Medicare in Grayson County by the numbers
| Grayson County | Texas | |
|---|---|---|
| Residents age 65 and older | 26,608 | 4,188,063 statewide |
| Share of residents age 65+ | 18.1% | 13.7% statewide |
| People with Medicare | 32,947 | 5,048,909 statewide |
| Enrolled in Medicare Advantage | 15,769 | 2,770,279 statewide |
| Medicare Advantage share | 47.9% | 54.9% statewide |
Figures come from the Census Bureau and CMS (September 2026).
Among Texas’s 254 counties, Grayson County comes in 29th for residents age 65 and up (26,608). Older adults make up 18.1% of the population here; the state figure is 13.7%. About 9,839 more people are 60 to 64 and are heading toward Medicare; our turning 65 guide explains their first steps. Census 2023 estimates show 60% of the 65-plus population is under 75, 31% is 75 to 84 and 9% is 85 or older. About 47.9% of people with Medicare in Grayson County are enrolled in a Medicare Advantage plan. That is lower than the Texas average of 54.9%. What most people do in a county is less important than what fits you. We weigh Medicare Advantage against Original Medicare with Medigap using your doctors, your drugs and your budget.
Who has Medicare in Grayson County
Grayson County is a metro county; the U.S. Department of Agriculture describes it as: counties in metro areas of fewer than 250,000 population. Metro counties usually have more hospitals and more insurers competing for Medicare members, so there can be more plans to compare.
CMS counts 32,990 Medicare beneficiaries in Grayson County (2023). Their average age is 73, about the same as the Texas average of 73. About 10% are “dual eligible,” meaning they have both Medicare and Medicaid, close to the state figure of 11%.
Among people in Original Medicare in Grayson County, CMS reported about 666 emergency room visits and 298 inpatient hospital stays per 1,000 beneficiaries in 2023, which is higher than the state average for emergency visits (580) and higher than it for hospital stays (226). About 11% 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 Grayson County may differ from those in a neighboring county. We are not based in Grayson County; we help Grayson County residents by phone or video call.
Hospitals located in Grayson County
The Centers for Medicare & Medicaid Services (CMS) lists these hospitals in Grayson County:
- Baylor Scott and White Surgical Hospital at Sherma — Sherman (acute care; physician-owned; emergency services; CMS overall rating 3 of 5)
- Texoma Medical Center — Denison (acute care; for-profit; emergency services; CMS overall rating 4 of 5)
- Wilson N Jones Regional Medical Center — Sherman (acute care; for-profit; emergency services; CMS overall rating 2 of 5)
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.
Communities and ZIP codes in Grayson County
People in Grayson County live in communities such as Sherman (47,473), Denison (26,343), Van Alstyne (6,782), Whitesboro (4,181), Howe (3,673), Pottsboro (2,779) (2023 population estimates, counting only the part of each community that lies inside the county).
Census ZIP Code Tabulation Areas mostly within Grayson County number 17: 75020, 75021, 75058, 75076, 75090, 75092, 75414, 75459, 75489, 75491, 75495, 76233, 76245, 76264 and 3 more. Your exact ZIP code is what decides which plans you can join.
Questions about Medicare in Grayson 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 Grayson County residents
We work with many carriers, which lets us compare more than one option for Grayson County households, including ICHRA, group health insurance, life insurance, final expense insurance, annuities, Medicare Advantage, Medicare Supplement (Medigap), Part D drug plans and ACA health insurance.
Get a clear answer for Grayson County
A short call is enough to compare your options. Our help is free to you.
Get my plan comparisonRead next
- Medicare Advantage vs. Medigap: how to choose
- Medicare Parts A, B, C and D explained
- What Medicare Part D actually costs
- Can I change my Medicare plan after December 7?
Grayson County compared with similar Texas counties
| County | Residents 65+ | Medicare Advantage share | Dual eligible share | Area type |
|---|---|---|---|---|
| Brazos County | 26,002 | 50.4% | 8% | Metro |
| Parker County | 28,026 | 44.6% | 6% | Metro |
| Webb County | 28,470 | 64.9% | 39% | Metro |
| Guadalupe County | 28,497 | 46.9% | 7% | Metro |
| Johnson County | 28,653 | 60.5% | 10% | Metro |
| Ellis County | 29,218 | 53.4% | 9% | Metro |
See every Texas county in our Texas directory or go to our Texas Medicare hub.