Medicare Advantage PPO plans in Texas
There are 78 Medicare Advantage PPO plans in Texas from 7 carriers, averaging 3.80 out of 5 stars across the 78 plans CMS has rated. 60% of those with a published premium charge $0 a month (47 of 78); beyond the premium, what separates them is network, drug coverage and how much you could owe in a bad year.
Across the 78 PPO plans in Texas that publish one, the in-network out-of-pocket maximum has a median of $7,150 and tops out at $9,850 — the ceiling on what you pay in a year for covered in-network care. The mean is $7,453, which sits above the median — the spread is not symmetric, so the median is the better guide.
Texas has 3 five-star Medicare Advantage PPO plans.
Of the 78 PPO plans here, 3 carry CMS's top overall rating of 5 stars and 39 rate 4 or above. That matters beyond quality: a 5-star plan can be joined at almost any point in the year through a special enrollment period, rather than only during the autumn window.
Texas PPO plans rank 44th of 51 on star rating.
Across the 78 rated plans here the average overall rating is 3.80 stars, 44th highest of the 51 states with PPO plans. Ratings apply to the contract, so every plan a carrier files under one contract shares the same score.
Not sure whether Medicare Advantage suits you at all? Medicare Advantage vs Original Medicare covers the trade in plain language.
Top-rated PPO plans in Texas
| Plan | Stars | Out-of-pocket max | Premium / mo |
|---|---|---|---|
| Clover Health Choice (PPO)Clover Health | 5★ | $6,350 | $0 |
| Clover Health Valor (PPO)Clover Health | 5★ | $6,500 | $0 |
| UHC Nursing Home Plan TX-F001 (PPO I-SNP)UnitedHealthcare · Institutional SNP | 5★ | $9,850 | $6.30 |
| HumanaChoice H7617-063 (PPO)Humana | 4.5★ | $4,500 | $0 |
| Humana Value Choice (PPO)Humana | 4.5★ | $6,700 | $0 |
Showing 5 of 78. See all TexasMedicare Advantage plans →
PPO plans by carrier
| Carrier | Plans | Avg stars | SNPs |
|---|---|---|---|
| HumanaHumana Inc. | 34 | 4.1 | 4 |
| Aetna MedicareCVS Health Corporation | 21 | 3.5 | — |
| UnitedHealthcareUnitedHealth Group, Inc. | 15 | 3.5 | 4 |
| Baylor Scott & White Health PlanBaylor Scott & White Health | 3 | 4.0 | — |
| Clover HealthClover Health Holdings, Inc. | 2 | 5.0 | — |
| Devoted HealthDevoted Health, Inc. | 2 | 3.5 | — |
| HealthSpringHealth Care Service Corporation | 1 | 3.0 | — |
How PPO compares
States with similar PPO star ratings
Texas Medicare Advantage PPO plans, answered
How much do Medicare Advantage PPO plans cost in Texas?
What are the star ratings for Texas PPO plans?
How many Medicare Advantage PPO plans are available in Texas?
Do Texas PPO plans include prescription drug coverage?
What is a Special Needs Plan, and are there any in Texas?
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