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Medicare Part D
Prescription Drug Coverage 2027
Medicare Part D Plans Texas 2027: 10 Plans Across 254 Counties
Reviewed by Russell Noga, Licensed Medicare Insurance Broker (all 50 states) — Last updated November 1, 2026
Texas has 10 standalone Medicare Part D plans for 2027 in our count, offered by Humana, Wellcare, HealthSpring, UnitedHealthcare and Aetna SilverScript. The same 10 plans are sold in Harris County and in the smallest Panhandle counties, because the whole state is one Part D region.
2027 by the Numbers
10
standalone Part D plans in Texas for 2027 (our count of CMS 2027 plan filings)
415
individual Medicare Advantage plans filed in Texas for 2027 (our count)
254
Texas counties, all served by the same standalone plan list
Texas is a big state with uneven Medicare Advantage choices. A Houston or San Antonio resident can pick from more than 90 MA plans, while a few West Texas counties have 3. Standalone drug plans work differently: they are approved for the whole state, so every Texan with Original Medicare sees the same 10 options.
The counts here come from our analysis of the CMS 2027 plan benefit files. Medicare Plan Finder counts can differ slightly. The national Part D rules for 2027 are explained on the Medicare Part D plans 2027 hub.
Key Takeaways
- Our count shows 10 standalone Part D plans in Texas for 2027 from five sponsors.
- HealthSpring files two Texas plans, Assurance Rx and Extra Rx; Extra Rx is offered in only a few regions nationwide.
- No Blue-branded standalone Part D plan is filed in Texas, though HealthSpring’s parent also owns Blue Cross and Blue Shield of Texas.
- Two Texas programs, the HIV Medication Program and Kidney Health Care, can help certain residents with drug costs.
- Texas HICAP offers free Medicare counseling through local Area Agencies on Aging.
Same Drug Plans, Very Different MA Markets
| County | Medicare Advantage plans for 2027 | Standalone Part D plans |
|---|---|---|
| Harris (Houston) | 93 | 10 |
| Bexar (San Antonio) | 92 | 10 |
| El Paso | 83 | 10 |
| Dallas | 78 | 10 |
| Comal | 77 | 10 |
| Ochiltree, Terrell, Scurry | 3 each | 10 |
Our count of CMS 2027 plan filings. Medicare Advantage plans are approved county by county; standalone Part D plans are approved for the whole Texas region.
In counties with only a few MA plans, the standalone list is often where most of the choice is. Pairing a standalone plan with Original Medicare also keeps access to any doctor who accepts Medicare, which can matter in rural areas with thin networks.
The 10 Texas Standalone Plans
2027 standalone Part D plans filed for Texas
✔
Humana Basic Rx Plan, Humana Value Rx Plan, Humana Premier Rx Plan
✔
Medicare Rx Preferred from UHC, Medicare Rx Saver from UHC
✔
HealthSpring Assurance Rx, HealthSpring Extra Rx
✔
SilverScript Choice (Aetna)
✔
Wellcare Classic, Wellcare Value Script
Source: our count of CMS 2027 plan filings, individual plans only. Each plan sets its own premium, deductible up to the federal $700 limit, tiers and preferred pharmacies, and not all plans cover every drug. Details for one sponsor are on the Humana Part D 2027 page.
HealthSpring's Texas Plans and the Blue Cross Connection
2
HealthSpring standalone plans in Texas for 2027 (our count)
HCSC
Health Care Service Corporation, which owns HealthSpring and Blue Cross and Blue Shield of Texas
31
HealthSpring Medicare Advantage plans in Texas for 2027 (our count)
HealthSpring is Cigna’s former Medicare business, now under Health Care Service Corporation. In the CMS files, its Texas standalone plans are filed under the Blue Cross and Blue Shield of Illinois, New Mexico, Oklahoma and Texas organization, but they are sold under the HealthSpring name. Texas is one of the few states where HealthSpring Extra Rx is offered alongside Assurance Rx.
Name check: Texas has no standalone plan sold under a Blue Cross Blue Shield brand for 2027 in our count, unlike Florida or California, where the local Blue company files its own drug plans.
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Texas Programs That Can Help Pay for Drugs
Texas HIV Medication Program
✔
Run by the Texas Department of State Health Services
✔
For eligible Texans living with HIV
✔
Listed as a state pharmaceutical assistance program that can work with Part D
Kidney Health Care (KHC)
✔
For eligible Texans with end-stage kidney disease
✔
May help with drug costs and, for some members, Medicare premiums
✔
Eligibility rules are set by the state program
Federal help first: for most Texans with limited income, Extra Help is the main source of lower Part D premiums and copays. Texas does not run a general drug assistance program for all seniors. See Extra Help 2027 for the limits.
Texas Medicare Advantage in 2027: Our Count
| Measure | Texas, 2027 |
|---|---|
| Individual MA plans filed | 415 |
| HMO / HMO-POS / PPO share | 60% / 23% / 17% |
| Special needs plans | 191 (46%), including 118 dual SNPs |
| Plans with a Part B giveback in the name | 33 |
| Sponsors with the most plans | UnitedHealthcare 74, Humana 69, Devoted Health 55, Aetna 52, Wellpoint 33 |
Our count of CMS 2027 plan filings. CMS’s own Texas fact sheet may report a different total because of counting rules.
The high share of dual special needs plans reflects how many Texans have both Medicare and Medicaid. People with both get Extra Help automatically, which lowers drug costs in a standalone plan or an MA plan.
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Where SilverScript Fits in Texas
Regional availability: Aetna filed SilverScript Choice in 20 of the 34 Part D regions for 2027 in our count. Texas is one of them; California is not. A plan offered in one state may not follow you if you move.
Aetna also files 52 Texas Medicare Advantage plans in our count. Comparing its standalone plan with its MA plans comes down to drug costs, doctor networks and whether you keep a Medigap policy. Check how each drug is tiered on the 2027 formulary before choosing.
Free Counseling Through Texas HICAP
1
Contact your Area Agency on Aging. Texas HICAP, the Health Information, Counseling and Advocacy Program, is offered through local Area Agencies on Aging with the Texas Health and Human Services Commission.
2
List your drugs and pharmacy. Counselors can compare the 10 standalone plans for your exact prescriptions.
3
Ask about savings programs. HICAP can screen for Extra Help and Medicare Savings Programs.
4
Mind the dates. Annual Enrollment runs October 15 to December 7, 2026, for coverage starting January 1, 2027.
The Bottom Line
The Bottom Line
Every Texas county shares the same 10 standalone Part D plans for 2027 in our count, while Medicare Advantage choices range from 93 plans in Harris County to 3 in a few rural counties. HealthSpring’s two plans and Aetna’s SilverScript round out a market with no Blue-branded PDP. Texans with HIV or kidney failure should also check the state’s own drug programs.
We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE (TTY 1-877-486-2048) to get information on all of your options.
Frequently Asked Questions
➤ How many standalone Part D plans are in Texas for 2027?
Ten, in our count of CMS 2027 plan filings, from Humana, Wellcare, HealthSpring, UnitedHealthcare and Aetna SilverScript.
➤ Are Part D plans different in Houston and rural Texas?
Standalone plans are the same statewide because Texas is a single Part D region. Medicare Advantage choices vary widely by county.
➤ Does Blue Cross and Blue Shield of Texas sell a standalone Part D plan?
Not under the Blue name for 2027 in our count. Its parent company, Health Care Service Corporation, sells standalone plans in Texas as HealthSpring.
➤ What is HealthSpring Extra Rx?
One of HealthSpring’s two standalone plans in Texas for 2027. It is filed in only a few regions, while Assurance Rx is broadly available.
➤ Is Aetna SilverScript available in Texas for 2027?
Yes. SilverScript Choice is one of the 10 Texas standalone plans in our count.
➤ Does Texas have a state drug assistance program?
Not for all seniors. The Texas HIV Medication Program and Kidney Health Care help eligible residents with specific conditions.
➤ What is Texas HICAP?
The Health Information, Counseling and Advocacy Program, which offers free Medicare counseling through local Area Agencies on Aging.
➤ Which Texas counties have the most Medicare Advantage plans for 2027?
Harris, Bexar, El Paso, Dallas and Comal lead our count, each with 77 to 93 plans.
ZRN Health & Financial Services, LLC, a Texas limited liability company.
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