ACA Health Insurance in Fayette County, Texas. About 7,958 Medicare beneficiaries live here, with roughly 35 percent in Medicare Advantage plans. Top carriers include Humana and BSW SeniorCare Advantage. For free help comparing plans, call Giron Agency, a licensed Texas agency, or visit gironagency.com.
Fayette County ACA Health Insurance — quick answer
Fayette County, TX has about 25,417 residents per the 2024 ACS 5-year estimates (27% age 65 or older). The leading insurance carriers serving the county for aca health insurance include Humana, BSW SeniorCare Advantage, UnitedHealthcare. We compare options at no cost to you.
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The Fayette County aca health insurance market
Fayette County has about 25,417 residents, 27% of them 65 or older. For aca health insurance, the carriers with the strongest local presence include Humana, BSW SeniorCare Advantage, UnitedHealthcare — 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 Fayette 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).
Fayette County at a glance
Population (2024 ACS)
25,417
Medicare beneficiaries
7,958
MA penetration
35%
Age 65 or older
27%
What makes Fayette County different: Fayette County is a heavily German- and Czech-heritage rural county anchored by La Grange and the Schulenburg-area 'Painted Churches,' with an economy built on beef cattle, corn, oil and gas, and power generation. Its older population (27.4% age 65+) skews strongly toward Original Medicare; St. Mark's Medical Center in La Grange, the county's only hospital, closed in October 2023 and the facility was acquired in August 2025 to relaunch as Progressive Health of Fayette.
Top carriers in Fayette County
Humana
4-star CMS rating
BSW SeniorCare Advantage (Baylor Scott & White)
4.5-star CMS rating
UnitedHealthcare (AARP)
4-star CMS rating
Aetna
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 Fayette 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. Fayette County has 3
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–¸Progressive Health of Fayette (former St. Mark's Medical Center, La Grange)
â–¸Baylor Scott & White Medical Center - Brenham (regional referral)
â–¸CHRISTUS St. Joseph Health - Columbus (regional referral)
Call each hospital's billing office directly — or use the carrier's
network tool on the right to search by hospital name.
Major hospitals: Progressive Health of Fayette (former St. Mark's Medical Center, La Grange), Baylor Scott & White Medical Center - Brenham (regional referral), CHRISTUS St. Joseph Health - Columbus (regional referral)
Frequently Asked Questions
How many people live in Fayette County?â–¾
Fayette County has about 25,417 residents per the 2024 ACS 5-year estimates; 27% are age 65 or older.
Who are the top insurers in Fayette County?â–¾
The largest carriers in Fayette County are Humana, BSW SeniorCare Advantage (Baylor Scott & White), UnitedHealthcare (AARP), 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 Fayette County?â–¾
Texas HICAP (1-800-252-9240) provides free unbiased Medicare counseling. Major hospitals in the county include Progressive Health of Fayette (former St. Mark's Medical Center, La Grange), Baylor Scott & White Medical Center - Brenham (regional referral), CHRISTUS St. Joseph Health - Columbus (regional referral).
How does the closure of St. Mark's Medical Center in La Grange affect my health insurance options?â–¾
With Progressive Health of Fayette now operating near La Grange, residents can still access local healthcare services through this facility. Matt can help you find suitable Marketplace plans that fit your needs.
When is the best time to enroll in ACA health insurance for seniors in Fayette County?â–¾
The Annual Enrollment Period (AEP) from October 15 to December 7 is ideal, but Special Enrollment Periods (SEPs) are available if you have a qualifying life event. Matt can assist with enrollment year-round.
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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.
