Understanding Medicare Special Needs Plans in Hill County, Texas
Hill County, TX offers 20 Special Needs Plans (SNPs) in 2027, including 17 with no monthly premium. Currently, about 65 beneficiaries are enrolled, and 50% of SNPs have a 4-star rating or higher. These plans are designed for Medicare beneficiaries who meet special eligibility criteria, such as dual coverage, qualifying chronic conditions, or residence in a long-term care facility.
You can also review all Medicare coverage options available in Hill 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: 11
- Average Premium: $0.00/mo
- Beneficiaries Enrolled: 26
- $0 Premium D-SNPs: 11
- Zero Cost D-SNP Plans: 8
- Most Popular D-SNP: Aetna Medicare QMB Only Extra Care (D-SNP) with 15 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 002 0 | |
| Aetna Medicare QMB Only Care | $0 | HMO D-SNP | H8597 005 0 | |
| Wellcare Superior HealthPlan Dual Liberty Sync | $0 | HMO D-SNP | H5294 024 0 | |
| Aetna Medicare Full Dual Extra Care | $0 | HMO D-SNP | H4523 030 0 | |
| Aetna Medicare QMB Only Extra Care | $0 | HMO D-SNP | H4523 044 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 3 | |
| 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 D-SNP plan has the highest enrollment in Hill County?
Aetna Medicare QMB Only Extra Care (D-SNP) is the most popular D-SNP in Hill County, with 15 enrollees.
What is the total number of D-SNP options in Hill County?
There are 11 D-SNP plans in 2027, covering 26 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
- 5
- Average Premium
- $2.04/mo
- Beneficiaries Enrolled
- 0
- $0 Premium I-SNPs
- 3
- Average MOOP
- $19,220
- Most Popular I-SNP
- with 0 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 | |
| ProCare Advantage | $0 | HMO-POS I-SNP | H3467 001 0 |
What is the total number of I-SNP options in Hill County?
Hill County has 5 I-SNP options for 2027, serving 0 members.
How much do I-SNP plans cost on average in Hill County?
The mean monthly I-SNP premium in Hill County is $2.04, with 3 at no cost.
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.
- Total C-SNP Plans 4
- Average Premium $25.00/mo
- Beneficiaries Enrolled 39
- $0 Premium C-SNPs 3
- Average MOOP $16,175
- Most Popular C-SNP UHC Complete Care TX-29 (C-SNP) with 39 enrollees
- C-SNPs Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | CMS Plan ID |
|---|---|---|---|---|
| Humana DaVita Kidney Care | $0 | PPO C-SNP | H7617 136 0 | |
| Humana DaVita Kidney Care | $0 | PPO C-SNP | H7617 137 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 typical monthly premium for C-SNPs in Hill County?
On average, C-SNP plans in Hill County cost $25.00 per month.
Which C-SNP plan do most beneficiaries with chronic conditions choose in Hill County?
The leading C-SNP in Hill County is UHC Complete Care TX-29 (C-SNP), with 39 members.
How many Chronic Condition SNPs are offered in Hill County?
In 2027, Hill County offers 4 C-SNPs with 39 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.
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): 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
Ways to Enroll in Medicare Advantage Special Needs Plans
- Consult a Licensed Agent: Call a licensed insurance agent at 1-833-748-3201 (TTY 711), available Mon-Fri 8AM-10PM, Sat 9AM-8PM EST, for help reviewing your Medicare options.
- 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 Itasca, Abbott, Aquilla, Blum, Covington, Hillsboro, Hubbard, Mount Calm, Whitney, and all other areas of Hill 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 Hill 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.
- CMS.gov, "Medicare Advantage Plan Fact Sheet" — 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.