Original research · CMS / KFF / Census

The TX + FL Medicare County Almanac

County-by-county Medicare facts for 319 Texas and Florida counties — beneficiaries, Medicare Advantage penetration, the share of residents age 65+, and how many plans serve each county. Free to cite and reuse (CC-BY 4.0). Aggregate facts only — no plan names, no rankings.

What's in the almanac

Across 319 Texas and Florida counties, about 9,746,081 people are enrolled in Medicare, and an average of 45% of them are in Medicare Advantage (the rest are in Original Medicare). The number of Medicare Advantage plans available varies widely by county. This almanac publishes those county-by-county figures from CMS, KFF, and U.S. Census data — aggregate facts only, with no plan or carrier recommendations.

Updated 2026-06-06 · Source: CMS Medicare Monthly Enrollment + MA/Part D landscape (2026-05), KFF, U.S. Census ACS 5-Year

319

counties profiled (TX + FL)

9,746,081

Medicare beneficiaries covered

45%

average Medicare Advantage penetration

Texas — 252 counties

County Medicare benes MA penetration % age 65+ MA plans
Harris County · Houston 639,500 61% 12% 47 County page →
Dallas County · Dallas 395,000 57% 11% 41 County page →
Bexar County · San Antonio 331,900 59% 13% 42 County page →
Tarrant County · Fort Worth 315,400 56% 13% 41 County page →
Travis County · Austin 157,200 48% 11% 29 County page →
Collin County · Plano 152,300 43% 12% 41 County page →
El Paso County · El Paso 148,900 74% 13% 36 County page →
Denton County · Denton 125,000 46% 11% 35 County page →
Hidalgo County · McAllen 120,500 75% 12% 33 County page →
Fort Bend County · Sugar Land 115,000 45% 11% 43 County page →
Montgomery County · Conroe 108,500 50% 14% 37 County page →
Williamson County · Round Rock 95,000 42% 13% 32 County page →
Cameron County · Brownsville 70,000 65% 14% 31 County page →
Nueces County · Corpus Christi 70,000 60% 16% 25 County page →
Galveston County · League City 65,000 55% 17% 32 County page →
Bell County · Killeen 55,000 52% 11% 20 County page →
Brazoria County · Pearland 53,200 43% 13% 32 County page →
Lubbock County · Lubbock 50,000 48% 13% 22 County page →
Smith County · Tyler 50,000 55% 18% 29 County page →
McLennan County · Waco 45,000 50% 14% 23 County page →
Comal County · New Braunfels 40,000 33% 19% 31 County page →
Jefferson County · Beaumont 39,500 43% 16% 32 County page →
Hays County · San Marcos 35,300 30% 13% 23 County page →
Webb County · Laredo 35,000 60% 10% 25 County page →
Johnson County · Cleburne 31,500 47% 14% 27 County page →
Guadalupe County · Seguin 31,500 32% 15% 28 County page →
Ellis County · Waxahachie 29,700 43% 13% 25 County page →
Parker County · Weatherford 29,000 34% 16% 29 County page →
Taylor County · Abilene 27,528 43% 15% 12 County page →
Randall County · Amarillo 27,145 41% 16% 20 County page →
Grayson County · Sherman 27,000 37% 18% 26 County page →
Gregg County · Longview 26,641 54% 17% 26 County page →
Wichita County · Wichita Falls 26,206 36% 16% 11 County page →
Brazos County · College Station 26,100 27% 11% 22 County page →
Tom Green County · San Angelo 24,186 48% 17% 17 County page →
Kaufman County · Forney 22,500 39% 10% 25 County page →
Midland County · Midland 21,722 41% 11% 18 County page →
Bowie County · Texarkana 20,471 44% 18% 18 County page →
Potter County · Amarillo 20,439 51% 15% 20 County page →
Henderson County · Athens 20,000 42% 23% 26 County page →
Hood County · Granbury 19,860 48% 27% 22 County page →
Victoria County · Victoria 19,843 54% 18% 16 County page →
Bastrop County · Bastrop 19,013 55% 15% 16 County page →
Angelina County · Lufkin 18,942 51% 18% 18 County page →
Rockwall County · Rockwall 18,800 30% 13% 23 County page →
Hunt County · Greenville 18,300 34% 15% 20 County page →
Ector County · Odessa 17,350 45% 10% 16 County page →
Liberty County · Liberty 16,000 46% 13% 28 County page →
Orange County · Orange 16,000 44% 17% 25 County page →
Burnet County · Marble Falls 14,976 45% 24% 20 County page →
Kerr County · Kerrville 14,376 36% 28% 14 County page →
Van Zandt County · Canton 13,635 50% 21% 24 County page →
Wood County · Mineola 13,404 44% 28% 18 County page →
Wise County · Decatur 13,000 41% 16% 22 County page →
Nacogdoches County · Nacogdoches 12,480 51% 16% 24 County page →
Polk County · Livingston 12,346 46% 24% 25 County page →
Harrison County · Marshall 11,902 50% 17% 23 County page →
Maverick County · Eagle Pass 11,549 76% 12% 13 County page →
Hardin County · Lumberton 11,500 44% 18% 28 County page →
Anderson County · Palestine 11,250 52% 16% 21 County page →
San Patricio County · Portland 10,938 64% 16% 15 County page →
Walker County · Huntsville 10,857 52% 14% 22 County page →
Starr County · Rio Grande City 10,250 81% 11% 17 County page →
Kendall County · Boerne 10,012 40% 19% 23 County page →
Brown County · Brownwood 9,937 39% 22% 10 County page →
Rusk County · Henderson 9,623 40% 18% 22 County page →
Lamar County · Paris 9,622 25% 19% 16 County page →
Navarro County · Corsicana 9,610 39% 17% 23 County page →
Coryell County · Gatesville 9,500 39% 12% 18 County page →
Medina County · Hondo 9,490 38% 17% 23 County page →
Cherokee County · Jacksonville 9,450 53% 18% 22 County page →
Wilson County · Floresville 9,295 37% 17% 20 County page →
Waller County · Hempstead 9,117 50% 13% 21 County page →
Jasper County · Jasper 9,092 51% 22% 19 County page →
Gillespie County · Fredericksburg 8,998 38% 32% 13 County page →
Llano County · Llano 8,718 43% 37% 17 County page →
Cooke County · Gainesville 8,500 29% 20% 18 County page →
Hopkins County · Sulphur Springs 8,419 44% 19% 17 County page →
Caldwell County · Lockhart 8,206 30% 15% 19 County page →
Atascosa County · Pleasanton 8,124 64% 16% 21 County page →
Matagorda County · Bay City 7,951 53% 18% 18 County page →
Fayette County · La Grange 7,877 18% 27% 15 County page →
Bandera County · Bandera 7,854 47% 30% 20 County page →
Austin County · Bellville 7,842 45% 21% 18 County page →
Upshur County · Gilmer 7,827 47% 18% 20 County page →
Washington County · Brenham 7,634 29% 22% 16 County page →
Aransas County · Rockport 7,331 54% 29% 19 County page →
Chambers County · Mont Belvieu 7,100 52% 13% 21 County page →
Hill County · Hillsboro 6,991 47% 20% 18 County page →
Wharton County · El Campo 6,861 40% 17% 17 County page →
Fannin County · Bonham 6,631 33% 19% 19 County page →
Val Verde County · Del Rio 6,621 33% 14% 8 County page →
Erath County · Stephenville 6,564 27% 16% 16 County page →
Grimes County · Navasota 6,347 50% 19% 24 County page →
Lampasas County · Lampasas 6,293 42% 22% 19 County page →
San Jacinto County · Coldspring 6,148 36% 22% 23 County page →
Cass County · Atlanta 6,126 40% 22% 18 County page →
Palo Pinto County · Mineral Wells 6,058 45% 20% 14 County page →
Lavaca County · Hallettsville 5,896 35% 24% 15 County page →
Uvalde County · Uvalde 5,851 28% 17% 12 County page →
Colorado County · Columbus 5,830 39% 24% 15 County page →
Montague County · Bowie 5,795 35% 22% 16 County page →
Jim Wells County · Alice 5,707 65% 15% 19 County page →
Houston County · Crockett 5,700 27% 23% 14 County page →
Trinity County · Trinity 5,630 49% 27% 14 County page →
Bosque County · Clifton 5,615 51% 25% 19 County page →
Milam County · Cameron 5,598 40% 22% 17 County page →
Leon County · Centerville 5,555 49% 24% 16 County page →
Panola County · Carthage 5,486 48% 20% 17 County page →
Kleberg County · Kingsville 5,438 63% 14% 16 County page →
Limestone County · Mexia 5,419 50% 22% 17 County page →
Shelby County · Center 5,364 52% 19% 11 County page →
Tyler County · Woodville 5,303 49% 23% 16 County page →
Burleson County · Caldwell 5,127 53% 23% 14 County page →
Eastland County · Eastland 4,944 44% 22% 11 County page →
Titus County · Mount Pleasant 4,749 40% 16% 16 County page →
Freestone County · Fairfield 4,749 46% 21% 17 County page →
DeWitt County · Cuero 4,644 44% 21% 16 County page →
Young County · Graham 4,589 29% 21% 11 County page →
Calhoun County · Port Lavaca 4,582 47% 20% 12 County page →
Gonzales County · Gonzales 4,576 45% 22% 16 County page →
Hale County · Plainview 4,484 38% 15% 14 County page →
Robertson County · Franklin 4,250 52% 21% 14 County page →
Blanco County · Johnson City 4,250 38% 26% 19 County page →
Hutchinson County · Borger 4,230 40% 19% 12 County page →
Gray County · Pampa 4,187 38% 18% 10 County page →
Hockley County · Levelland 4,161 52% 15% 14 County page →
Bee County · Beeville 4,072 42% 13% 15 County page →
Howard County · Big Spring 4,062 40% 14% 11 County page →
Lee County · Giddings 4,023 46% 21% 18 County page →
Callahan County · Baird 3,833 42% 22% 8 County page →
Morris County · Daingerfield 3,825 48% 23% 12 County page →
Falls County · Marlin 3,792 60% 19% 13 County page →
Frio County · Pearsall 3,700 52% 13% 12 County page →
Comanche County · Comanche 3,674 40% 24% 12 County page →
Sabine County · Hemphill 3,660 39% 30% 10 County page →
Red River County · Clarksville 3,638 44% 26% 12 County page →
Rains County · Emory 3,577 46% 25% 14 County page →
Jones County · Anson 3,463 44% 15% 9 County page →
Willacy County · Raymondville 3,400 69% 15% 18 County page →
Jackson County · Edna 3,371 44% 21% 14 County page →
Nolan County · Sweetwater 3,256 47% 19% 10 County page →
Camp County · Pittsburg 3,240 49% 19% 11 County page →
Marion County · Jefferson 3,221 53% 27% 12 County page →
Scurry County · Snyder 3,101 41% 17% 5 County page →
Newton County · Newton 2,967 58% 22% 14 County page →
Karnes County · Karnes City 2,916 49% 16% 14 County page →
Wilbarger County · Vernon 2,820 42% 20% 8 County page →
Deaf Smith County · Hereford 2,769 45% 14% 9 County page →
Lamb County · Littlefield 2,689 46% 18% 13 County page →
Moore County · Dumas 2,660 37% 11% 10 County page →
Coleman County · Coleman 2,658 32% 26% 10 County page →
Runnels County · Ballinger 2,641 30% 21% 10 County page →
Franklin County · Mount Vernon 2,623 43% 23% 10 County page →
Clay County · Henrietta 2,606 32% 23% 5 County page →
Madison County · Madisonville 2,587 53% 15% 14 County page →
San Augustine County · San Augustine 2,557 48% 27% 12 County page →
Live Oak County · George West 2,552 51% 22% 10 County page →
Hamilton County · Hamilton 2,546 51% 25% 15 County page →
Duval County · San Diego 2,428 69% 16% 12 County page →
Pecos County · Fort Stockton 2,416 47% 13% 8 County page →
Andrews County · Andrews 2,389 49% 11% 9 County page →
Brewster County · Alpine 2,368 39% 25% 6 County page →
Somervell County · Glen Rose 2,313 48% 21% 14 County page →
McCulloch County · Brady 2,288 40% 24% 10 County page →
Archer County · Archer City 2,257 28% 21% 5 County page →
Stephens County · Breckenridge 2,242 40% 20% 8 County page →
Dawson County · Lamesa 2,204 46% 15% 7 County page →
Gaines County · Seminole 2,203 40% 9% 4 County page →
Zapata County · Zapata 2,123 69% 14% 11 County page →
Zavala County · Crystal City 2,102 76% 15% 9 County page →
Reeves County · Pecos 2,099 39% 13% 8 County page →
Terry County · Brownfield 2,046 56% 16% 11 County page →
Jack County · Jacksboro 1,991 34% 17% 7 County page →
Goliad County · Goliad 1,944 50% 24% 10 County page →
Dimmit County · Carrizo Springs 1,927 69% 17% 9 County page →
Ward County · Monahans 1,911 43% 14% 7 County page →
Refugio County · Refugio 1,851 58% 22% 10 County page →
Presidio County · Marfa 1,788 44% 22% 5 County page →
San Saba County · San Saba 1,616 43% 22% 10 County page →
Mitchell County · Colorado City 1,571 41% 15% 7 County page →
Brooks County · Falfurrias 1,570 71% 18% 11 County page →
Parmer County · Farwell 1,546 26% 15% 3 County page →
Mills County · Goldthwaite 1,523 40% 29% 10 County page →
Haskell County · Haskell 1,470 33% 23% 8 County page →
Kimble County · Junction 1,459 28% 31% 6 County page →
Swisher County · Tulia 1,454 42% 18% 7 County page →
Ochiltree County · Perryton 1,442 23% 11% 4 County page →
Mason County · Mason 1,415 35% 31% 8 County page →
Delta County · Cooper 1,344 48% 21% 12 County page →
Childress County · Childress 1,336 44% 17% 6 County page →
Real County · Leakey 1,330 39% 36% 8 County page →
Crosby County · Crosbyton 1,318 57% 19% 9 County page →
Yoakum County · Plains 1,306 41% 11% 7 County page →
Carson County · Panhandle 1,287 41% 22% 6 County page →
Castro County · Dimmitt 1,274 40% 17% 7 County page →
Floyd County · Floydada 1,226 45% 19% 8 County page →
La Salle County · Cotulla 1,175 63% 22% 9 County page →
Wheeler County · Wheeler 1,149 27% 21% 4 County page →
Lynn County · Tahoka 1,133 50% 16% 7 County page →
Bailey County · Muleshoe 1,105 37% 17% 7 County page →
Winkler County · Kermit 1,087 41% 13% 5 County page →
Coke County · Robert Lee 1,021 42% 28% 6 County page →
Jim Hogg County · Hebbronville 1,008 70% 8% 7 County page →
Fisher County · Roby 980 35% 22% 4 County page →
Donley County · Clarendon 969 33% 27% 4 County page →
Hudspeth County · Sierra Blanca 961 52% 11% 10 County page →
Hardeman County · Quanah 937 35% 22% 4 County page →
Kinney County · Brackettville 931 42% 26% 6 County page →
Knox County · Benjamin 931 33% 19% 4 County page →
Baylor County · Seymour 922 33% 26% 6 County page →
Dallam County · Dalhart 909 32% 10% 4 County page →
Hansford County · Spearman 896 25% 14% 3 County page →
Garza County · Post 878 54% 15% 7 County page →
Sutton County · Sonora 866 26% 16% 3 County page →
Shackelford County · Albany 844 39% 20% 6 County page →
Martin County · Stanton 779 39% 11% 5 County page →
Concho County · Paint Rock 777 45% 20% 7 County page →
Crockett County · Ozona 761 38% 22% 3 County page →
Hall County · Memphis 747 43% 25% 5 County page →
Jeff Davis County · Fort Davis 717 37% 39% 4 County page →
Crane County · Crane 696 41% 15% 5 County page →
Lipscomb County · Lipscomb 690 28% 19% 3 County page →
Menard County · Menard 689 42% 32% 5 County page →
Hemphill County · Canadian 686 24% 19% 4 County page →
Schleicher County · Eldorado 679 34% 21% 3 County page →
Collingsworth County · Wellington 669 25% 21% 4 County page →
Hartley County · Channing 662 29% 17% 3 County page →
Upton County · Rankin 655 42% 19% 6 County page →
Edwards County · Rocksprings 644 45% 23% 4 County page →
Dickens County · Dickens 575 38% 24% 3 County page →
Cochran County · Morton 521 51% 17% 5 County page →
Armstrong County · Claude 516 38% 26% 4 County page →
Reagan County · Big Lake 504 37% 9% 3 County page →
Culberson County · Van Horn 481 32% 27% 2 County page →
Briscoe County · Silverton 422 34% 28% 3 County page →
Oldham County · Vega 420 32% 12% 3 County page →
Cottle County · Paducah 418 44% 26% 3 County page →
Stonewall County · Aspermont 408 25% 26% 2 County page →
Irion County · Mertzon 399 35% 22% 2 County page →
Sherman County · Stratford 395 29% 16% 3 County page →
Throckmorton County · Throckmorton 393 31% 25% 2 County page →
Motley County · Matador 345 33% 31% 3 County page →
Foard County · Crowell 306 39% 29% 2 County page →
Sterling County · Sterling City 253 28% 13% 1 County page →
Glasscock County · Garden City 240 19% 15% 1 County page →
Terrell County · Sanderson 232 41% 37% 3 County page →
Kent County · Jayton 228 43% 33% 1 County page →
Roberts County · Miami 207 30% 17% 2 County page →
McMullen County · Tilden 193 42% 16% 1 County page →
Borden County · Gail 125 25% 14% 1 County page →
Kenedy County · Sarita 52 46% 50% County page →

Florida — 67 counties

County Medicare benes MA penetration % age 65+ MA plans
Miami-Dade County · Miami 505,044 80% 19% 36 County page →
Broward County · Fort Lauderdale 362,930 64% 17% 40 County page →
Palm Beach County · West Palm Beach 359,369 53% 25% 45 County page →
Hillsborough County · Tampa 266,645 58% 14% 41 County page →
Pinellas County · Clearwater 260,835 55% 25% 45 County page →
Lee County · Cape Coral 218,994 50% 30% 40 County page →
Orange County · Orlando 216,535 62% 12% 36 County page →
Duval County · Jacksonville 186,978 55% 14% 30 County page →
Polk County · Lakeland 177,515 65% 19% 39 County page →
Brevard County · Palm Bay 176,230 50% 23% 36 County page →
Volusia County · Daytona Beach 167,801 55% 23% 40 County page →
Sarasota County · Sarasota 161,995 43% 34% 37 County page →
Pasco County · Spring Hill 147,690 66% 24% 42 County page →
Marion County · Ocala 131,618 55% 30% 38 County page →
Lake County · Clermont 122,204 55% 29% 37 County page →
Manatee County · Bradenton 120,134 50% 28% 36 County page →
Collier County · Naples 110,000 40% 32% 33 County page →
Sumter County · The Villages 85,000 62% 59% 37 County page →
Charlotte County · Port Charlotte 80,000 48% 41% 35 County page →
St. Lucie County · Port St. Lucie 80,000 58% 23% 35 County page →
Osceola County · Kissimmee 77,099 72% 14% 34 County page →
Seminole County · Sanford 75,000 55% 16% 33 County page →
Hernando County · Brooksville 70,000 65% 30% 30 County page →
Citrus County · Inverness 65,000 62% 38% 29 County page →
Escambia County · Pensacola 65,000 55% 18% 25 County page →
Indian River County · Vero Beach 60,000 45% 34% 33 County page →
St. Johns County · St. Augustine 60,000 50% 20% 28 County page →
Martin County · Stuart 55,000 40% 36% 27 County page →
Leon County · Tallahassee 52,524 61% 16% 15 County page →
Alachua County · Gainesville 48,000 40% 16% 20 County page →
Flagler County · Palm Coast 45,858 55% 32% 28 County page →
Bay County · Panama City 42,521 42% 19% 18 County page →
Clay County · Orange Park 42,000 36% 18% 26 County page →
Highlands County · Sebring 37,000 49% 35% 19 County page →
Santa Rosa County · Milton 34,886 50% 18% 23 County page →
Okaloosa County · Crestview 32,000 35% 17% 18 County page →
Nassau County · Fernandina Beach 26,000 36% 25% 20 County page →
Walton County · DeFuniak Springs 19,514 42% 21% 18 County page →
Monroe County · Key West 19,208 19% 26% 9 County page →
Putnam County · Palatka 18,340 57% 24% 16 County page →
Columbia County · Lake City 18,198 52% 19% 15 County page →
Levy County · Chiefland 13,967 55% 25% 15 County page →
Suwannee County · Live Oak 12,352 53% 21% 11 County page →
Jackson County · Marianna 11,836 51% 20% 13 County page →
Gadsden County · Quincy 8,858 68% 21% 14 County page →
Okeechobee County · Okeechobee 8,542 61% 21% 14 County page →
DeSoto County · Arcadia 8,431 58% 24% 15 County page →
Hendry County · Clewiston 7,505 59% 14% 13 County page →
Bradford County · Starke 6,350 52% 19% 11 County page →
Wakulla County · Crawfordville 6,271 62% 18% 15 County page →
Taylor County · Perry 5,315 53% 21% 12 County page →
Washington County · Chipley 4,861 43% 19% 12 County page →
Madison County · Madison 4,800 56% 23% 14 County page →
Gilchrist County · Trenton 4,720 35% 21% 10 County page →
Hardee County · Wauchula 4,659 63% 16% 15 County page →
Holmes County · Bonifay 4,650 38% 21% 11 County page →
Dixie County · Cross City 4,450 45% 24% 10 County page →
Gulf County · Port St. Joe 4,405 33% 24% 12 County page →
Baker County · Macclenny 4,251 33% 15% 12 County page →
Jefferson County · Monticello 4,104 62% 25% 13 County page →
Hamilton County · Jasper 3,303 37% 19% 9 County page →
Union County · Lake Butler 3,200 27% 16% 8 County page →
Calhoun County · Blountstown 3,057 60% 18% 11 County page →
Franklin County · Apalachicola 2,787 43% 27% 14 County page →
Glades County · Moore Haven 2,544 54% 26% 14 County page →
Lafayette County · Mayo 1,671 46% 20% 9 County page →
Liberty County · Bristol 1,578 69% 14% 7 County page →

Sources & methodology

  • Medicare beneficiary counts — CMS Medicare Monthly Enrollment by county.
  • Medicare Advantage penetration — KFF Medicare Advantage analysis + CMS enrollment.
  • Plan counts — CMS Medicare Advantage / Part D landscape files (2026-05).
  • Population & age 65+ — U.S. Census Bureau ACS 5-Year estimates.
  • Figures are aggregate and county-level; rounded for display. No plan or carrier is named, ranked, or recommended.

How to cite

Giron Agency LLC (2026). TX/FL Medicare County
Almanac 2026. https://gironagency.com/almanac/
License: CC-BY 4.0

Journalists and researchers: each county page has a one-line embeddable widget with an attribution backlink. Want a custom cut of the data? Reach out.

Giron Agency LLC is a licensed insurance agency. This almanac is educational reference data, not insurance advice or a recommendation of any plan. Not connected with or endorsed by the United States government or the federal Medicare program. For all of your coverage options, contact Medicare.gov, 1-800-MEDICARE, or your State Health Insurance Assistance Program (SHIP).

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