Hamilton County Medicare at a glance
| Hamilton County | Texas | |
|---|---|---|
| Residents age 65 and older | 2,172 | 4,188,063 statewide |
| Share of residents age 65+ | 25.2% | 13.7% statewide |
| People with Medicare | 2,569 | 5,048,909 statewide |
| Enrolled in Medicare Advantage | 1,307 | 2,770,279 statewide |
| Medicare Advantage share | 50.9% | 54.9% statewide |
Figures come from the Census Bureau and CMS (September 2026).
With roughly 2,172 residents age 65 and older, Hamilton County is 155th among 254 Texas counties for older residents. That group is 25.2% of its population, compared with 13.7% across Texas. The 674 residents now between 60 and 64 will become Medicare-eligible soon, and our turning 65 guide walks through it. Census 2023 estimates show 53% of the 65-plus population is under 75, 32% is 75 to 84 and 16% is 85 or older. CMS data show 50.9% of Hamilton County residents with Medicare chose Medicare Advantage, which is close to the 54.9% average across Texas. Averages cannot choose a plan for you. Medicare Advantage and Original Medicare with a Medigap plan each suit different people, depending on doctors, medicines and how you prefer to handle costs, and we compare both at your ZIP code.
Who has Medicare in Hamilton County
Hamilton County is a rural county; the U.S. Department of Agriculture describes it as: urban population of fewer than 5,000, adjacent to a metro area. Rural counties tend to have fewer local hospitals and doctors, so a plan’s network and the distance to care matter a great deal.
CMS counts 2,503 Medicare beneficiaries in Hamilton 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 Hamilton County, CMS reported about 663 emergency room visits and 157 inpatient hospital stays per 1,000 beneficiaries in 2023, which is higher 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.
Where you live decides which Medicare Advantage and Part D plans you can join, and Hamilton County may have a different set of plans than the counties around it. We are not based in Hamilton County; we help Hamilton County residents by phone or video call.
Hospitals located in Hamilton County
The Centers for Medicare & Medicaid Services (CMS) lists this hospital in Hamilton County:
- Hamilton General Hospital — Hamilton (critical access; 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.
Communities and ZIP codes in Hamilton County
The largest communities in Hamilton County by 2023 Census population estimates are Hamilton (2,997), Hico (1,460), Evant (134). Each figure counts only the people living inside the county.
Census ZIP Code Tabulation Areas mostly within Hamilton County number 5: 76457, 76525, 76531, 76538, 76565. Your exact ZIP code is what decides which plans you can join.
Questions about Medicare in Hamilton 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 Hamilton County residents
We work with many carriers, which lets us compare more than one option for Hamilton County households, including final expense insurance, annuities, Medicare Advantage, Medicare Supplement (Medigap), Part D drug plans, ACA health insurance, ICHRA, group health insurance and life insurance.
Ready to compare plans in Hamilton County?
Tell us your doctors and medicines and we will show you what fits. No cost, no pressure.
Get my plan comparisonRead next
- Medicare Advantage vs. Medigap: how to choose
- Can I change my Medicare plan after December 7?
- Do you really need a Medicare agent?
- Medicare 101 for families
Hamilton County compared with similar Texas counties
| County | Residents 65+ | Medicare Advantage share | Dual eligible share | Area type |
|---|---|---|---|---|
| Karnes County | 2,158 | 49.8% | 12% | Rural |
| Madison County | 2,139 | 53.3% | 13% | Rural |
| San Augustine County | 2,096 | 48.4% | 16% | Rural |
| Runnels County | 2,078 | 31.0% | 13% | Rural |
| Somervell County | 2,017 | 47.6% | 8% | Rural |
| Coleman County | 1,998 | 30.8% | 16% | Rural |
See every Texas county in our Texas directory or go to our Texas Medicare hub.