare Advantage coverage or a move back to Original Medicare. Learn more
- Annual Enrollment Period (AEP): This yearly window, running October 15 to December 7, gives you the opportunity to join, switch, or drop Medicare Advantage and Part D plans. Learn more
- Special Enrollment Periods (SEPs): Certain qualifying events, such as a change in residence or loss of existing coverage, may allow you to enroll in or change Medicare Advantage plans outside of the usual enrollment windows. Learn more
Enrollment Options Explained
- Talk with a Licensed Agent: Licensed agents at HealthCompare can explain your Medicare Advantage choices. Reach them at 1-833-748-3201 (TTY 711), Monday–Friday 5am–6pm and Saturday 6am–5pm PST.
- Contact the Plan Provider Directly: Enrollment can also be completed by calling the plan provider’s customer service line or visiting their official website.
- Use Medicare.gov: The official Medicare website, Medicare.gov, lets you review available plans and complete enrollment online.
The MA and MAPD plans on this page are available to people on Medicare enrolled in both Medicare Part A and Part B living in Dilley, Pearsall, and all other areas of Frio County, Texas.
Plans Offered for Enrollment through Medicare.org
Medicare Advantage and Part D plans and benefits offered by the following carriers: Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Baylor Scott & White Health Plan, Capital Blue Cross, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, GlobalHealth, Health Care Service Corporation, HealthSpring℠, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint
CMS Plan IDs Presented
The Medicare Advantage plan pages listed in the tables above include localization to assist beneficiaries with plans available in their service area. However, most Part C plans are available in more than one service area, which can lead to confusion. The following list of CMS IDs links to our master plan pages without localization.
- CMS.gov, Landscape Source Files — Last accessed September 26, 2025
- CMS.gov, Medicare Part C & D Performance — Last accessed October 10, 2025
- CMS.gov, Plan Benefits Package — Last accessed October 13, 2025
- CMS.gov, Medicare Advantage/Part D Contract and Enrollment Data — Last accessed October 13, 2025
Some facts and percentages shown on this page (such as average premiums, distribution of plan types, and percentage of $0 premium plans) are calculated by Medicare.org using data from the CMS Landscape file, Plan Benefits Package (PBP) files and Part C & D Performance files. All underlying values originate from CMS, and calculations are refreshed whenever CMS issues updated data. Enrollment counts and rankings (such as Top 3 plans by enrollment) are derived from CMS monthly enrollment files and aggregated at the county level.
Medicare.org separates Medicare Advantage (MA/MAPD) plans and Special Needs Plans (SNPs) into different pages for clarity. As a result, plan counts, percentages, and other calculations shown here may differ from the aggregate totals published in the CMS Landscape files. All plan availability and benefit details originate from CMS.
Learn more about how we use CMS data.
- Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Explore your Medicare coverage options" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 25 May, 2025
Medicare.org is owned and operated by Health Network Group, LLC, an Allstate company. Medicare.org provides information only and is not connected with or endorsed by the U.S. Government or the federal Medicare program.
Data provenance documentation is maintained in alignment with the U.S. Core Data for Interoperability (USCDI) Provenance standard.
Page content managed by David Bynon, Medicare Analyst.