ACA Health Insurance in Blanco County, Texas. About 4,350 Medicare beneficiaries live here, with roughly 40 percent in Medicare Advantage plans. Top carriers include UnitedHealthcare and Humana. For free help comparing plans, call Giron Agency, a licensed Texas agency, or visit gironagency.com.
Blanco County ACA Health Insurance — quick answer
Blanco County, TX has about 12,446 residents per the 2024 ACS 5-year estimates (26% age 65 or older). The leading insurance carriers serving the county for aca health insurance include UnitedHealthcare, Humana, Aetna. We compare options at no cost to you.
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The Blanco County aca health insurance market
Blanco County has about 12,446 residents, 26% of them 65 or older. For aca health insurance, the carriers with the strongest local presence include UnitedHealthcare, Humana, Aetna — but the right fit depends on your household size, income, and which doctors you want to keep. We compare UnitedHealthcare against every other carrier serving Blanco 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).
Blanco County at a glance
Population (2024 ACS)
12,446
Medicare beneficiaries
4,350
MA penetration
40%
Age 65 or older
26%
What makes Blanco County different: Blanco County has no hospital within its borders, so its roughly 4,250 Medicare beneficiaries must drive to acute-care facilities in neighboring counties - Baylor Scott & White Medical Center in Marble Falls (Burnet County) or Methodist Hospital Hill Country in Fredericksburg (Gillespie County); this rural-access gap helps explain why Medicare Advantage penetration sits near 38%, with PPO products from UnitedHealthcare, Humana, and Aetna - whose broader out-of-network access suits residents who routinely cross county lines for care - prominent in the market.
Top carriers in Blanco County
UnitedHealthcare (UnitedHealth Group)
4.5-star CMS rating
Humana
3.5-star CMS rating
Aetna (CVS Health)
3.5-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 Blanco 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. Blanco 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
â–¸Baylor Scott & White Medical Center - Marble Falls
â–¸Methodist Hospital Hill Country (formerly Hill Country Memorial), Fredericksburg
Call each hospital's billing office directly — or use the carrier's
network tool on the right to search by hospital name.
Major hospitals: Baylor Scott & White Medical Center - Marble Falls, Methodist Hospital Hill Country (formerly Hill Country Memorial), Fredericksburg
Frequently Asked Questions
How many people live in Blanco County?â–¾
Blanco County has about 12,446 residents per the 2024 ACS 5-year estimates; 26% are age 65 or older.
Who are the top insurers in Blanco County?â–¾
The largest carriers in Blanco County are UnitedHealthcare (UnitedHealth Group), Humana, Aetna (CVS Health). 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 Blanco County?â–¾
Texas HICAP (1-800-252-9240) provides free unbiased Medicare counseling. Major hospitals in the county include Baylor Scott & White Medical Center - Marble Falls, Methodist Hospital Hill Country (formerly Hill Country Memorial), Fredericksburg.
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