Medicare Advantage in Texas: what changes for 2027
Every fall, plans change. Here is how Texas’s Medicare Advantage plans for 2027 compare with 2026, from Medicare’s own plan files. Check your own plan’s Annual Notice of Change too.
- Plans available in 2027
- 387
- ▼ 11 fewer than 2026 (398)
- $0 monthly premium
- 84%
- of plans, vs 70% in 2026
- Insurance companies
- 21
- 1 new · 3 leaving
What this means for you
- 95 plans offered in 2026 are not offered again in Texas for 2027. If yours is one of them, your plan must send you a letter before Open Enrollment. Some members are moved into another plan from the same company; the letter says what happens to you, and you can choose a different plan during Open Enrollment.
- 84 plans are new in Texas for 2027. Some may be existing plans offered under a new plan number.
- Every county with plans has more than 3 to choose from in 2027. Plans still differ by county, so compare the ones offered where you live.
- The highest in-network out-of-pocket limit rose to $9,850 (from $9,250 in 2026). Compare the yearly limit, not just the monthly premium.
- CHRISTUS Health, Memorial Hermann Health System and Mitchell Family Office do not offer Medicare Advantage plans in Texas for 2027. If your plan is from one of them, watch for its letter and choose new coverage during Open Enrollment.
- 2027 drug costs, stars and pharmacy networks are not published yet. If you take medicines, check your costs again when CMS publishes them. We never fill gaps with 2026 numbers.
Insurance companies
New for 2027
- MedCare Partners Holding, LLC (3 plans)
Leaving after 2026
- CHRISTUS Health (6 plans in 2026)
- Memorial Hermann Health System (3 plans in 2026)
- Mitchell Family Office (1 plan in 2026)
Staying (A–Z)
- Alignment Healthcare USA, LLC (10)
- Baylor Scott & White Health (11)
- Bexar County Hospital District (3)
- Centene Corporation (25)
- Clover Health Holdings, Inc. (2)
- CVS Health Corporation (52)
- Devoted Health, Inc. (55)
- El Paso County Hospital District (4)
- Elevance Health, Inc. (23)
- First Sacramento Capital Funding LLC (3)
- Harris County Hospital District (5)
- Health Care Service Corporation (16)
- Humana Inc. (69)
- Molina Healthcare, Inc. (6)
- Regency ISNP Holdings LLC (2)
- Rifkin Managed Care Holding, LLC (1)
- SCAN Group (4)
- UnitedHealth Group, Inc. (76)
- Universal Health Services, Inc. (13)
- Verda Healthcare, Inc. (4)
Listed A–Z with 2027 plan counts by parent company. Not a ranking.
Costs and plan types: 2026 vs 2027
| Measure | 2026 | 2027 |
|---|---|---|
| Lowest out-of-pocket limit | $999 | $900 |
| Typical (median) limit | $6,700 | $7,150 |
| Highest limit | $9,250 | $9,850 |
| Special Needs Plans | 139 | 173 |
| HMO plans | 297 | 310 |
| PPO plans | 99 | 76 |
Next steps
Sources: CMS MA/Part D Landscape CY2026 (published 202609, retrieved Oct 10, 2026); CMS plan type + in-network MOOP (plan meta) CY2026 (publication date not recorded); CMS MA/Part D Landscape CY2027 (published 202609, retrieved Oct 10, 2026); CMS plan type + in-network MOOP (plan meta) CY2027 (published PY2027, retrieved Oct 4, 2026); PlanScout analysis. Counts are Medicare Advantage plans in CMS’s Landscape files; stand-alone Part D plans are not included. A plan that is “not offered again” is a 2026 plan ID with no 2027 listing in Texas. No plan is ranked or recommended.