Medicare in Monroe County by the numbers
| Monroe County | Alabama | |
|---|---|---|
| Residents age 65 and older | 4,296 | 932,312 statewide |
| Share of residents age 65+ | 22.3% | 18.3% statewide |
| People with Medicare | 5,372 | 1,148,442 statewide |
| Enrolled in Medicare Advantage | 3,659 | 706,387 statewide |
| Medicare Advantage share | 68.1% | 61.5% statewide |
Figures come from the Census Bureau and CMS (September 2026).
Monroe County ranks 46th of 67 Alabama counties by number of residents age 65 and older, with about 4,296 people in that age group, or 22.3% of residents (statewide: 18.3%). The 1,412 residents now between 60 and 64 will become Medicare-eligible soon, and our turning 65 guide walks through it. Among residents 65 and older, 59% are 65 to 74, 31% are 75 to 84 and 10% are 85 or older (Census 2023 estimates). Medicare Advantage enrollment in Monroe County is 68.1% of people with Medicare, higher than the Alabama average of 61.5%. 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 Monroe County
Monroe County is a rural county (USDA: urban population of fewer than 5,000, adjacent to a metro area). Plan choices can be narrower than in a city, and we focus on networks that include the doctors and hospital you actually use.
CMS counts 5,557 Medicare beneficiaries in Monroe County (2023). Their average age is 72, about the same as the Alabama average of 72. About 18% are “dual eligible,” meaning they have both Medicare and Medicaid, higher than the state figure of 14%. Where many people have both, special plans for dual-eligible members can matter; see our Medicaid and dual eligible guide, since availability varies by plan and area.
Among people in Original Medicare in Monroe County, CMS reported about 775 emergency room visits and 226 inpatient hospital stays per 1,000 beneficiaries in 2023, which is higher than the state average for emergency visits (600) and close to it for hospital stays (247). About 13% 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 Monroe County may have a different set of plans than the counties around it. We are not based in Monroe County; we help Monroe County residents by phone or video call.
Hospitals and doctors near Monroe County
CMS Hospital General Information lists no acute care, critical access or children’s hospital located inside Monroe County. Residents often use hospitals in neighboring counties, which matters for Medicare Advantage because a plan’s network may include or leave out the hospital you use. We check your hospitals and doctors before you enroll.
Communities and ZIP codes in Monroe County
People in Monroe County live in communities such as Monroeville (5,734), Frisco City (1,124), Excel (531), Vredenburgh (218), Beatrice (200) (2023 population estimates, counting only the part of each community that lies inside the county).
Census ZIP Code Tabulation Areas mostly within Monroe County number 9: 36425, 36439, 36444, 36445, 36460, 36470, 36471, 36480, 36481. Your exact ZIP code is what decides which plans you can join.
Questions about Medicare in Monroe 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.
- Alabama Department of Insurance: Alabama’s insurance regulator, including agent license lookup.
Coverage we offer Monroe County residents
Here is what we can help Monroe County residents with, drawing on plans from many insurers: Medicare Supplement (Medigap), Part D drug plans, ACA health insurance, ICHRA, group health insurance, life insurance, final expense insurance, annuities and Medicare Advantage.
Let’s check your Monroe County options together
We confirm your doctors and prescriptions before you enroll, at no cost to you.
Get my plan comparisonRead next
- Do you really need a Medicare agent?
- Medicare 101 for families
- Medicare Advantage vs. Medigap: how to choose
- Can I change my Medicare plan after December 7?
Monroe County compared with similar Alabama counties
| County | Residents 65+ | Medicare Advantage share | Dual eligible share | Area type |
|---|---|---|---|---|
| Clarke County | 4,683 | 69.3% | 18% | Rural |
| Randolph County | 4,918 | 59.0% | 18% | Rural |
| Fayette County | 3,554 | 62.2% | 21% | Rural |
| Winston County | 5,295 | 60.1% | 20% | Rural |
| Washington County | 3,240 | 63.3% | 18% | Rural |
| Lamar County | 3,105 | 45.2% | 18% | Rural |
See every Alabama county in our Alabama directory or go to our Alabama Medicare hub.