The numbers behind Medicare in Pike County
| Pike County | Alabama | |
|---|---|---|
| Residents age 65 and older | 5,274 | 932,312 statewide |
| Share of residents age 65+ | 15.9% | 18.3% statewide |
| People with Medicare | 6,842 | 1,148,442 statewide |
| Enrolled in Medicare Advantage | 4,674 | 706,387 statewide |
| Medicare Advantage share | 68.3% | 61.5% statewide |
Sources: Census Bureau 2023 estimates and CMS Medicare Advantage penetration, September 2026.
With roughly 5,274 residents age 65 and older, Pike County is 41st among 67 Alabama counties for older residents. That group is 15.9% of its population, compared with 18.3% across Alabama. About 1,791 more people are 60 to 64 and are heading toward Medicare; our turning 65 guide explains their first steps. Among residents 65 and older, 57% are 65 to 74, 33% are 75 to 84 and 10% are 85 or older (Census 2023 estimates). CMS data show 68.3% of Pike County residents with Medicare chose Medicare Advantage, which is higher than the 61.5% average across Alabama. 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 Pike County
Pike County is a non-metro county with towns and small cities (USDA: urban population of 5,000 to 20,000, adjacent to a metro area). Care is often split between local providers and a bigger hospital elsewhere, which is worth testing against each plan’s network.
CMS counts 7,018 Medicare beneficiaries in Pike 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 Pike County, CMS reported about 680 emergency room visits and 215 inpatient hospital stays per 1,000 beneficiaries in 2023, which is higher than the state average for emergency visits (600) and lower than 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 Pike County may have a different set of plans than the counties around it. We are not based in Pike County; we help Pike County residents by phone or video call.
Hospitals located in Pike County
The Centers for Medicare & Medicaid Services (CMS) lists this hospital in Pike County:
- Troy Regional Medical Center — Troy (acute care; government-owned; emergency services; CMS overall rating 4 of 5)
Being located in the county is not the same as being in your plan’s network. Each Medicare Advantage plan builds its own network, so we confirm that your hospital and your doctors are included before you choose. Ratings are CMS Care Compare overall hospital star ratings; they describe the hospital, not whether a plan covers it. Source: CMS Hospital General Information.
Pike County: communities and ZIP codes
The largest communities in Pike County by 2023 Census population estimates are Troy (17,836), Brundidge (2,028), Goshen (266), Banks (155). Each figure counts only the people living inside the county.
ZIP codes that fall mostly inside Pike County include 36005, 36010, 36035, 36079, 36081, 36082. Plan availability can change by ZIP code, so have yours ready when we compare plans.
Questions about Medicare in Pike 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.
- Alabama Department of Insurance: Alabama’s insurance regulator, including agent license lookup.
Coverage we offer Pike County residents
We work with many carriers, which lets us compare more than one option for Pike County households, including Part D drug plans, ACA health insurance, ICHRA, group health insurance, life insurance, final expense insurance, annuities, Medicare Advantage and Medicare Supplement (Medigap).
Let’s check your Pike County options together
We confirm your doctors and prescriptions before you enroll, at no cost to you.
Get my plan comparisonPlain-English Medicare answers
- How to read your Medicare Annual Notice of Change
- Medigap Plan G vs. Plan N
- Do you really need a Medicare agent?
- Does Medicare cover dental, vision and hearing?
Pike County compared with similar Alabama counties
| County | Residents 65+ | Medicare Advantage share | Dual eligible share | Area type |
|---|---|---|---|---|
| Barbour County | 5,060 | 65.9% | 18% | Smaller city/town |
| Franklin County | 5,628 | 54.5% | 22% | Smaller city/town |
| Butler County | 4,066 | 66.8% | 19% | Smaller city/town |
| Marengo County | 3,918 | 64.2% | 22% | Smaller city/town |
| Escambia County | 6,950 | 63.3% | 17% | Smaller city/town |
| Chambers County | 7,205 | 67.1% | 23% | Smaller city/town |
See every Alabama county in our Alabama directory or go to our Alabama Medicare hub.