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Top-Rated Medicare Advantage Plans in Texas for 2027

Clover Health, UnitedHealthcare and Devoted Health have 2027 plans in Texas rated 4.5 stars or higher by Medicare in the 2027 CMS Star Ratings.

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2027 CMS Star Ratings

Top-rated Medicare Advantage plans in Texas (2027 CMS Star Ratings)

Of the 421 Medicare Advantage plans offered in Texas for 2027, 2 are rated 5 stars, 124 are rated 4.5 stars and 89 are rated 4 stars in the 2027 CMS Star Ratings, each plan counted once however many counties it serves. 35 plans have no 2027 star score: CMS lists 19 “Not enough data available” and 16 “Plan too new to be measured”.

2027 CMS Star Ratings of the Medicare Advantage plans offered in Texas, highest first (top 50 of 421)
PlanInsurerPlan type2027 overall rating
Clover Health Choice (PPO)Clover HealthPPO5 out of 5
UHC Nursing Home Plan TX-F001 (PPO I-SNP)UnitedHealthcarePPO I-SNP5 out of 5
Alignment Health BRIDGE 013 (HMO-POS)Alignment Health PlanHMO-POS4.5 out of 5
Alignment Health Duals+ 007 (HMO-POS D-SNP)Alignment Health PlanHMO-POS D-SNP4.5 out of 5
Alignment Health Duals+ 009 (HMO-POS D-SNP)Alignment Health PlanHMO-POS D-SNP4.5 out of 5
Alignment Health Heart & Diabetes 002 (HMO-POS C-SNP)Alignment Health PlanHMO-POS C-SNP4.5 out of 5
Alignment Health Heart & Diabetes Plus 004 (HMO-POS C-SNP)Alignment Health PlanHMO-POS C-SNP4.5 out of 5
Alignment Health ONE + Walgreens 001 (HMO-POS)Alignment Health PlanHMO-POS4.5 out of 5
Alignment Health ONE 011 (HMO-POS)Alignment Health PlanHMO-POS4.5 out of 5
Alignment Health Smart 003 (HMO-POS)Alignment Health PlanHMO-POS4.5 out of 5
Alignment Health Smart 010 (HMO-POS)Alignment Health PlanHMO-POS4.5 out of 5
Alignment Health Smart 012 (HMO-POS)Alignment Health PlanHMO-POS4.5 out of 5
BSW SeniorCare Advantage Preferred Rx (HMO-POS)Baylor Scott & White Health PlanHMO-POS4.5 out of 5
BSW SeniorCare Advantage Premium Rx (HMO-POS)Baylor Scott & White Health PlanHMO-POS4.5 out of 5
BSW SeniorCare Advantage Select Rx (HMO-POS)Baylor Scott & White Health PlanHMO-POS4.5 out of 5
BSW SeniorCare Advantage Select Rx (HMO-POS)Baylor Scott & White Health PlanHMO-POS4.5 out of 5
DEVOTED C-SNP 027 TX (HMO C-SNP)Devoted HealthHMO C-SNP4.5 out of 5
DEVOTED C-SNP 046 TX (HMO C-SNP)Devoted HealthHMO C-SNP4.5 out of 5
DEVOTED C-SNP ENHANCED 023 TX (HMO C-SNP)Devoted HealthHMO C-SNP4.5 out of 5
DEVOTED C-SNP ENHANCED 028 TX (HMO C-SNP)Devoted HealthHMO C-SNP4.5 out of 5
DEVOTED C-SNP ENHANCED 030 TX (HMO C-SNP)Devoted HealthHMO C-SNP4.5 out of 5
DEVOTED C-SNP ENHANCED 069 TX (HMO C-SNP)Devoted HealthHMO C-SNP4.5 out of 5
DEVOTED C-SNP ENHANCED 075 TX (HMO C-SNP)Devoted HealthHMO C-SNP4.5 out of 5
DEVOTED C-SNP GIVEBACK EXTRAS 082 TX (HMO C-SNP)Devoted HealthHMO C-SNP4.5 out of 5
DEVOTED C-SNP GIVEBACK EXTRAS 083 TX (HMO C-SNP)Devoted HealthHMO C-SNP4.5 out of 5
DEVOTED C-SNP GIVEBACK EXTRAS 085 TX (HMO C-SNP)Devoted HealthHMO C-SNP4.5 out of 5
DEVOTED C-SNP GIVEBACK EXTRAS 086 TX (HMO C-SNP)Devoted HealthHMO C-SNP4.5 out of 5
DEVOTED C-SNP GIVEBACK EXTRAS 087 TX (HMO C-SNP)Devoted HealthHMO C-SNP4.5 out of 5
DEVOTED C-SNP GIVEBACK EXTRAS 089 TX (HMO C-SNP)Devoted HealthHMO C-SNP4.5 out of 5
DEVOTED C-SNP PLUS 024 TX (HMO C-SNP)Devoted HealthHMO C-SNP4.5 out of 5
DEVOTED C-SNP PLUS 029 TX (HMO C-SNP)Devoted HealthHMO C-SNP4.5 out of 5
DEVOTED C-SNP PLUS 031 TX (HMO C-SNP)Devoted HealthHMO C-SNP4.5 out of 5
DEVOTED C-SNP PLUS 033 TX (HMO C-SNP)Devoted HealthHMO C-SNP4.5 out of 5
DEVOTED C-SNP PLUS 070 TX (HMO C-SNP)Devoted HealthHMO C-SNP4.5 out of 5
DEVOTED C-SNP PLUS 117 TX (HMO C-SNP)Devoted HealthHMO C-SNP4.5 out of 5
DEVOTED CORE 001 TX (HMO)Devoted HealthHMO4.5 out of 5
DEVOTED CORE 003 TX (HMO)Devoted HealthHMO4.5 out of 5
DEVOTED CORE 007 TX (HMO)Devoted HealthHMO4.5 out of 5
DEVOTED CORE 014 TX (HMO)Devoted HealthHMO4.5 out of 5
DEVOTED CORE 019 TX (HMO)Devoted HealthHMO4.5 out of 5
DEVOTED CORE 067 TX (HMO)Devoted HealthHMO4.5 out of 5
DEVOTED CORE 073 TX (HMO)Devoted HealthHMO4.5 out of 5
DEVOTED DUAL 010 TX (HMO D-SNP)Devoted HealthHMO D-SNP4.5 out of 5
DEVOTED DUAL 012 TX (HMO D-SNP)Devoted HealthHMO D-SNP4.5 out of 5
DEVOTED DUAL 015 TX (HMO D-SNP)Devoted HealthHMO D-SNP4.5 out of 5
DEVOTED DUAL 017 TX (HMO D-SNP)Devoted HealthHMO D-SNP4.5 out of 5
DEVOTED DUAL 071 TX (HMO D-SNP)Devoted HealthHMO D-SNP4.5 out of 5
DEVOTED DUAL 118 TX (HMO D-SNP)Devoted HealthHMO D-SNP4.5 out of 5
DEVOTED DUAL FULL 037 TX (HMO D-SNP)Devoted HealthHMO D-SNP4.5 out of 5
DEVOTED DUAL FULL 038 TX (HMO D-SNP)Devoted HealthHMO D-SNP4.5 out of 5

Plans are offered county by county, so not every plan is available everywhere in Texas. Pick your county below for its plans, or use the plan finder on this page.

Compare plans for your ZIP code in Medicare's Plan Finder on Medicare.gov.

Top-rated plans in your Texas county

2027 CMS Star Ratings by county
CountyPlans offeredRated 4 stars or higherHighest rating
Anderson County47264.5 out of 5
Andrews County2354.5 out of 5
Angelina County37154.5 out of 5
Aransas County52294.5 out of 5
Archer County2464.5 out of 5
Armstrong County28104.5 out of 5
Atascosa County74375 out of 5
Austin County50184.5 out of 5
Bailey County1903.5 out of 5
Bandera County75395 out of 5
Bastrop County42254.5 out of 5
Baylor County2254.5 out of 5
Bee County51294.5 out of 5
Bell County38165 out of 5
Bexar County98475 out of 5
Blanco County54304.5 out of 5
Borden County1603.5 out of 5
Bosque County38184.5 out of 5
Bowie County30154.5 out of 5
Brazoria County63265 out of 5
Brazos County31134.5 out of 5
Brewster County903.5 out of 5
Briscoe County1503.5 out of 5
Brooks County41194.5 out of 5
Brown County1864.5 out of 5
Burleson County41214.5 out of 5
Burnet County54304.5 out of 5
Caldwell County58304.5 out of 5
Calhoun County33124.5 out of 5
Callahan County2074.5 out of 5
Cameron County68314.5 out of 5
Camp County2484.5 out of 5
Carson County31104.5 out of 5
Cass County42244.5 out of 5
Castro County2124.5 out of 5
Chambers County63234.5 out of 5
Cherokee County36194.5 out of 5
Childress County903.5 out of 5
Clay County2764.5 out of 5
Cochran County1603.5 out of 5
Coke County1854.5 out of 5
Coleman County2074.5 out of 5
Collin County81365 out of 5
Collingsworth County1014 out of 5
Colorado County37194.5 out of 5
Comal County83435 out of 5
Comanche County2064.5 out of 5
Concho County2064.5 out of 5
Cooke County59344.5 out of 5
Coryell County42214.5 out of 5
Cottle County1203.5 out of 5
Crane County1403.5 out of 5
Crockett County1303.5 out of 5
Crosby County3264.5 out of 5
Culberson County1203.5 out of 5
Dallam County1403.5 out of 5
Dallas County84375 out of 5
Dawson County2464.5 out of 5
Deaf Smith County35134.5 out of 5
Delta County36184.5 out of 5
Denton County67335 out of 5
Dewitt County28124.5 out of 5
Dickens County1954.5 out of 5
Dimmit County33144.5 out of 5
Donley County1103.5 out of 5
Duval County33124.5 out of 5
Eastland County31144.5 out of 5
Ector County35124.5 out of 5
Edwards County2884.5 out of 5
El Paso County89474.5 out of 5
Ellis County59304.5 out of 5
Erath County38194.5 out of 5
Falls County41184.5 out of 5
Fannin County48294.5 out of 5
Fayette County45234.5 out of 5
Fisher County1503.5 out of 5
Floyd County2503.5 out of 5
Foard County903.5 out of 5
Fort Bend County83285 out of 5
Franklin County34194.5 out of 5
Freestone County44274.5 out of 5
Frio County48244.5 out of 5
Gaines County903.5 out of 5
Galveston County64265 out of 5
Garza County3264.5 out of 5
Gillespie County45284.5 out of 5
Glasscock County1303.5 out of 5
Goliad County43204.5 out of 5
Gonzales County54284.5 out of 5
Gray County31134.5 out of 5
Grayson County56304.5 out of 5
Gregg County50224.5 out of 5
Grimes County48234.5 out of 5
Guadalupe County79395 out of 5
Hale County3274.5 out of 5
Hall County1964.5 out of 5
Hamilton County40224.5 out of 5
Hansford County1703.5 out of 5
Hardeman County903.5 out of 5
Hardin County66274.5 out of 5
Harris County99415 out of 5
Harrison County54294.5 out of 5
Hartley County2054.5 out of 5
Haskell County1854.5 out of 5
Hays County57284.5 out of 5
Hemphill County903.5 out of 5
Henderson County36194.5 out of 5
Hidalgo County71324.5 out of 5
Hill County45244.5 out of 5
Hockley County3164.5 out of 5
Hood County49174.5 out of 5
Hopkins County27104.5 out of 5
Houston County34164.5 out of 5
Howard County30104.5 out of 5
Hudspeth County51294.5 out of 5
Hunt County41144.5 out of 5
Hutchinson County2864.5 out of 5
Irion County1754.5 out of 5
Jack County32144.5 out of 5
Jackson County3194.5 out of 5
Jasper County47154.5 out of 5
Jeff Davis County1203.5 out of 5
Jefferson County73354.5 out of 5
Jim Hogg County39194.5 out of 5
Jim Wells County52314.5 out of 5
Johnson County71334.5 out of 5
Jones County2364.5 out of 5
Karnes County45234.5 out of 5
Kaufman County46284.5 out of 5
Kendall County74364.5 out of 5
Kenedy County2774.5 out of 5
Kent County1303.5 out of 5
Kerr County39174.5 out of 5
Kimble County1103.5 out of 5
King County1203.5 out of 5
Kinney County2664.5 out of 5
Kleberg County51294.5 out of 5
Knox County1303.5 out of 5
La Salle County41174.5 out of 5
Lamar County30144.5 out of 5
Lamb County3154.5 out of 5
Lampasas County58314.5 out of 5
Lavaca County3294.5 out of 5
Lee County50244.5 out of 5
Leon County45264.5 out of 5
Liberty County73314.5 out of 5
Limestone County32144.5 out of 5
Lipscomb County903.5 out of 5
Live Oak County29124.5 out of 5
Llano County52334.5 out of 5
Loving County1203.5 out of 5
Lubbock County38104.5 out of 5
Lynn County3364.5 out of 5
Madison County42224.5 out of 5
Marion County36184.5 out of 5
Martin County2484.5 out of 5
Mason County25104.5 out of 5
Matagorda County40144.5 out of 5
Maverick County37164.5 out of 5
Mcculloch County1754.5 out of 5
Mclennan County44225 out of 5
Mcmullen County31124.5 out of 5
Medina County77395 out of 5
Menard County1403.5 out of 5
Midland County3594.5 out of 5
Milam County54284.5 out of 5
Mills County47274.5 out of 5
Mitchell County1103.5 out of 5
Montague County47244.5 out of 5
Montgomery County79295 out of 5
Moore County30124.5 out of 5
Morris County35184.5 out of 5
Motley County1603.5 out of 5
Nacogdoches County44154.5 out of 5
Navarro County58314.5 out of 5
Newton County2754.5 out of 5
Nolan County2254.5 out of 5
Nueces County58304.5 out of 5
Ochiltree County903.5 out of 5
Oldham County1403.5 out of 5
Orange County59274.5 out of 5
Palo Pinto County35174.5 out of 5
Panola County39204.5 out of 5
Parker County62264.5 out of 5
Parmer County903.5 out of 5
Pecos County1854.5 out of 5
Polk County49194.5 out of 5
Potter County44184.5 out of 5
Presidio County1003.5 out of 5
Rains County3284.5 out of 5
Randall County42184.5 out of 5
Reagan County1403.5 out of 5
Real County41204.5 out of 5
Red River County30144.5 out of 5
Reeves County1754.5 out of 5
Refugio County41204.5 out of 5
Roberts County1703.5 out of 5
Robertson County42224.5 out of 5
Rockwall County65334.5 out of 5
Runnels County1964.5 out of 5
Rusk County54264.5 out of 5
Sabine County1964.5 out of 5
San Augustine County2684.5 out of 5
San Jacinto County65254.5 out of 5
San Patricio County42274.5 out of 5
San Saba County44244.5 out of 5
Schleicher County1854.5 out of 5
Scurry County903.5 out of 5
Shackelford County2284.5 out of 5
Shelby County23114.5 out of 5
Sherman County1403.5 out of 5
Smith County49224.5 out of 5
Somervell County46254.5 out of 5
Starr County44204.5 out of 5
Stephens County2054.5 out of 5
Sterling County1303.5 out of 5
Stonewall County1303.5 out of 5
Sutton County1303.5 out of 5
Swisher County2503.5 out of 5
Tarrant County83355 out of 5
Taylor County1934 out of 5
Terrell County903.5 out of 5
Terry County3154.5 out of 5
Throckmorton County2254.5 out of 5
Titus County34154.5 out of 5
Tom Green County3174.5 out of 5
Travis County56305 out of 5
Trinity County31184.5 out of 5
Tyler County51214.5 out of 5
Upshur County55284.5 out of 5
Upton County1403.5 out of 5
Uvalde County36124.5 out of 5
Val Verde County28114.5 out of 5
Van Zandt County65324.5 out of 5
Victoria County38154.5 out of 5
Walker County49134.5 out of 5
Waller County50144.5 out of 5
Ward County1754.5 out of 5
Washington County48254.5 out of 5
Webb County53214.5 out of 5
Wharton County51184.5 out of 5
Wheeler County1303.5 out of 5
Wichita County1744 out of 5
Wilbarger County1554.5 out of 5
Willacy County66314.5 out of 5
Williamson County64385 out of 5
Wilson County75375 out of 5
Winkler County1203.5 out of 5
Wise County67304.5 out of 5
Wood County45224.5 out of 5
Yoakum County1403.5 out of 5
Young County1864.5 out of 5
Zapata County40204.5 out of 5
Zavala County36134.5 out of 5

What Medicare Star Ratings measure

CMS rates every Medicare Advantage contract from 1 to 5 stars each year. For 2027, the health plan (Part C) rating looks at five areas: staying healthy (screenings, tests and vaccines), managing chronic (long-term) conditions, members' experience with the plan, member complaints and changes in the plan's performance, and the plan's customer service. A plan with drug coverage is also rated on four drug plan (Part D) areas: customer service, member complaints and changes in performance, members' experience, and drug safety and accuracy of drug pricing.

The scores come from member surveys, information plans and providers report, and Medicare's own data such as complaints and appeals. The overall rating combines the health and drug plan measures; a plan without drug coverage has a Part C summary rating instead. Ratings are given per contract, so every plan under the same contract carries the same stars.

The 5-star Special Enrollment Period

Medicare's 5-star Special Enrollment Period lets you switch, once, to a plan with a 5-star overall rating that is offered where you live, outside the usual enrollment periods. For plans rated 5 stars for 2027, it runs from December 8, 2026 through November 30, 2027.

In Texas, 2 Medicare Advantage plans have a 5-star overall rating for 2027, so the 5-star Special Enrollment Period can apply here.

If you switch from a plan with drug coverage to a 5-star plan without it, you could lose your drug coverage, so check before you switch.

Every year, Medicare evaluates plans based on a 5-star rating system.

These ratings are CMS's, not ours, and we do not recommend plans. A rating does not tell you whether a plan covers your doctors and drugs or what it charges.

Source: CMS 2027 Star Ratings Data Tables (Summary Ratings), released October 8, 2026; plans offered: CMS CY2027 Medicare Advantage Landscape file.

More on Medicare Advantage in Texas

Medicare Advantage in TexasPlans changing or leaving Texas for 2027Top-rated Medicare Advantage plans in every state

Good to know

Top-rated plans in Texas: questions (2027)

Which Medicare Advantage plans in Texas have 5 stars for 2027?
In the 2027 CMS Star Ratings, 2 of the 421 Medicare Advantage plans offered in Texas have a rating of 5 out of 5 stars: Clover Health Choice (PPO) (Clover Health); UHC Nursing Home Plan TX-F001 (PPO I-SNP) (UnitedHealthcare). Every year, Medicare evaluates plans based on a 5-star rating system. A rating does not tell you whether a plan covers your doctors and drugs or what it charges; compare plans for your ZIP code in Medicare's Plan Finder.
What do Medicare Star Ratings measure?
CMS rates every Medicare Advantage contract from 1 to 5 stars each year. For 2027, the health plan (Part C) rating looks at five areas: staying healthy (screenings, tests and vaccines), managing chronic (long-term) conditions, members' experience with the plan, member complaints and changes in the plan's performance, and the plan's customer service. A plan with drug coverage is also rated on four drug plan (Part D) areas: customer service, member complaints and changes in performance, members' experience, and drug safety and accuracy of drug pricing. The scores come from member surveys, information plans and providers report, and Medicare's own data such as complaints and appeals. The overall rating combines the health and drug plan measures; a plan without drug coverage has a Part C summary rating instead. Ratings are given per contract, so every plan under the same contract carries the same stars.
Can I switch to a 5-star Medicare Advantage plan in Texas outside open enrollment?
Medicare's 5-star Special Enrollment Period lets you switch, once, to a plan with a 5-star overall rating that is offered where you live, outside the usual enrollment periods. For plans rated 5 stars for 2027, it runs from December 8, 2026 through November 30, 2027. In Texas, 2 Medicare Advantage plans have a 5-star overall rating for 2027, so the 5-star Special Enrollment Period can apply here. If you switch from a plan with drug coverage to a 5-star plan without it, you could lose your drug coverage, so check before you switch. 2 such plans are listed on this page.
Does a higher star rating mean a plan is right for me?
Not by itself. A Star Rating is CMS's measure of a plan's quality and service; it does not tell you whether a plan covers your doctors, hospitals and prescriptions or what it charges. Compare those for your ZIP code in Medicare's Plan Finder, call 1-800-MEDICARE, or talk with a licensed agent. We do not recommend plans.
When does Medicare publish Star Ratings?
CMS publishes Star Ratings every October for the coming plan year. The 2027 ratings on this page were released October 8, 2026. Ratings can change from one year to the next. Every year, Medicare evaluates plans based on a 5-star rating system.
Medicare plans in your area changing for 2027 — check yoursCall