HealthSpring Preferred (HMO) in Gregg County, Texas — 2026 plan details
Last updated Jul 18, 2026
Reviewed by Jason Burns, Editorial Steward
Published by Senior Direct Answers · Licensed under Citation License 1.0
HealthSpring Preferred (HMO) (H4513-026) is a $0-premium Medicare Advantage HMO from Health Care Service Corporation available in Gregg County, Texas in 2026, with a 4.0-star overall rating, a $4,400 in-network out-of-pocket maximum, and a $200 annual Part D drug deductible.
Plan facts (CMS CY2026 Landscape file)
| Organization | Health Care Service Corporation |
|---|---|
| Plan name | HealthSpring Preferred (HMO) |
| Contract ID | H4513 |
| Plan ID | 026 |
| Segment ID | 0 |
| Contract year | 2026 |
| Contract category | MA-PD |
| Plan type | HMO |
| SNP | No |
| Monthly consolidated premium | $0.00 |
| Part C premium | $0.00 |
| Part D basic premium | $21.40 |
| Part D total premium | $0.00 |
| Annual Part D deductible | $200.00 |
| Maximum out-of-pocket (in-network) | $4400.00 |
| Overall star rating | 4.0 |
How this plan is structured
- $0 consolidated premium. A $0 or near-$0 consolidated premium does not remove the Part B premium — the standard 2026 Part B premium is $202.90 per month and still applies. See the 2026 Medicare Part B premium.
- HMO plan type. In an HMO-style Medicare Advantage plan, in-network care and primary-care referral rules generally apply. See how Medicare Advantage HMO and PPO plans differ.
- $4,400 in-network out-of-pocket maximum. The MOOP is the annual cap on what a member pays in-network for covered Part A and Part B services. See how the Medicare Advantage MOOP works.
- Service area = Gregg County. Medicare Advantage plans are sold by service area; moving out of the plan's service area triggers a Special Enrollment Period to switch plans. See how moving changes your Medicare options.
How it compares in Gregg County
The CMS CY2026 Landscape file lists 56 Medicare Advantage plans in Gregg County, Texas, of which 2 carry a 5.0-star overall rating and 38 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $110.00 per month, and in-network out-of-pocket maximums range from $3400.00 to $9250.00.
Other 5.0-star Medicare Advantage plans in Gregg County (first three alphabetically):
| Plan | Organization | Premium | MOOP |
|---|---|---|---|
| Texas Independence Community Plan (HMO I-SNP) | Regency ISNP Holdings LLC | $4.80 | $9250.00 |
| Texas Independence Health Plan, Inc. (HMO I-SNP) | Regency ISNP Holdings LLC | $4.80 | $9250.00 |
For the full county plan directory, see all Medicare plans in Gregg County, Texas.
How to verify your doctors take this plan
Network participation changes throughout the year; we hold no provider-network data, so verify directly with these three sources before you decide:
- Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H4513-026.
- Call the plan (Health Care Service Corporation) using the member-services number listed on that plan page and ask whether each doctor, hospital, and pharmacy is in-network for 2026.
- Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.
What H4513-026 means
CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H4513-026, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 4513 are the contract number issued to the organization, and the three-digit 026 is the plan benefit package under that contract. The segment ID 0 identifies the service-area segment within the plan (0 = the default single segment).
Frequently asked questions
Is HealthSpring Preferred (HMO) an HMO or PPO?
HealthSpring Preferred (HMO) is an HMO — a Health Maintenance Organization-style Medicare Advantage plan, meaning in-network care and referral rules generally apply.
Does HealthSpring Preferred (HMO) include prescription drug coverage?
Yes — HealthSpring Preferred (HMO) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $200.00 annual Part D drug deductible for 2026.
What is the maximum out-of-pocket cost for HealthSpring Preferred (HMO)?
The 2026 in-network maximum out-of-pocket limit for HealthSpring Preferred (HMO) is $4400.00, per the CMS CY2026 Landscape file.
What counties offer HealthSpring Preferred (HMO) (H4513-026)?
HealthSpring Preferred (HMO) (H4513-026) is offered in seven Texas counties: Gregg County, Harrison County, Henderson County, Rusk County, Smith County, Upshur County, and Van Zandt County.
Sources
- CMS, Plan Year 2026 Medicare Advantage & Part D Landscape source file (March 2026) — retrieved 2026-07-18. Overall star rating year: 2026.
- Medicare.gov Plan Finder — compare plans and enroll.