Medicare in Bastrop County by the numbers
| Bastrop County | Texas | |
|---|---|---|
| Residents age 65 and older | 17,331 | 4,188,063 statewide |
| Share of residents age 65+ | 15.6% | 13.7% statewide |
| People with Medicare | 19,245 | 5,048,909 statewide |
| Enrolled in Medicare Advantage | 10,467 | 2,770,279 statewide |
| Medicare Advantage share | 54.4% | 54.9% statewide |
Sources: Census Bureau 2023 estimates and CMS Medicare Advantage penetration, September 2026.
Among Texas’s 254 counties, Bastrop County comes in 41st for residents age 65 and up (17,331). Older adults make up 15.6% of the population here; the state figure is 13.7%. Another 6,979 residents are age 60 to 64 and will reach Medicare eligibility within about five years (see our turning 65 guide). By age, the 65-and-older group splits 63% ages 65 to 74, 29% ages 75 to 84 and 8% age 85 and up (Census 2023). Medicare Advantage enrollment in Bastrop County is 54.4% of people with Medicare, close to 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 Bastrop County
Bastrop County is a metro county; the U.S. Department of Agriculture describes it as: counties in metro areas of 1 million population or more. Metro counties usually have more hospitals and more insurers competing for Medicare members, so there can be more plans to compare.
CMS counts 18,561 Medicare beneficiaries in Bastrop County (2023). Their average age is 72, 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 Bastrop County, CMS reported about 591 emergency room visits and 212 inpatient hospital stays per 1,000 beneficiaries in 2023, which is close to the state average for emergency visits (580) and close to it for hospital stays (226). About 10% 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.
Medicare Advantage and Part D plan availability and provider networks are set county by county, so the plans open to you in Bastrop County may differ from those in a neighboring county. We are not based in Bastrop County; we help Bastrop County residents by phone or video call.
Hospitals located in Bastrop County
The Centers for Medicare & Medicaid Services (CMS) lists this hospital in Bastrop County:
- Ascension Seton Smithville — Smithville (critical access; nonprofit; emergency services)
Being located in the county is not the same as being in your plan’s network. Each Medicare Advantage plan builds its own network, so we confirm that your hospital and your doctors are included before you choose. Ratings are CMS Care Compare overall hospital star ratings; they describe the hospital, not whether a plan covers it. Source: CMS Hospital General Information.
Communities and ZIP codes in Bastrop County
People in Bastrop County live in communities such as Bastrop (11,679), Elgin (10,524), Smithville (4,126), Austin (0), Mustang Ridge (0) (2023 population estimates, counting only the part of each community that lies inside the county).
We look up plans by ZIP code. In Bastrop County, that means areas such as 78602, 78612, 78621, 78650, 78659, 78662, 78953, 78957, based on Census ZIP Code Tabulation Areas that lie mostly in the county.
Questions about Medicare in Bastrop 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.
- Social Security: Medicare to enroll or check status.
- Medicare.gov: Medigap on how Medicare Supplement works.
- HealthCare.gov if you are not yet on Medicare.
- Texas Department of Insurance: Texas’s insurance regulator, including agent license lookup.
Coverage we offer Bastrop County residents
We work with many carriers, which lets us compare more than one option for Bastrop County households, including life insurance, final expense insurance, annuities, Medicare Advantage, Medicare Supplement (Medigap), Part D drug plans, ACA health insurance, ICHRA and group health insurance.
Ready to compare plans in Bastrop County?
Tell us your doctors and medicines and we will show you what fits. No cost, no pressure.
Get my plan comparisonMedicare guides for Bastrop County residents
- What happens if you do nothing during open enrollment?
- Can I change my Medicare plan after December 7?
- Why a Medicare Advantage plan drops a doctor or drug
- Medigap Plan G vs. Plan N
Bastrop County compared with similar Texas counties
| County | Residents 65+ | Medicare Advantage share | Dual eligible share | Area type |
|---|---|---|---|---|
| Hunt County | 17,498 | 47.5% | 11% | Metro |
| Rockwall County | 16,728 | 43.5% | 7% | Metro |
| Potter County | 16,643 | 50.9% | 16% | Metro |
| Ector County | 16,473 | 54.5% | 18% | Metro |
| Bowie County | 16,221 | 43.9% | 13% | Metro |
| Victoria County | 16,078 | 54.2% | 10% | Metro |
See every Texas county in our Texas directory or go to our Texas Medicare hub.