ACA Health Insurance in Austin County, Texas. About 7,864 Medicare beneficiaries live here, with roughly 45 percent in Medicare Advantage plans. Top carriers include Humana and UnitedHealthcare. For free help comparing plans, call Giron Agency, a licensed Texas agency, or visit gironagency.com.
Austin County ACA Health Insurance — quick answer
Austin County, TX has about 34,372 residents per the 2024 ACS 5-year estimates (21% age 65 or older). The leading insurance carriers serving the county for aca health insurance include Humana, UnitedHealthcare, WellCare. We compare options at no cost to you.
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The Austin County aca health insurance market
Austin County has about 34,372 residents, 21% of them 65 or older. For aca health insurance, the carriers with the strongest local presence include Humana, UnitedHealthcare, WellCare — but the right fit depends on your household size, income, and which doctors you want to keep. We compare Humana against every other carrier serving Austin County at no cost, because the plan with the lowest sticker premium is rarely the one with the lowest total annual cost once subsidies, deductibles, and your prescriptions are factored in. Medicare Advantage enrollment figures reflect the latest CMS data (May 2026).
Austin County at a glance
Population (2024 ACS)
34,372
Medicare beneficiaries
7,864
MA penetration
45%
Age 65 or older
21%
What makes Austin County different: Austin County is a retiree-leaning rural county about 50 miles west-northwest of Houston where Bellville is the county seat (named for colonist Thomas B. Bell) and Sealy is the largest city. Its sole hospital, Mid Coast Medical Center-Bellville, traces to a small facility born of the 1920s Raccoon Bend oil boom and is now a locally operated acute-care hospital.
Top carriers in Austin County
Humana
4-star CMS rating
UnitedHealthcare
4-star CMS rating
WellCare (Centene)
3.5-star CMS rating
Aetna
4-star CMS rating
Source: CMS Monthly MA Enrollment by State/County/Contract (latest Q1 2024). Enrollment figures refresh monthly at data.cms.gov.
Before you enroll: verify your hospital + doctor in Austin County
Each ACA Health Insurance plan builds its own provider network — a hospital that's in-network
on one plan may be out-of-network on another. Austin County has 1
major hospital systems. Before you enroll, check that your preferred hospital and physicians
participate in the specific plan you're considering.
Major hospitals to verify
â–¸Mid Coast Medical Center - Bellville (formerly CHI St. Joseph Health Bellville Hospital)
Call each hospital's billing office directly — or use the carrier's
network tool on the right to search by hospital name.
Major hospitals: Mid Coast Medical Center - Bellville (formerly CHI St. Joseph Health Bellville Hospital)
Frequently Asked Questions
How many people live in Austin County?â–¾
Austin County has about 34,372 residents per the 2024 ACS 5-year estimates; 21% are age 65 or older.
Who are the top insurers in Austin County?â–¾
The largest carriers in Austin County are Humana, UnitedHealthcare, WellCare (Centene), Aetna. We work with all of them and a few smaller carriers that often have better rates for specific situations.
What state resources are available in Austin County?â–¾
Texas HICAP (1-800-252-9240) provides free unbiased Medicare counseling. Major hospitals in the county include Mid Coast Medical Center - Bellville (formerly CHI St. Joseph Health Bellville Hospital).
How does the local hospital affect my coverage options?â–¾
Mid Coast Medical Center-Bellville, a locally operated acute-care hospital since the Raccoon Bend oil boom era, offers unique medical needs that can influence your plan choice. Matt can help you find a plan that covers services at this hospital.
When is the best time to enroll in ACA health insurance?â–¾
The Annual Enrollment Period (AEP) from October 15 to December 7 is ideal for most. However, special enrollment periods may apply if you have a qualifying life event. Matt can assist with timing and help compare plans.
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Educational only — not medical or legal advice. We do not offer every plan in your area. Call 1-800-MEDICARE for all options.
