Upshur County Medicare at a glance
| Upshur County | Texas | |
|---|---|---|
| Residents age 65 and older | 8,204 | 4,188,063 statewide |
| Share of residents age 65+ | 19.0% | 13.7% statewide |
| People with Medicare | 10,236 | 5,048,909 statewide |
| Enrolled in Medicare Advantage | 5,514 | 2,770,279 statewide |
| Medicare Advantage share | 53.9% | 54.9% statewide |
Data: U.S. Census Bureau (2023 population estimates); CMS, September 2026. Medicare Advantage share is enrollees divided by people with Medicare.
With roughly 8,204 residents age 65 and older, Upshur County is 75th among 254 Texas counties for older residents. That group is 19.0% of its population, compared with 13.7% across Texas. Another 3,172 residents are age 60 to 64 and will reach Medicare eligibility within about five years (see our turning 65 guide). 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). About 53.9% of people with Medicare in Upshur County are enrolled in a Medicare Advantage plan. That is close to the Texas average of 54.9%. 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 Upshur County
Upshur County sits in a metro area, which the USDA defines as counties in metro areas of 250,000 to 1 million population. That usually means more doctors, more hospitals and more plan choices in the area.
CMS counts 9,845 Medicare beneficiaries in Upshur County (2023). Their average age is 72, about the same as the Texas average of 73. About 9% are “dual eligible,” meaning they have both Medicare and Medicaid, lower than the state figure of 11%.
Among people in Original Medicare in Upshur County, CMS reported about 587 emergency room visits and 233 inpatient hospital stays per 1,000 beneficiaries in 2023, which is close to the state average for emergency visits (580) and close to it for hospital stays (226). 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.
Insurers choose which counties to serve each year, which means the Medicare Advantage and Part D plans you can pick in Upshur County can be different from the ones offered next door. We are not based in Upshur County; we help Upshur County residents by phone or video call.
Hospitals and doctors near Upshur County
CMS Hospital General Information lists no acute care, critical access or children’s hospital located inside Upshur 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.
Upshur County: communities and ZIP codes
Census Bureau 2023 estimates put the biggest communities in Upshur County at Gilmer (5,100), Gladewater (2,477), Big Sandy (1,308), Ore City (1,175), East Mountain (956), Union Grove (467), counting only the part of each community inside the county.
We look up plans by ZIP code. In Upshur County, that means areas such as 75644, 75645, 75683, 75755, based on Census ZIP Code Tabulation Areas that lie mostly in the county.
Questions about Medicare in Upshur 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 Upshur County residents
As an independent agency we are not tied to one insurer, so for Upshur County residents we can compare ACA health insurance, ICHRA, group health insurance, life insurance, final expense insurance, annuities, Medicare Advantage, Medicare Supplement (Medigap) and Part D drug plans.
Ready to compare plans in Upshur County?
Tell us your doctors and medicines and we will show you what fits. No cost, no pressure.
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Upshur County compared with similar Texas counties
| County | Residents 65+ | Medicare Advantage share | Dual eligible share | Area type |
|---|---|---|---|---|
| Atascosa County | 7,812 | 64.2% | 18% | Metro |
| Caldwell County | 7,737 | 55.7% | 16% | Metro |
| Waller County | 7,486 | 51.3% | 10% | Metro |
| Aransas County | 7,312 | 57.5% | 7% | Metro |
| Wilson County | 9,323 | 51.0% | 8% | Metro |
| Rusk County | 9,332 | 52.7% | 10% | Metro |
See every Texas county in our Texas directory or go to our Texas Medicare hub.