Medicare in Nacogdoches County by the numbers
| Nacogdoches County | Texas | |
|---|---|---|
| Residents age 65 and older | 10,570 | 4,188,063 statewide |
| Share of residents age 65+ | 16.2% | 13.7% statewide |
| People with Medicare | 12,778 | 5,048,909 statewide |
| Enrolled in Medicare Advantage | 6,601 | 2,770,279 statewide |
| Medicare Advantage share | 51.7% | 54.9% statewide |
Data: U.S. Census Bureau (2023 population estimates); CMS, September 2026. Medicare Advantage share is enrollees divided by people with Medicare.
Among Texas’s 254 counties, Nacogdoches County comes in 58th for residents age 65 and up (10,570). Older adults make up 16.2% of the population here; the state figure is 13.7%. About 3,575 more people are 60 to 64 and are heading toward Medicare; our turning 65 guide explains their first steps. By age, the 65-and-older group splits 60% ages 65 to 74, 30% ages 75 to 84 and 10% age 85 and up (Census 2023). Medicare Advantage enrollment in Nacogdoches County is 51.7% 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 Nacogdoches County
Nacogdoches County is a smaller-city and town county; the U.S. Department of Agriculture describes it as: urban population of 20,000 or more, not adjacent to a metro area. Counties like this often sit between a metro area and rural communities, so some residents use hospitals and specialists in a neighboring county and a plan’s network across the county line matters.
CMS counts 12,928 Medicare beneficiaries in Nacogdoches County (2023). Their average age is 73, about the same as the Texas average of 73. About 12% are “dual eligible,” meaning they have both Medicare and Medicaid, close to the state figure of 11%.
Among people in Original Medicare in Nacogdoches County, CMS reported about 623 emergency room visits and 269 inpatient hospital stays per 1,000 beneficiaries in 2023, which is close to the state average for emergency visits (580) and higher than it for hospital stays (226). About 12% 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 Nacogdoches County may differ from those in a neighboring county. We are not based in Nacogdoches County; we help Nacogdoches County residents by phone or video call.
Hospitals located in Nacogdoches County
The Centers for Medicare & Medicaid Services (CMS) lists these hospitals in Nacogdoches County:
- Nacogdoches Medical Center — Nacogdoches (acute care; nonprofit; emergency services; CMS overall rating 3 of 5)
- Nacogdoches Memorial Hospital — Nacogdoches (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.
Where people live in Nacogdoches County
Census Bureau 2023 estimates put the biggest communities in Nacogdoches County at Nacogdoches (32,156), Garrison (817), Cushing (576), Appleby (552), Chireno (377), counting only the part of each community inside the county.
We look up plans by ZIP code. In Nacogdoches County, that means areas such as 75760, 75788, 75937, 75943, 75944, 75946, 75961, 75962, 75964, 75965, based on Census ZIP Code Tabulation Areas that lie mostly in the county.
Questions about Medicare in Nacogdoches 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.
- Texas Department of Insurance: Texas’s insurance regulator, including agent license lookup.
Coverage we offer Nacogdoches County residents
As an independent agency we are not tied to one insurer, so for Nacogdoches County residents we can compare annuities, Medicare Advantage, Medicare Supplement (Medigap), Part D drug plans, ACA health insurance, ICHRA, group health insurance, life insurance and final expense insurance.
Ready to compare plans in Nacogdoches County?
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Get my plan comparisonMedicare guides for Nacogdoches County residents
- Why a Medicare Advantage plan drops a doctor or drug
- Medicare Parts A, B, C and D explained
- How to read your Medicare Annual Notice of Change
- Does Medicare cover dental, vision and hearing?
Nacogdoches County compared with similar Texas counties
| County | Residents 65+ | Medicare Advantage share | Dual eligible share | Area type |
|---|---|---|---|---|
| Polk County | 10,265 | 47.0% | 7% | Smaller city/town |
| Lamar County | 9,755 | 37.6% | 13% | Smaller city/town |
| Walker County | 11,590 | 58.5% | 11% | Smaller city/town |
| Cherokee County | 9,468 | 53.1% | 13% | Smaller city/town |
| Navarro County | 9,263 | 52.3% | 16% | Smaller city/town |
| Anderson County | 9,081 | 54.3% | 12% | Smaller city/town |
See every Texas county in our Texas directory or go to our Texas Medicare hub.