ProCare Advantage (HMO-POS I-SNP) in Somervell 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

ProCare Advantage (HMO-POS I-SNP) (H3467-001) is a $5-premium Medicare Advantage HMO-POS I-SNP from First Sacramento Capital Funding LLC available in Somervell County, Texas in 2026, with a -star overall rating, a $9,250 in-network out-of-pocket maximum, and a $615 annual Part D drug deductible.

Plan facts (CMS CY2026 Landscape file)

OrganizationFirst Sacramento Capital Funding LLC
Plan nameProCare Advantage (HMO-POS I-SNP)
Contract IDH3467
Plan ID001
Segment ID0
Contract year2026
Contract categorySNP
Plan typeHMO-POS I-SNP
SNPYes — Institutional
Monthly consolidated premium$4.80
Part C premium$0.00
Part D basic premium$4.80
Part D total premium$4.80
Annual Part D deductible$615.00
Maximum out-of-pocket (in-network)$9250.00
Overall star rating

How this plan is structured

  • $5 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-POS I-SNP 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.
  • $9,250 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 = Somervell 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 Somervell County

The CMS CY2026 Landscape file lists 47 Medicare Advantage plans in Somervell County, Texas, of which 2 carry a 5.0-star overall rating and 25 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $255.00 per month, and in-network out-of-pocket maximums range from $3900.00 to $9250.00.

Other 5.0-star Medicare Advantage plans in Somervell County (first three alphabetically):

PlanOrganizationPremiumMOOP
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 Somervell 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:

  1. Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H3467-001.
  2. Call the plan (First Sacramento Capital Funding LLC) using the member-services number listed on that plan page and ask whether each doctor, hospital, and pharmacy is in-network for 2026.
  3. Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.

What H3467-001 means

CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H3467-001, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 3467 are the contract number issued to the organization, and the three-digit 001 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 ProCare Advantage (HMO-POS I-SNP) an HMO or PPO?

ProCare Advantage (HMO-POS I-SNP) is an HMO-POS I-SNP — a Health Maintenance Organization-style Medicare Advantage plan, meaning in-network care and referral rules generally apply.

Does ProCare Advantage (HMO-POS I-SNP) include prescription drug coverage?

Yes — ProCare Advantage (HMO-POS I-SNP) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $615.00 annual Part D drug deductible for 2026.

What is the maximum out-of-pocket cost for ProCare Advantage (HMO-POS I-SNP)?

The 2026 in-network maximum out-of-pocket limit for ProCare Advantage (HMO-POS I-SNP) is $9250.00, per the CMS CY2026 Landscape file.

What counties offer ProCare Advantage (HMO-POS I-SNP) (H3467-001)?

ProCare Advantage (HMO-POS I-SNP) (H3467-001) is offered in 63 Texas counties: Atascosa County, Austin County, Bandera County, Bee County, Bexar County, Blanco County, Bosque County, Brazoria County, Burnet County, Caldwell County, Chambers County, Cherokee County, Clay County, Collin County, Colorado County, Comal County, Cooke County, Dallas County, Denton County, El Paso County, Ellis County, Fannin County, Fort Bend County, Galveston County, Goliad County, Gonzales County, Grimes County, Guadalupe County, Hamilton County, Hardin County, Harris County, Hill County, Hopkins County, Hudspeth County, Jack County, Jefferson County, Johnson County, Kendall County, La Salle County, Lampasas County, Lavaca County, Lee County, Liberty County, Matagorda County, McMullen County, Medina County, Mills County, Montgomery County, Orange County, Palo Pinto County, Parker County, Real County, Rockwall County, San Jacinto County, Somervell County, Tarrant County, Trinity County, Tyler County, Van Zandt County, Wharton County, Williamson County, Wilson County, and Wise County.

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