Medicare Plans in Smith County, Texas — 2027
The short answer: 49 Medicare plans are available in Smith County, Texas for 2027, offered by 10 insurance companies. Monthly premiums range from $0 to $138. 38 of these plans (78%) charge no monthly premium. The lowest in-network out-of-pocket maximum among Medicare Advantage plans in Smith County is $3,900.
Plans available in Smith County
| Plan | Insurance company | Plan type | Monthly premium | CMS star rating |
|---|---|---|---|---|
| AARP Medicare Advantage Essentials from UHC TX-26 (HMO-POS) | UnitedHealthcare | HMO-POS | $0 | 4 out of 5 stars |
| AARP Medicare Advantage Extras from UHC TX-48 (HMO-POS) | UnitedHealthcare | HMO-POS | $0 | 4 out of 5 stars |
| AARP Medicare Advantage Giveback from UHC TX-41 (HMO-POS) | UnitedHealthcare | HMO-POS | $0 | 4 out of 5 stars |
| Aetna Medicare Eagle (PPO) | Aetna Medicare | PPO | $0 | 3.5 out of 5 stars |
| Aetna Medicare Signature (PPO) | Aetna Medicare | PPO | $0 | 3.5 out of 5 stars |
| Aetna Medicare Signature Extra (PPO) | Aetna Medicare | PPO | $0 | 3.5 out of 5 stars |
| HealthSpring Courage (HMO) | HealthSpring | HMO | $0 | 3.5 out of 5 stars |
| HealthSpring Preferred (HMO) | HealthSpring | HMO | $0 | 3.5 out of 5 stars |
| HealthSpring Preferred Savings (HMO) | HealthSpring | HMO | $0 | 3.5 out of 5 stars |
| HealthSpring TotalCare Plus (HMO D-SNP) | HealthSpring | HMO D-SNP | $0 | 3.5 out of 5 stars |
| HealthSpring True Choice (PPO) | HealthSpring | PPO | $0 | 3 out of 5 stars |
| Humana Essentials Plus Giveback (PPO) | Humana | PPO | $0 | 4.5 out of 5 stars |
| Humana Gold Plus - Diabetes and Heart (HMO C-SNP) | Humana | HMO C-SNP | $0 | 4.5 out of 5 stars |
| Humana Gold Plus H0028-041 (HMO) | Humana | HMO | $0 | 4.5 out of 5 stars |
| Humana Gold Plus H4461-055 (HMO) | Humana | HMO | $0 | 4.5 out of 5 stars |
| Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP) | Humana | HMO D-SNP | $0 | 4.5 out of 5 stars |
| Humana Gold Plus SNP-DE H4461-071 (HMO D-SNP) | Humana | HMO D-SNP | $0 | 4.5 out of 5 stars |
| Humana Gold Plus SNP-DE H4461-072 (HMO D-SNP) | Humana | HMO D-SNP | $0 | 4.5 out of 5 stars |
| Humana Together in Health (PPO I-SNP) | Humana | PPO I-SNP | $0 | 4 out of 5 stars |
| Humana Together in Health (PPO I-SNP) | Humana | PPO I-SNP | $0 | 4.5 out of 5 stars |
| Humana USAA Honor Giveback (PPO) | Humana | PPO | $0 | 4 out of 5 stars |
| Humana USAA Honor Giveback (PPO) | Humana | PPO | $0 | 4.5 out of 5 stars |
| Humana Value Choice (PPO) | Humana | PPO | $0 | 4.5 out of 5 stars |
| HumanaChoice Giveback H5216-358 (PPO) | Humana | PPO | $0 | 4 out of 5 stars |
| HumanaChoice H5216-352 (PPO) | Humana | PPO | $0 | 4 out of 5 stars |
| HumanaChoice R4182-001 (Regional PPO) | Humana | Regional PPO | $0 | 3.5 out of 5 stars |
| Molina Medicare Complete Care (HMO D-SNP) | Molina Healthcare of Texas, Inc. | HMO D-SNP | $0 | 3 out of 5 stars |
| ProCare Advantage (HMO-POS I-SNP) | ProCare Advantage | HMO-POS I-SNP | $0 | Not yet rated by CMS |
| UHC Dual Advantage TX-V11 (HMO-POS D-SNP) | UnitedHealthcare | HMO-POS D-SNP | $0 | Not yet rated by CMS |
| UHC Dual Complete TX-Q6 (HMO-POS D-SNP) | UnitedHealthcare | HMO-POS D-SNP | $0 | Not yet rated by CMS |
| UHC Dual Complete TX-S001 (Regional PPO D-SNP) | UnitedHealthcare | Regional PPO D-SNP | $0 | 3 out of 5 stars |
| UHC Dual Complete TX-S6 (HMO-POS D-SNP) | UnitedHealthcare | HMO-POS D-SNP | $0 | Not yet rated by CMS |
| UHC Dual Complete TX-YL2 (HMO-POS D-SNP) | UnitedHealthcare | HMO-POS D-SNP | $0 | Not yet rated by CMS |
| Wellcare Superior HealthPlan Dual Liberty (HMO D-SNP) | Wellcare | HMO D-SNP | $0 | 3.5 out of 5 stars |
| Wellcare Superior HealthPlan Dual Reserve Value (HMO D-SNP) | Wellcare | HMO D-SNP | $0 | Not yet rated by CMS |
| Wellpoint Dual Advantage (HMO D-SNP) | Wellpoint | HMO D-SNP | $0 | 3.5 out of 5 stars |
| Wellpoint Dual Advantage Plus (HMO D-SNP) | Wellpoint | HMO D-SNP | $0 | 3.5 out of 5 stars |
| Wellpoint Full Dual Advantage (HMO D-SNP) | Wellpoint | HMO D-SNP | $0 | 3.5 out of 5 stars |
| HealthSpring TotalCare (HMO D-SNP) | HealthSpring | HMO D-SNP | $0.90 | 3.5 out of 5 stars |
| Texas Independence Health Plan, Inc. (HMO I-SNP) | Texas Independence Health Plan | HMO I-SNP | $3.90 | 4.5 out of 5 stars |
| Provider Partners Texas Advantage Plan (HMO I-SNP) | Provider Partners Health Plans | HMO I-SNP | $6.30 | 4 out of 5 stars |
| Texas Independence Community Plan (HMO I-SNP) | Texas Independence Health Plan | HMO I-SNP | $6.30 | 4.5 out of 5 stars |
| AARP Medicare Advantage from UHC TX-0007 (PPO) | UnitedHealthcare | PPO | $10 | 3 out of 5 stars |
| HumanaChoice H5216-043 (PPO) | Humana | PPO | $20 | 4 out of 5 stars |
| HumanaChoice R4182-004 (Regional PPO) | Humana | Regional PPO | $46 | 3.5 out of 5 stars |
| HumanaChoice H5216-042 (PPO) | Humana | PPO | $62 | 4 out of 5 stars |
| HumanaChoice R4182-003 (Regional PPO) | Humana | Regional PPO | $100 | 3.5 out of 5 stars |
| UHC Complete Care TX-29 (Regional PPO C-SNP) | UnitedHealthcare | Regional PPO C-SNP | $100 | 3 out of 5 stars |
| AARP Medicare Advantage from UHC TX-61 (Regional PPO) | UnitedHealthcare | Regional PPO | $138 | 3 out of 5 stars |
Source: CMS CY2027 Landscape Source File, data as of October 18, 2026. Plan information is based on publicly available information from Medicare.gov. Premiums and plan availability are subject to change as contracts are finalized.
How Smith County compares with Texas
Smith County has 49 Medicare plans for 2027, compared with a Texas county average of about 37 plans. Across Texas, premiums run from $0 to $258 and 77% of plan listings charge $0. In Smith County the median monthly premium is $0, and residents can choose from 10 insurance companies.
Insurance companies in Smith County
- Humana — 19 plans
- UnitedHealthcare — 11 plans
- HealthSpring — 6 plans
- Aetna — 3 plans in Smith County — see statewide line-up
- Wellpoint — 3 plans in Smith County — see statewide line-up
- Wellcare — 2 plans in Smith County — see statewide line-up
- Texas Independence Health Plan — 2 plans in Smith County — see statewide line-up
- ProCare Advantage — 1 plan in Smith County — see statewide line-up
- Provider Partners Health Plans — 1 plan in Smith County — see statewide line-up
- Molina Healthcare of Texas — 1 plan in Smith County — see statewide line-up
Special Needs Plans in Smith County
24 of the plans in Smith County are Special Needs Plans: 16 Dual Special Needs Plans (for people with both Medicare and Medicaid); 2 Chronic Condition Special Needs Plans; 6 Institutional Special Needs Plans. Eligibility for these plans is limited to the group each plan serves. See the Dual Special Needs Plans guide and the Medicare Savings Programs guide for how qualification works.
Frequently asked questions
- How many Medicare Advantage plans are available in Smith County in 2027?
- 49 Medicare plans are available in Smith County, Texas for 2027, offered by 10 insurance companies.
- What is the lowest Medicare Advantage premium in Smith County?
- The lowest monthly premium in Smith County is $0, charged by Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP).
- How many $0-premium Medicare plans are in Smith County?
- 38 of the 49 Medicare plans in Smith County (78%) charge no monthly premium.
- What is the lowest out-of-pocket maximum in Smith County?
- The lowest in-network out-of-pocket maximum among Medicare Advantage plans in Smith County for 2027 is $3,900, on Humana Gold Plus - Diabetes and Heart (HMO C-SNP).
- Which insurance companies offer Medicare plans in Smith County?
- The insurance companies offering Medicare plans in Smith County for 2027 are: Humana (19 plans), UnitedHealthcare (11 plans), HealthSpring (6 plans), Aetna (3 plans), Wellpoint (3 plans), Wellcare (2 plans), Texas Independence Health Plan (2 plans), ProCare Advantage (1 plans), Provider Partners Health Plans (1 plans), Molina Healthcare of Texas (1 plans).
- Are there Special Needs Plans in Smith County?
- Yes. 24 Special Needs Plans are offered in Smith County for 2027: 16 Dual Special Needs Plans (for people with both Medicare and Medicaid); 2 Chronic Condition Special Needs Plans; 6 Institutional Special Needs Plans.
- What is the lowest Part D deductible in Smith County?
- The lowest Part D deductible among plans with drug coverage in Smith County for 2027 is $50.
Nearby counties
- Medicare plans in Cherokee County
- Medicare plans in Gregg County
- Medicare plans in Henderson County
- Medicare plans in Rusk County
- Medicare plans in Upshur County
- Medicare plans in Van Zandt County
- Medicare plans in Wood County
Source: CMS CY2027 Landscape Source File, data as of October 18, 2026. Plan information is based on publicly available information from Medicare.gov. Premiums and plan availability are subject to change as contracts are finalized.
About star ratings: Medicare evaluates plans every year and rates them on a 5-star system based on quality and performance. Star ratings shown on this page are the official CY2027 ratings published by CMS. A plan with no rating shown has not yet been rated by CMS.
Talk with a licensed agent about the plans in your area: call 1-866-340-3441.