ACA Health Insurance in Bowie County, Texas. About 20,467 Medicare beneficiaries live here, with roughly 44 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.
Bowie County, TX has about 92,115 residents per the 2024 ACS 5-year estimates (18% age 65 or older). The leading insurance carriers serving the county for aca health insurance include Humana, UnitedHealthcare, Aetna. We compare options at no cost to you.
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The Bowie County aca health insurance market
Bowie County has about 92,115 residents, 18% of them 65 or older. For aca health insurance, the carriers with the strongest local presence include Humana, UnitedHealthcare, Aetna — 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 Bowie 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).
Bowie County at a glance
Population (2024 ACS)
92,115
Medicare beneficiaries
20,467
MA penetration
44%
Age 65 or older
18%
What makes Bowie County different: Bowie County straddles the Texas-Arkansas state line, with Texarkana split across two states. CHRISTUS Health became the dominant local system after finalizing its November 1, 2024 purchase of the former Wadley Regional Medical Center (now CHRISTUS Health Pine Street, at 1000 Pine St) out of Steward Health Care's bankruptcy, joining its existing CHRISTUS St. Michael hospital. With ~17.8% of residents 65+, Bowie skews older than the Texas average, and about 44% of its ~20,000 Medicare beneficiaries choose Medicare Advantage.
Top carriers in Bowie County
Humana
4.5-star CMS rating
UnitedHealthcare
4-star CMS rating
Aetna
3.5-star CMS rating
WellCare
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 Bowie 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. Bowie 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
▸CHRISTUS St. Michael Health System
▸CHRISTUS Health Pine Street (formerly Wadley Regional Medical Center)
Call each hospital's billing office directly — or use the carrier's
network tool on the right to search by hospital name.
Major hospitals: CHRISTUS St. Michael Health System, CHRISTUS Health Pine Street (formerly Wadley Regional Medical Center)
Frequently Asked Questions
How many people live in Bowie County?▾
Bowie County has about 92,115 residents per the 2024 ACS 5-year estimates; 18% are age 65 or older.
Who are the top insurers in Bowie County?▾
The largest carriers in Bowie County are Humana, UnitedHealthcare, Aetna, WellCare. 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 Bowie County?▾
Texas HICAP (Health Information, Counseling and Advocacy Program) (1-800-252-9240) provides free unbiased Medicare counseling. Major hospitals in the county include CHRISTUS St. Michael Health System, CHRISTUS Health Pine Street (formerly Wadley Regional Medical Center).
How does the unique situation of Bowie County affect my ACA health insurance options?▾
Bowie County's status as a border county, straddling Texas and Arkansas, means you can access both state’s ACA plans. With over 18% of residents aged 65+, Medicare Advantage is popular among local seniors.
When should I enroll in ACA health insurance for the best coverage?▾
You can enroll during the Annual Enrollment Period (AEP) from October 15 to December 7, or outside this period if you have a Special Enrollment Period (SEP). Check eligibility and compare plans with our free quote service.
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