ACA Health Insurance in Bastrop County, Texas. About 19,046 Medicare beneficiaries live here, with roughly 55 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.

Bastrop County ACA Health Insurance Plans

Bastrop-area carriers, real enrollment data, free quotes from a licensed Texas agent.

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Matt Giron

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Bastrop County ACA Health Insurance — quick answer

Bastrop County, TX has about 114,931 residents per the 2024 ACS 5-year estimates (15% age 65 or older). The leading insurance carriers serving the county for aca health insurance include Humana, UnitedHealthcare, Baylor Scott & White Health Plan. We compare options at no cost to you.

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The Bastrop County aca health insurance market

Bastrop County has about 114,931 residents, 15% of them 65 or older. For aca health insurance, the carriers with the strongest local presence include Humana, UnitedHealthcare, Baylor Scott & White Health Plan — 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 Bastrop 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).

Bastrop County at a glance

Population (2024 ACS)
114,931
Medicare beneficiaries
19,046
MA penetration
55%
Age 65 or older
15%

What makes Bastrop County different: Bastrop County's two hospitals are both Ascension Seton facilities; the rural Ascension Seton Smithville (capped at 25 inpatient beds) earned federal Critical Access Hospital designation from CMS in August 2025, securing the county's rural emergency and inpatient services with enhanced Medicare cost-based reimbursement.

Top carriers in Bastrop County

  • Humana

    3.5-star CMS rating

  • UnitedHealthcare (AARP)

    4.5-star CMS rating

  • Baylor Scott & White Health Plan

    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 Bastrop 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. Bastrop County has 2 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

  • Ascension Seton Bastrop
  • Ascension Seton Smithville

Call each hospital's billing office directly — or use the carrier's network tool on the right to search by hospital name.

Top Bastrop carriers — network lookup

Or skip the cross-checking — we run network checks against your prescriptions and doctors at no cost during any consult.

Want to talk it through?

Pick a time on Matt's calendar — 15 minutes, no sales pressure, no obligation. We'll walk through the Bastrop County plans that fit your situation.

Local resources in Bastrop County

Frequently Asked Questions

How many people live in Bastrop County?

Bastrop County has about 114,931 residents per the 2024 ACS 5-year estimates; 15% are age 65 or older.

Who are the top insurers in Bastrop County?

The largest carriers in Bastrop County are Humana, UnitedHealthcare (AARP), Baylor Scott & White Health Plan. 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 Bastrop County?

Texas HICAP (1-800-252-9240) provides free unbiased Medicare counseling. Major hospitals in the county include Ascension Seton Bastrop, Ascension Seton Smithville.

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