Medicare Advantage

HealthSpring Medicare Advantage in Texas for 2027: 31 Plans, County by County

AUSTIN, Texas — For the 2027 plan year, HealthSpring, the Medicare Advantage brand that the Centers for Medicare & Medicaid Services lists under parent organization Health Care Service Corporation (HCSC), is fielding 31 Medicare Advantage plans across Texas, according to the CMS Medicare Advantage Landscape Source File for CY2027. Every one of those 31 plans includes drug coverage. Texans will see HealthSpring sharing the statewide market with 20 other Medicare Advantage carriers, and 421 Medicare Advantage plans in total are offered somewhere in Texas for 2027.

This site is an independent Medicare education resource. It is not the government, not affiliated with Medicare or CMS, and not affiliated with HealthSpring or any other insurance carrier. What follows is a plain-English walk-through of what the public CMS files say about HealthSpring's 2027 footprint in Texas, so you can take those facts into Medicare's own Plan Finder.

What HealthSpring offers in Texas for 2027

Across Texas, HealthSpring has 31 Medicare Advantage plans listed in the CMS 2027 Landscape file. By plan type, that breaks down to 30 HMO plans and 1 PPO plan. All 31 plans include Part D prescription drug coverage.

Among those 31 plans, CMS identifies 11 Special Needs Plans: 9 Dual Eligible Special Needs Plans (D-SNPs) for people who have both Medicare and Medicaid, and 2 Chronic Condition Special Needs Plans (C-SNPs) for people living with certain qualifying conditions. HealthSpring has no Institutional SNPs (I-SNPs) in Texas for 2027.

Keep in mind that these counts are statewide. A plan appears once on the state list no matter how many counties carry it, and Medicare Advantage is sold county by county. A plan listed here may or may not be offered where you live.

HealthSpring's plans with the widest county reach

The full plan list, with county counts, appears in the table on this page. A few plans stand out for the number of Texas counties where CMS shows them available for 2027:

• HealthSpring Courage (HMO) is listed in 47 counties.
• HealthSpring True Choice (PPO) — the carrier's only PPO in the state — is listed in 40 counties.
• HealthSpring TotalCare Plus (HMO D-SNP), new for 2027, appears in 36 counties under one plan ID and in 11 counties under another.
• HealthSpring Alliance (HMO) is listed in 11 counties.

Several HealthSpring Preferred (HMO), Preferred Savings (HMO), Preferred Extra Savings (HMO) and TotalCare (HMO D-SNP) entries also appear across multiple county groupings, which is why you'll see the same plan name repeated with different county counts in the table. Each row is a distinct contract/plan combination in the CMS file.

None of these mentions is a recommendation or ranking — they're the raw county counts drawn from the CMS Landscape source file.

What's new, what's renamed, and what's not returning

CMS flags 4 HealthSpring plans in Texas as new for 2027:

• HealthSpring Achieve Savings (HMO C-SNP), in 4 counties
• HealthSpring Preferred (HMO), in 2 counties
• HealthSpring TotalCare Plus (HMO D-SNP), in 36 counties
• HealthSpring TotalCare Plus (HMO D-SNP), in 11 counties

Three plans show up as renamed: each HealthSpring Preferred Extra Savings (HMO) listing was previously called HealthSpring Preferred Full Savings (HMO). The underlying plan can change from one year to the next even when the name stays close, so a renamed plan still deserves a fresh look at its 2027 details.

HealthSpring's count of plans not returning for 2027 is not available in the data provided, so none is stated here. If you were enrolled in a HealthSpring plan for 2026, your Annual Notice of Change (ANOC) is the document that tells you whether your specific plan is continuing, changing or ending.

Checking whether a plan is offered in your county — and covers your doctors and drugs

Because Medicare Advantage is sold county by county, the single most important step is confirming availability in your ZIP code. The way to do that for free, and with current data, is:

1. Go to medicare.gov and open the Plan Finder. 2. Enter your ZIP code and, if you want personalized drug pricing, your Medicare number and current prescriptions. 3. Filter by carrier (HealthSpring plans will appear under the HealthSpring name) to see which of the 31 statewide plans are actually available where you live. 4. Open each plan to check its provider network, pharmacy network, formulary (drug list), and the full Evidence of Coverage.

If you'd rather talk with a person, call 1-800-MEDICARE (1-800-633-4227), which operates 24 hours a day, 7 days a week. You can also call HealthSpring directly using the number on the plan's page in Plan Finder to verify that specific doctors, hospitals and pharmacies are in-network for 2027.

This site does not list premiums, deductibles, copays, benefits, provider directories, drug tiers or star ratings for any plan. Those details change, and the authoritative source is the plan's own 2027 documents and the Medicare Plan Finder.

What to do before December 7

The Medicare Annual Enrollment Period runs October 15 – December 7, 2026. Any Medicare Advantage or Part D choice you make during that window takes effect January 1, 2027. A simple checklist:

• Read your 2027 Annual Notice of Change if you're already in a Medicare plan.
• Make a list of your current doctors, hospitals, and prescriptions, including dosages.
• Use medicare.gov's Plan Finder to compare every plan available in your county — not just HealthSpring's.
• Write down confirmation numbers for anything you enroll in or cancel.

There's no need to rush on the first day; there's also no benefit to waiting past December 7 if you want a January 1 start.

Where to get free help

Two no-cost, non-sales resources are available to every Texan with Medicare:

• Medicare.gov — the official Plan Finder, plan documents, and enrollment tools.
• 1-800-MEDICARE (1-800-633-4227), TTY 1-877-486-2048 — live help 24/7.