ACA Health Insurance in Hidalgo County, Texas. About 125,351 Medicare beneficiaries live here, with roughly 78 percent in Medicare Advantage plans. Top carriers include Humana Gold Plus H4007 and WellMed Medicare Advantage. For free help comparing plans, call Giron Agency, a licensed Texas agency, or visit gironagency.com.

Hidalgo County ACA Health Insurance Plans

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Matt Giron

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Hidalgo County ACA Health Insurance — quick answer

Hidalgo County, TX has about 880,000 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, WellMed Medicare Advantage, Amerigroup Texas. We compare options at no cost to you.

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The Hidalgo County aca health insurance market

Hidalgo County has about 880,000 residents, 12% of them 65 or older. For aca health insurance, the carriers with the strongest local presence include Humana Gold Plus H4007, WellMed Medicare Advantage, Amerigroup Texas — 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 Hidalgo 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).

Hidalgo County at a glance

Population (2024 ACS)
880,000
Medicare beneficiaries
125,351
MA penetration
78%
Age 65 or older
12%

What makes Hidalgo County different: 75% MA penetration — Rio Grande Valley. Spanish content mandatory; 92% Hispanic population.

Top carriers in Hidalgo County

  • Humana Gold Plus H4007 (HMO)

    4-star CMS rating

  • WellMed Medicare Advantage (HMO)

    4-star CMS rating

  • Amerigroup Texas (HMO D-SNP)

    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 Hidalgo 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. Hidalgo 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

  • Doctors Hospital at Renaissance
  • Edinburg Regional Medical Center
  • South Texas Health System–McAllen

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

Top Hidalgo carriers — network lookup

  • Humana Gold Plus H4007 4★
    Humana provider finder ↗
  • WellMed Medicare Advantage 4★
    Search "WellMed Medicare provider directory" or call the carrier directly.
  • Amerigroup Texas 4★
    Search "Amerigroup Texas provider directory" or call the carrier directly.

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 Hidalgo County plans that fit your situation.

Local resources in Hidalgo County

Frequently Asked Questions

How many people live in Hidalgo County?

Hidalgo County has about 880,000 residents per the 2024 ACS 5-year estimates; 12% are age 65 or older.

Who are the top insurers in Hidalgo County?

The largest carriers in Hidalgo County are Humana Gold Plus H4007 (HMO), WellMed Medicare Advantage (HMO), Amerigroup Texas (HMO D-SNP). 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 Hidalgo County?

TX HICAP — Lower Rio Grande Valley Development Council (1-800-252-9240) provides free unbiased Medicare counseling. Major hospitals in the county include Doctors Hospital at Renaissance, Edinburg Regional Medical Center, South Texas Health System–McAllen.

How does the high Medicare Advantage (MA) penetration rate affect my options?

With 75% of residents in Hidalgo County choosing MA plans, you have a wide range of options like Humana Gold Plus H4007 and WellMed Medicare Advantage. Your a local agent can help you explore these choices tailored to your needs.

When is the best time to enroll in ACA health insurance?

The Annual Enrollment Period (AEP) runs from October 15 to December 7 each year. Outside of this, you may qualify for Special Enrollment Periods (SEPs) if your life circumstances change. Your a local agent can guide you through the enrollment process.

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