Medicare in St. Clair County by the numbers
| St. Clair County | Alabama | |
|---|---|---|
| Residents age 65 and older | 17,443 | 932,312 statewide |
| Share of residents age 65+ | 18.3% | 18.3% statewide |
| People with Medicare | 24,392 | 1,148,442 statewide |
| Enrolled in Medicare Advantage | 14,731 | 706,387 statewide |
| Medicare Advantage share | 60.4% | 61.5% statewide |
Figures come from the Census Bureau and CMS (September 2026).
Among Alabama’s 67 counties, St. Clair County comes in 17th for residents age 65 and up (17,443). Older adults make up 18.3% of the population here; the state figure is 18.3%. About 6,477 more people are 60 to 64 and are heading toward Medicare; our turning 65 guide explains their first steps. Among residents 65 and older, 59% are 65 to 74, 32% are 75 to 84 and 9% are 85 or older (Census 2023 estimates). Medicare Advantage enrollment in St. Clair County is 60.4% of people with Medicare, close to 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 St. Clair County
St. Clair County sits in a metro area, which the USDA defines as counties in metro areas of 1 million population or more. That usually means more doctors, more hospitals and more plan choices in the area.
CMS counts 21,280 Medicare beneficiaries in St. Clair County (2023). Their average age is 72, about the same as the Alabama average of 72. About 9% are “dual eligible,” meaning they have both Medicare and Medicaid, lower than the state figure of 14%.
Among people in Original Medicare in St. Clair County, CMS reported about 574 emergency room visits and 274 inpatient hospital stays per 1,000 beneficiaries in 2023, which is close to the state average for emergency visits (600) and close to it for hospital stays (247). About 11% 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.
Insurers choose which counties to serve each year, which means the Medicare Advantage and Part D plans you can pick in St. Clair County can be different from the ones offered next door. We are not based in St. Clair County; we help St. Clair County residents by phone or video call.
Hospitals located in St. Clair County
The Centers for Medicare & Medicaid Services (CMS) lists this hospital in St. Clair County:
- St. Vincent's St. Clair — Pell City (acute care; nonprofit; emergency services; CMS overall rating 3 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.
Where people live in St. Clair County
People in St. Clair County live in communities such as Pell City (13,924), Moody (13,595), Margaret (6,236), Odenville (5,352), Springville (5,233), Argo (4,328) (2023 population estimates, counting only the part of each community that lies inside the county).
We look up plans by ZIP code. In St. Clair County, that means areas such as 35004, 35052, 35054, 35112, 35120, 35125, 35128, 35131, 35135, 35146, 35953, 35987, based on Census ZIP Code Tabulation Areas that lie mostly in the county.
Questions about Medicare in St. Clair 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 St. Clair County residents
As an independent agency we are not tied to one insurer, so for St. Clair 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.
Get a clear answer for St. Clair County
A short call is enough to compare your options. Our help is free to you.
Get my plan comparisonMedicare guides for St. Clair County residents
- Why a Medicare Advantage plan drops a doctor or drug
- When can you switch Medicare plans? Every enrollment window
- Medicare Advantage vs. Medigap: how to choose
- Medicare Parts A, B, C and D explained
St. Clair County compared with similar Alabama counties
| County | Residents 65+ | Medicare Advantage share | Dual eligible share | Area type |
|---|---|---|---|---|
| Limestone County | 18,332 | 52.5% | 9% | Metro |
| Elmore County | 15,445 | 60.7% | 9% | Metro |
| Lauderdale County | 20,189 | 54.8% | 13% | Metro |
| Etowah County | 20,695 | 66.4% | 21% | Metro |
| Houston County | 20,813 | 60.9% | 14% | Metro |
| Calhoun County | 21,825 | 57.0% | 14% | Metro |
See every Alabama county in our Alabama directory or go to our Alabama Medicare hub.