The numbers behind Medicare in Austin County
| Austin County | Texas | |
|---|---|---|
| Residents age 65 and older | 6,809 | 4,188,063 statewide |
| Share of residents age 65+ | 21.5% | 13.7% statewide |
| People with Medicare | 7,928 | 5,048,909 statewide |
| Enrolled in Medicare Advantage | 3,536 | 2,770,279 statewide |
| Medicare Advantage share | 44.6% | 54.9% statewide |
Figures come from the Census Bureau and CMS (September 2026).
Austin County ranks 87th of 254 Texas counties by number of residents age 65 and older, with about 6,809 people in that age group, or 21.5% of residents (statewide: 13.7%). Another 2,152 residents are age 60 to 64 and will reach Medicare eligibility within about five years (see our turning 65 guide). Census 2023 estimates show 59% of the 65-plus population is under 75, 33% is 75 to 84 and 9% is 85 or older. Medicare Advantage enrollment in Austin County is 44.6% of people with Medicare, lower than the Texas average of 54.9%. A county average does not tell you which kind of plan fits you. Whether Medicare Advantage or Original Medicare with a Medigap plan is the better fit depends on your doctors, your prescriptions and how you want to handle costs, so we compare both for your ZIP code.
Who has Medicare in Austin County
The U.S. Department of Agriculture classifies Austin County as a metro county (counties in metro areas of 1 million population or more). Counties like this tend to have a wider choice of hospitals and Medicare plans than rural ones, though networks still differ plan by plan.
CMS counts 7,815 Medicare beneficiaries in Austin County (2023). Their average age is 74, about the same as the Texas average of 73. About 8% are “dual eligible,” meaning they have both Medicare and Medicaid, lower than the state figure of 11%.
Among people in Original Medicare in Austin County, CMS reported about 454 emergency room visits and 185 inpatient hospital stays per 1,000 beneficiaries in 2023, which is lower than the state average for emergency visits (580) and lower than it for hospital stays (226). About 8% received home health care. These figures describe how people use care under Original Medicare; they do not show what any plan covers or costs.
Sources: CMS Medicare Geographic Variation, 2023; USDA Rural-Urban Continuum Codes, 2023.
Insurers choose which counties to serve each year, which means the Medicare Advantage and Part D plans you can pick in Austin County can be different from the ones offered next door. We are not based in Austin County; we help Austin County residents by phone or video call.
Hospitals located in Austin County
The Centers for Medicare & Medicaid Services (CMS) lists this hospital in Austin County:
- Bellville Medical Center — Bellville (acute care; government-owned; emergency services)
Network rules, not geography, decide whether a plan covers a hospital. We look up the hospitals and doctors you use and check them against each plan before you enroll. Ratings are CMS Care Compare overall hospital star ratings; they describe the hospital, not whether a plan covers it. Source: CMS Hospital General Information.
Austin County: communities and ZIP codes
Census Bureau 2023 estimates put the biggest communities in Austin County at Sealy (7,243), Bellville (4,217), Wallis (1,349), San Felipe (715), Brazos Country (511), Industry (282), counting only the part of each community inside the county.
Census ZIP Code Tabulation Areas mostly within Austin County number 7: 77418, 77473, 77474, 77485, 78931, 78944, 78950. Your exact ZIP code is what decides which plans you can join.
Questions about Medicare in Austin County?
Reach out to us: fill out our short form or call (571) 354-0146, and a licensed agent will compare the plans available to you, check your doctors and drugs, and stay with you each year at renewal. For general Medicare information, the federal helpline is 1-800-MEDICARE (1-800-633-4227).
Medicare resources from official sources
- Medicare Plan Finder on Medicare.gov, searchable by ZIP code.
- HealthCare.gov if you are not yet on Medicare.
- Medicare Care Compare for hospitals and doctors.
- Social Security: Medicare to enroll or check status.
- Texas Department of Insurance: Texas’s insurance regulator, including agent license lookup.
Coverage we offer Austin County residents
We work with many carriers, which lets us compare more than one option for Austin County households, including Medicare Advantage, Medicare Supplement (Medigap), Part D drug plans, ACA health insurance, ICHRA, group health insurance, life insurance, final expense insurance and annuities.
Let’s check your Austin County options together
We confirm your doctors and prescriptions before you enroll, at no cost to you.
Get my plan comparisonPlain-English Medicare answers
- What Medicare Part D actually costs
- Can I change my Medicare plan after December 7?
- How to read your Medicare Annual Notice of Change
- Medigap Plan G vs. Plan N
Austin County compared with similar Texas counties
| County | Residents 65+ | Medicare Advantage share | Dual eligible share | Area type |
|---|---|---|---|---|
| Maverick County | 6,891 | 76.9% | 45% | Metro |
| Bandera County | 6,726 | 48.8% | 6% | Metro |
| San Jacinto County | 6,691 | 58.0% | 10% | Metro |
| Chambers County | 6,403 | 52.3% | 9% | Metro |
| Aransas County | 7,312 | 57.5% | 7% | Metro |
| Waller County | 7,486 | 51.3% | 10% | Metro |
See every Texas county in our Texas directory or go to our Texas Medicare hub.