Wilson County Medicare at a glance
| Wilson County | Texas | |
|---|---|---|
| Residents age 65 and older | 9,323 | 4,188,063 statewide |
| Share of residents age 65+ | 17.2% | 13.7% statewide |
| People with Medicare | 11,816 | 5,048,909 statewide |
| Enrolled in Medicare Advantage | 6,022 | 2,770,279 statewide |
| Medicare Advantage share | 51.0% | 54.9% statewide |
Sources: Census Bureau 2023 estimates and CMS Medicare Advantage penetration, September 2026.
Among Texas’s 254 counties, Wilson County comes in 67th for residents age 65 and up (9,323). Older adults make up 17.2% of the population here; the state figure is 13.7%. The 3,730 residents now between 60 and 64 will become Medicare-eligible soon, and our turning 65 guide walks through it. By age, the 65-and-older group splits 61% ages 65 to 74, 30% ages 75 to 84 and 9% age 85 and up (Census 2023). Medicare Advantage enrollment in Wilson County is 51.0% of people with Medicare, 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 Wilson County
Wilson 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 11,104 Medicare beneficiaries in Wilson County (2023). Their average age is 72, about the same as the Texas average of 73. About 8% are “dual eligible,” meaning they have both Medicare and Medicaid, lower than the state figure of 11%.
Among people in Original Medicare in Wilson County, CMS reported about 561 emergency room visits and 165 inpatient hospital stays per 1,000 beneficiaries in 2023, which is close to the state average for emergency visits (580) and lower than it for hospital stays (226). About 8% 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 Wilson County can be different from the ones offered next door. We are not based in Wilson County; we help Wilson County residents by phone or video call.
Hospitals located in Wilson County
The Centers for Medicare & Medicaid Services (CMS) lists this hospital in Wilson County:
- Connally Memorial Medical Center — Floresville (acute care; government-owned; emergency services; CMS overall rating 3 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.
Communities and ZIP codes in Wilson County
Census Bureau 2023 estimates put the biggest communities in Wilson County at Floresville (8,306), Poth (1,968), Stockdale (1,470), La Vernia (1,405), Elmendorf (9), Nixon (0), counting only the part of each community inside the county.
ZIP codes that fall mostly inside Wilson County include 78114, 78121, 78143, 78147, 78160, 78161. Plan availability can change by ZIP code, so have yours ready when we compare plans.
Questions about Medicare in Wilson 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.
- Texas Department of Insurance: Texas’s insurance regulator, including agent license lookup.
Coverage we offer Wilson County residents
Here is what we can help Wilson 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 Wilson County options together
We confirm your doctors and prescriptions before you enroll, at no cost to you.
Get my plan comparisonRead next
- Medicare Advantage vs. Medigap: how to choose
- Medigap Plan G vs. Plan N
- Why a Medicare Advantage plan drops a doctor or drug
- Can I change my Medicare plan after December 7?
Wilson County compared with similar Texas counties
| County | Residents 65+ | Medicare Advantage share | Dual eligible share | Area type |
|---|---|---|---|---|
| Rusk County | 9,332 | 52.7% | 10% | Metro |
| Medina County | 9,733 | 57.2% | 10% | Metro |
| Coryell County | 9,961 | 50.1% | 9% | Metro |
| Hardin County | 10,404 | 54.9% | 11% | Metro |
| Upshur County | 8,204 | 53.9% | 9% | Metro |
| Kendall County | 10,474 | 39.6% | 4% | Metro |
See every Texas county in our Texas directory or go to our Texas Medicare hub.