Understanding Medicare Special Needs Plans in Fayette County, Texas
In Fayette County, TX, Medicare beneficiaries have access to 21 Special Needs Plans (SNPs) in 2027. Among them, 18 are available at a $0 premium. About 104 people in the County are enrolled, with 38% of SNPs rated 4 stars or higher. These plans are designed for individuals with specific healthcare needs, including dual eligibility for Medicare and Medicaid, chronic conditions, or long-term care requirements.
To see how SNPs fit with your other Medicare choices, explore all Medicare coverage options in Fayette County, TX.
Page last revised:
Enrollment data refreshed: October 5, 2026
* Each year CMS evaluates Medicare Advantage plans on a 5-star scale. Data sources
Dual Eligible Special Needs Plans (D-SNPs)
Dual Eligible Special Needs Plans (D-SNPs) are designed for people who qualify for both Medicare and Medicaid. These plans coordinate benefits to reduce costs and provide access to additional support services.
- Total D-SNP Plans: 14
- Average Premium: $0.00/mo
- Beneficiaries Enrolled: 32
- $0 Premium D-SNPs: 14
- Zero Cost D-SNP Plans: 10
- Most Popular D-SNP: UHC Dual Complete TX-S001 (D-SNP) with 17 enrollees
- D-SNPs Without Drug Coverage: 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | CMS Plan ID |
|---|---|---|---|---|
| Aetna Medicare Full Dual Care | $0 | HMO D-SNP | H8597 001 0 | |
| Aetna Medicare QMB Only Care | $0 | HMO D-SNP | H8597 004 0 | |
| Wellcare Superior HealthPlan Dual Liberty Sync | $0 | HMO D-SNP | H0174 024 0 | |
| Wellpoint Dual Advantage | $0 | HMO D-SNP | H8849 030 0 | |
| Wellpoint Dual Advantage Plus | $0 | HMO D-SNP | H8849 028 0 | |
| Wellpoint Full Dual Advantage | $0 | HMO D-SNP | H8849 026 0 | |
| Aetna Medicare Full Dual Extra Care | $0 | HMO D-SNP | H4523 034 0 | |
| Aetna Medicare QMB Only Extra Care | $0 | HMO D-SNP | H4523 041 0 | |
| UHC Dual Complete TX-S001 | $0 | Regional PPO D-SNP | R6801 011 0 | |
| UHC Dual Advantage TX-V11 | $0 | HMO-POS D-SNP | H3868 005 0 | |
| UHC Dual Complete TX-Q6 | $0 | HMO-POS D-SNP | H3868 003 2 | |
| UHC Dual Complete TX-S6 | $0 | HMO-POS D-SNP | H3868 004 2 | |
| UHC Dual Complete TX-YL2 | $0 | HMO-POS D-SNP | H3868 007 0 | |
| Wellcare Superior HealthPlan Dual Reserve Value | $0 | HMO D-SNP | H0062 013 0 |
What is the total number of D-SNP options in Fayette County?
There are 14 D-SNP plans in 2027, covering 32 beneficiaries.
How much do D-SNP plans cost on average in Fayette County?
The average D-SNP premium is $0.00, with 14 costing $0.
What D-SNP plan has the highest enrollment in Fayette County?
UHC Dual Complete TX-S001 (D-SNP) is the most popular D-SNP in Fayette County, with 17 enrollees.
What is the total number of D-SNP options in Fayette County?
There are 14 D-SNP plans in 2027, covering 32 beneficiaries.
Institutional Special Needs Plans (I-SNPs)
These plans cater to individuals residing in long-term care facilities, such as nursing homes, or those requiring extended skilled nursing facility care at home. The CMS website provides more information about I-SNPs and their coverage details.
- Total I-SNP Plans
- 4
- Average Premium
- $2.55/mo
- Beneficiaries Enrolled
- 22
- $0 Premium I-SNPs
- 2
- Average MOOP
- $19,100
- Most Popular I-SNP
- Texas Independence Health Plan, Inc. (I-SNP) with 22 enrollees
- I-SNPs Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | CMS Plan ID |
|---|---|---|---|---|
| Humana Together in Health | $0 | PPO I-SNP | H7617 138 0 | |
| Texas Independence Community Plan | $6 | HMO I-SNP | H5015 002 0 | |
| Texas Independence Health Plan, Inc. | $4 | HMO I-SNP | H5015 001 0 | |
| Humana Together in Health | $0 | PPO I-SNP | H5216 369 0 |
What I-SNP plan has the highest enrollment in Fayette County?
Texas Independence Health Plan, Inc. (I-SNP) is the most popular I-SNP in Fayette County, with 22 enrollees.
What is the total number of I-SNP options in Fayette County?
There are 4 I-SNP plans in 2027, covering 22 beneficiaries.
Chronic Condition Special Needs Plans (C-SNPs)
These plans are designed for individuals with severe or disabling chronic conditions. C-SNPs excel at coordinating your care among different medical specialists and often include extra benefits like prescription drug plans.
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | CMS Plan ID |
|---|---|---|---|---|
| DEVOTED C-SNP GIVEBACK EXTRAS 087 TX | $0 | HMO C-SNP | H7993 087 0 | |
| UHC Complete Care TX-16 | $0 | HMO-POS C-SNP | H4527 039 0 | |
| UHC Complete Care TX-29 | $100 | Regional PPO C-SNP | R6801 009 0 |
What is the average premium for C-SNP plans in Fayette County?
On average, C-SNP plans in Fayette County cost $33.33 per month.
Which C-SNP is the most popular in Fayette County?
The leading C-SNP in Fayette County is UHC Complete Care TX-29 (C-SNP), with 50 members.
How many C-SNP plans are available in Fayette County?
In 2027, Fayette County offers 3 C-SNPs with 50 enrollees.
Medicare Special Needs Plans have 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.
Key Medicare Enrollment Periods
- Initial Enrollment Period (IEP): This seven-month window starts three months before the month you turn 65 and ends three months after. It’s the first time you can sign up for Medicare and, if you choose, a Medicare Advantage plan. Learn more
- Medicare Advantage Open Enrollment Period (MA OEP): Between January 1 and March 31, people already enrolled in Medicare Advantage can make a one-time change—switch to another plan or return to Original Medicare. Learn more
- Annual Enrollment Period (AEP): From October 15 through December 7 each year, you can make changes to your Medicare coverage for the following year. Learn more
- Special Enrollment Periods (SEPs): Life events like moving to a new service area, losing other health coverage, or becoming eligible for assistance may open a Special Enrollment Period to adjust your Medicare coverage. Learn more
How to Sign Up for a Special Needs Plan
- Licensed Agent Assistance: For one-on-one guidance, call 1-833-748-3201 (TTY 711). Licensed agents are available Mon-Fri 8AM-10PM, Sat 9AM-8PM EST.
- Contact the Plan Provider Directly: Start enrollment by reaching out to the plan provider through their website or by phone with their member services team.
- Use Medicare.gov: At Medicare.gov, you can compare Medicare Advantage plans side by side and enroll securely online.
The D-SNP, C-SNP, and I-SNP plans listed on this page are available to qualifying individuals enrolled in Medicare Part A and Part B living in Fayetteville, Flatonia, La Grange, Round Top, Schulenburg, and all other areas of Fayette County, Texas. For a broader statewide overview, see Medicare plan options in Texas.
Plans Offered through Medicare.org
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, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, 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®, Wellcare, WellPoint
- CMS.gov, Landscape Source Files — Version: CY2027 Landscape (202609.1)
- CMS.gov, Medicare Part C & D Performance — Version: 2027 Star Ratings Data Tables
- CMS.gov, Plan Benefits Package — Version: PBP Benefits-2027
- CMS.gov, Medicare Advantage/Part D Contract and Enrollment Data — Version: 2026-09
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 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.
To explore how 2027 Medicare SNP plans available in Fayette County compare with plans offered elsewhere, you can search the Special Needs Plan directory to review options nationwide using the same authoritative data sources.
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, "Compare types of Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 23 May, 2025
- Medicare.gov, "Joining a plan" — Last accessed 21 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 independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate Medicare coverage interpretation and resolution.