ACA Health Insurance in Gonzales County, Texas. About 4,608 Medicare beneficiaries live here, with roughly 47 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.

Gonzales County ACA Health Insurance Plans

Gonzales-area carriers, real enrollment data, free quotes from a licensed Texas agent.

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Matt Giron

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Gonzales County ACA Health Insurance — quick answer

Gonzales County, TX has about 19,851 residents per the 2024 ACS 5-year estimates (22% age 65 or older). The leading insurance carriers serving the county for aca health insurance include UnitedHealthcare, Humana, Aetna Medicare. We compare options at no cost to you.

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The Gonzales County aca health insurance market

Gonzales County has about 19,851 residents, 22% of them 65 or older. For aca health insurance, the carriers with the strongest local presence include UnitedHealthcare, Humana, Aetna Medicare — 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 Gonzales 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).

Gonzales County at a glance

Population (2024 ACS)
19,851
Medicare beneficiaries
4,608
MA penetration
47%
Age 65 or older
22%

What makes Gonzales County different: Medicare Advantage penetration in Gonzales County tripled from 14.9% in 2013 to 45.2% in 2024, and the market is unusually Hispanic for a rural county: 29% of its 4,576 Medicare beneficiaries (1,333 people) are Hispanic, with 14% dually eligible for Medicare and Medicaid, per CMS enrollment data.

Top carriers in Gonzales County

  • UnitedHealthcare (UnitedHealth Group)

    4-star CMS rating

  • Humana

    4-star CMS rating

  • Aetna Medicare (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 Gonzales 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. Gonzales 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

  • Gonzales Healthcare Systems - Memorial Hospital (Gonzales, TX)

Call each hospital's billing office directly — or use the carrier's network tool on the right to search by hospital name.

Top Gonzales carriers — network lookup

Or skip the cross-checking — we run network checks against your prescriptions and doctors at no cost during any consult.

Want to talk it through?

Pick a time on Matt's calendar — 15 minutes, no sales pressure, no obligation. We'll walk through the Gonzales County plans that fit your situation.

Local resources in Gonzales County

Frequently Asked Questions

How many people live in Gonzales County?

Gonzales County has about 19,851 residents per the 2024 ACS 5-year estimates; 22% are age 65 or older.

Who are the top insurers in Gonzales County?

The largest carriers in Gonzales County are UnitedHealthcare (UnitedHealth Group), Humana, Aetna Medicare (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 Gonzales County?

Texas HICAP (1-800-252-9240) provides free unbiased Medicare counseling. Major hospitals in the county include Gonzales Healthcare Systems - Memorial Hospital (Gonzales, TX).

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