ACA Health Insurance in Ector County, Texas. About 21,670 Medicare beneficiaries live here, with roughly 55 percent in Medicare Advantage plans. Top carriers include UnitedHealthcare / AARP and Aetna. For free help comparing plans, call Giron Agency, a licensed Texas agency, or visit gironagency.com.
Ector County, TX has about 170,000 residents per the 2024 ACS 5-year estimates (10% age 65 or older). The leading insurance carriers serving the county for aca health insurance include UnitedHealthcare / AARP, Aetna, Humana. We compare options at no cost to you.
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The Ector County aca health insurance market
Ector County has about 170,000 residents, 10% of them 65 or older. For aca health insurance, the carriers with the strongest local presence include UnitedHealthcare / AARP, Aetna, Humana — but the right fit depends on your household size, income, and which doctors you want to keep. We compare UnitedHealthcare / AARP against every other carrier serving Ector 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).
Ector County at a glance
Population (2024 ACS)
170,000
Medicare beneficiaries
21,670
MA penetration
55%
Age 65 or older
10%
What makes Ector County different: Ector County/Odessa sits in the heart of the Permian Basin oil patch, where a young blue-collar energy workforce holds the 65+ share to roughly 9-10% (USAFacts/Census), the lowest of these five counties. Medicare Advantage still runs high (~45% among Ector seniors, with Odessa-ZIP figures over 50%), led heavily by UnitedHealthcare/AARP. The publicly owned Medical Center Health System is the county's primary hospital.
Top carriers in Ector County
UnitedHealthcare / AARP
4-star CMS rating
Aetna
4-star CMS rating
Humana
4-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 Ector 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. Ector 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
▸Medical Center Health System (Odessa)
▸Odessa 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: Medical Center Health System (Odessa), Odessa Regional Medical Center
Frequently Asked Questions
How many people live in Ector County?▾
Ector County has about 170,000 residents per the 2024 ACS 5-year estimates; 10% are age 65 or older.
Who are the top insurers in Ector County?▾
The largest carriers in Ector County are UnitedHealthcare / AARP, Aetna, Humana, 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 Ector County?▾
Texas HICAP (1-800-252-9240) provides free unbiased Medicare counseling. Major hospitals in the county include Medical Center Health System (Odessa), Odessa Regional Medical Center.
Why is the 65+ population share lower in Ector County compared to other Permian Basin counties?▾
Ector County, with a significant young blue-collar energy workforce, has a 65+ share of about 9-10%, which is notably lower than surrounding Permian Basin areas. This unique demographic affects the types of ACA plans available.
When can I enroll in Marketplace plans for Ector County residents?▾
Open Enrollment Period (OEP) runs from Nov 1 to Dec 15, with Special Enrollments (SEPs) available for life changes. Annual Election Period (AEP) is Oct 15 to Dec 7.
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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.
