ACA Health Insurance in Harris County, Texas. About 659,658 Medicare beneficiaries live here, with roughly 62 percent in Medicare Advantage plans. Top carriers include Humana Gold Plus H4007 and WellCare Texan Plus. For free help comparing plans, call Giron Agency, a licensed Texas agency, or visit gironagency.com.
Harris County, TX has about 4,835,125 residents per the 2024 ACS 5-year estimates (12% age 65 or older). The leading insurance carriers serving the county for aca health insurance include Humana Gold Plus H4007, WellCare Texan Plus, UnitedHealthcare AARP Medicare Advantage Plan 1. We compare options at no cost to you.
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The Harris County aca health insurance market
Harris County has about 4,835,125 residents, 12% of them 65 or older. For aca health insurance, the carriers with the strongest local presence include Humana Gold Plus H4007, WellCare Texan Plus, UnitedHealthcare AARP Medicare Advantage Plan 1 — but the right fit depends on your household size, income, and which doctors you want to keep. We compare Humana Gold Plus H4007 against every other carrier serving Harris 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).
Harris County at a glance
Population (2024 ACS)
4,835,125
Medicare beneficiaries
659,658
MA penetration
62%
Age 65 or older
12%
What makes Harris County different: Nearly 690,000 residents covered through the ACA in Harris County alone (Episcopal Health Foundation). Houston has the most ACA enrollees of any TX county.
Top carriers in Harris County
Humana Gold Plus H4007 (HMO)
4-star CMS rating
WellCare Texan Plus (HMO)
4-star CMS rating
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO)
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 Harris 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. Harris 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
▸Memorial Hermann-Texas Medical Center
▸Houston Methodist Hospital
▸St. Luke's Health–Baylor St. Luke's
Call each hospital's billing office directly — or use the carrier's
network tool on the right to search by hospital name.
Major hospitals: Memorial Hermann-Texas Medical Center, Houston Methodist Hospital, St. Luke's Health–Baylor St. Luke's
Frequently Asked Questions
How many people live in Harris County?▾
Harris County has about 4,835,125 residents per the 2024 ACS 5-year estimates; 12% are age 65 or older.
Who are the top insurers in Harris County?▾
The largest carriers in Harris County are Humana Gold Plus H4007 (HMO), WellCare Texan Plus (HMO), UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO). 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 Harris County?▾
TX HICAP — Houston-Galveston Area Council (1-800-252-9240) provides free unbiased Medicare counseling. Major hospitals in the county include Memorial Hermann-Texas Medical Center, Houston Methodist Hospital, St. Luke's Health–Baylor St. Luke's.
How many people are currently enrolled in ACA plans in Harris County?▾
Over 689,000 residents in Harris County are currently enrolled in ACA plans, making it the county with the most enrollees in Texas (Episcopal Health Foundation).
When is the best time to enroll in an ACA plan if I live near Houston?▾
The Annual Enrollment Period (AEP) runs from October 15 to December 7. However, you can also enroll during Special Enrollment Periods (SEPs) for life changes like losing coverage or moving.
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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.