Medicare in Madison County by the numbers
| Madison County | Texas | |
|---|---|---|
| Residents age 65 and older | 2,139 | 4,188,063 statewide |
| Share of residents age 65+ | 15.6% | 13.7% statewide |
| People with Medicare | 2,723 | 5,048,909 statewide |
| Enrolled in Medicare Advantage | 1,451 | 2,770,279 statewide |
| Medicare Advantage share | 53.3% | 54.9% statewide |
Figures come from the Census Bureau and CMS (September 2026).
Madison County ranks 157th of 254 Texas counties by number of residents age 65 and older, with about 2,139 people in that age group, or 15.6% of residents (statewide: 13.7%). The 700 residents now between 60 and 64 will become Medicare-eligible soon, and our turning 65 guide walks through it. Among residents 65 and older, 56% are 65 to 74, 32% are 75 to 84 and 12% are 85 or older (Census 2023 estimates). CMS data show 53.3% of Madison 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 Madison County
The USDA classifies Madison County as: urban population of fewer than 5,000, adjacent to a metro area. With fewer hospitals and clinics close by, the right Medicare plan here is often the one whose network includes the providers you can really reach.
CMS counts 2,681 Medicare beneficiaries in Madison County (2023). Their average age is 73, about the same as the Texas average of 73. About 13% are “dual eligible,” meaning they have both Medicare and Medicaid, close to the state figure of 11%.
Among people in Original Medicare in Madison County, CMS reported about 749 emergency room visits and 270 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 9% 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 Madison County may differ from those in a neighboring county. We are not based in Madison County; we help Madison County residents by phone or video call.
Hospitals located in Madison County
The Centers for Medicare & Medicaid Services (CMS) lists this hospital in Madison County:
- Madison St. Joseph Health Center — Madisonville (critical access; nonprofit; emergency services)
A hospital being in the county does not mean every plan covers it. Medicare Advantage networks differ by plan, so we check the hospitals and doctors you actually use 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.
Madison County: communities and ZIP codes
Census Bureau 2023 estimates put the biggest communities in Madison County at Madisonville (4,602), Midway (186), Normangee (62), counting only the part of each community inside the county.
ZIP codes that fall mostly inside Madison County include 75852, 77864, 77872. Plan availability can change by ZIP code, so have yours ready when we compare plans.
Questions about Medicare in Madison 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 Madison County residents
We work with many carriers, which lets us compare more than one option for Madison County households, including Medicare Supplement (Medigap), Part D drug plans, ACA health insurance, ICHRA, group health insurance, life insurance, final expense insurance, annuities and Medicare Advantage.
Get a clear answer for Madison County
A short call is enough to compare your options. Our help is free to you.
Get my plan comparisonPlain-English Medicare answers
- 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?
Madison 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 |
| Hamilton County | 2,172 | 50.9% | 10% | 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.