ACA Health Insurance in Gillespie County, Texas. About 9,878 Medicare beneficiaries live here, with roughly 30 percent in Medicare Advantage plans. Top carriers include Humana and Devoted Health. For free help comparing plans, call Giron Agency, a licensed Texas agency, or visit gironagency.com.
Gillespie County ACA Health Insurance — quick answer
Gillespie County, TX has about 28,928 residents per the 2024 ACS 5-year estimates (32% age 65 or older). The leading insurance carriers serving the county for aca health insurance include Humana, Devoted Health, UnitedHealthcare. We compare options at no cost to you.
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The Gillespie County aca health insurance market
Gillespie County has about 28,928 residents, 32% of them 65 or older. For aca health insurance, the carriers with the strongest local presence include Humana, Devoted Health, 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 Gillespie 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).
Gillespie County at a glance
Population (2024 ACS)
28,928
Medicare beneficiaries
9,878
MA penetration
30%
Age 65 or older
32%
What makes Gillespie County different: Gillespie County, anchored by the German heritage town of Fredericksburg, is the heart of Texas Hill Country wine country and one of the state's premier retirement destinations, with roughly a third of residents aged 65 or older and a median age of 50.7. Methodist Hospital Hill Country (formerly Hill Country Memorial) in Fredericksburg is a licensed acute-care hospital serving eight surrounding counties.
Top carriers in Gillespie County
Humana
4-star CMS rating
Devoted Health
4.5-star CMS rating
UnitedHealthcare
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 Gillespie 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. Gillespie County has 1
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
▸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: Methodist Hospital Hill Country (formerly Hill Country Memorial), Fredericksburg
Frequently Asked Questions
How many people live in Gillespie County?▾
Gillespie County has about 28,928 residents per the 2024 ACS 5-year estimates; 32% are age 65 or older.
Who are the top insurers in Gillespie County?▾
The largest carriers in Gillespie County are Humana, Devoted Health, UnitedHealthcare. 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 Gillespie County?▾
Texas HICAP (1-800-252-9240) provides free unbiased Medicare counseling. Major hospitals in the county include Methodist Hospital Hill Country (formerly Hill Country Memorial), Fredericksburg.
How does being in Gillespie County affect my ACA health insurance options?▾
As one of Texas' top retirement destinations, with over a third of residents aged 65 or older, you can benefit from tailored plans like Humana and Devoted Health. Matt helps seniors navigate these options.
When is the best time to enroll in ACA health insurance for seniors living in Gillespie County?▾
The Annual Enrollment Period (AEP) runs from October 15 to December 7 each year, but you can also enroll during Special Enrollment Periods if your situation changes. Matt assists with enrollment throughout the year.
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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.
