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).