Real County, Texas: health insurance
What Real County residents should know about Medicare, marketplace plans and Medicaid.
Real County at a glance
| State | Texas |
|---|---|
| Population (2023 est.) | 2,854 |
| Population rank in Texas | 225 of 254 |
| Land area | 699 square miles |
Source: U.S. Census Bureau (Population Estimates 2023; Gazetteer 2023).
Medicare plans leaving Real County for 2027
14 Medicare plans from 6 companies are listed in Real County for 2026 but not for 2027, covering at least 185 people enrolled in the plans below today.
- HealthSpring Extra Rx (PDP) (S5617-372, Cigna HealthSpring (HCSC))
- HealthSpring Assurance Rx (PDP) (S5617-108, Cigna HealthSpring (HCSC))
| Plan going away | Company | People enrolled (at least) |
|---|---|---|
| HumanaChoice H5216-360 (PPO) H5216-360 | Humana | 139 |
| HumanaChoice H7617-040 (PPO) H7617-040 | Humana | 46 |
| Blue Cross Medicare Advantage Balance (PPO) H1666-023 | Blue Cross (Health Care Service Corp) | 10 or fewer |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) H9706-002 | Blue Cross (Health Care Service Corp) | 10 or fewer |
| Blue Cross Medicare Advantage Optimum (PPO) H1666-024 | Blue Cross (Health Care Service Corp) | 10 or fewer |
| Humana USAA Honor Giveback (PPO) H5216-128 | Humana | 10 or fewer |
| UHC Complete Care Support TX-1A (Regional PPO C-SNP) R6801-008 | UnitedHealthcare | 10 or fewer |
| Wellcare Dual Access (HMO D-SNP) H5294-015 | Wellcare / Ambetter (Centene) | 10 or fewer |
| Wellcare Dual Liberty (HMO D-SNP) H5294-010 | Wellcare / Ambetter (Centene) | 10 or fewer |
| Wellpoint Dual Advantage (HMO D-SNP) H8849-011 | Anthem (Elevance Health) | 10 or fewer |
| Wellpoint Dual Advantage 2 (HMO D-SNP) H2593-032 | Anthem (Elevance Health) | 10 or fewer |
| Wellpoint Full Dual Advantage Aligned (HMO D-SNP) H2593-046 | Anthem (Elevance Health) | 10 or fewer |
A plan can be listed because it was renumbered or replaced, not only because a company is leaving the county. When the same company keeps other plans there, members are usually moved to a replacement plan. Your plan should send you a notice, and Medicare’s Annual Enrollment Period (October 15 to December 7) is when you can compare and switch. “People enrolled” is the number enrolled in that plan today (CMS hides counts of 10 or fewer). Source: CMS Medicare Advantage and Part D landscape files for 2026 and 2027, and CMS enrollment data from September 2026.
Is your plan on this list? Call 855-367-1095 and we will look at what is available where you live, with no obligation to enroll.
Why your county matters for coverage
In Texas, the health plans you can choose depend on where you live. Medicare Advantage and Part D plans are offered by service area, usually county by county, and marketplace premiums and carriers are set by area as well. Living in Real County means the options on this page apply to you, and plans in a neighboring county may differ.
- Medicare: Texas HICAP (Health Information, Counseling and Advocacy Program) gives free, unbiased counseling at 800-252-9240. Ask which plans serve Real County specifically.
- Marketplace plans: shop through HealthCare.gov (federal Marketplace); enter your Real County ZIP code to see what is offered.
- Medicaid: apply through Texas Health and Human Services Commission (HHSC).
Texas note: Texas has not expanded Medicaid to all low-income adults, so Texas Medicaid eligibility rules can differ meaningfully from states that did expand -- worth confirming directly with HHSC or by phone rather than assuming another state's rules apply.
Questions about Real County
Are the same Medicare plans offered everywhere in Texas?
No. Plans are offered by service area. A plan available in one county may not be offered in Real County, so check by county.
Where do Real County residents get free Medicare counseling?
Texas HICAP (Health Information, Counseling and Advocacy Program) (800-252-9240) is Texas's free SHIP program.
Do I have to enroll if I call?
No. Calling is a conversation about your options, and you are never required to enroll.
Real County residents: call 855-367-1095
Call Lander LLC to go over your options. There is no cost to call or to speak with an agent, and you are never required to enroll in anything.
Call 855-367-1095Other large counties
Reviewed by Richard Lander, licensed insurance agent (NPN 21255551), Lander LLC. Last updated October 3, 2026. This page is educational and is not a quote, an offer of coverage, or legal or tax advice.