ACA Health Insurance in Hill County, Texas. About 9,831 Medicare beneficiaries live here, with roughly 56 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.
Hill County, TX has about 37,328 residents per the 2024 ACS 5-year estimates (20% age 65 or older). The leading insurance carriers serving the county for aca health insurance include UnitedHealthcare, Humana, Aetna. We compare options at no cost to you.
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The Hill County aca health insurance market
Hill County has about 37,328 residents, 20% of them 65 or older. For aca health insurance, the carriers with the strongest local presence include UnitedHealthcare, Humana, Aetna — 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 Hill 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).
Hill County at a glance
Population (2024 ACS)
37,328
Medicare beneficiaries
9,831
MA penetration
56%
Age 65 or older
20%
What makes Hill County different: Hill County straddles Interstate 35 between Waco and Dallas-Fort Worth, with Hillsboro as its county seat; healthcare access leans on Hill Regional Hospital, a CMS-designated 25-bed Critical Access Hospital, and the county's 65-and-over share (roughly 1 in 5 residents) runs well above the Texas average.
Top carriers in Hill County
UnitedHealthcare (AARP)
4-star CMS rating
Humana
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 Hill 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. Hill 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
▸Hill Regional Hospital (Hillsboro)
Call each hospital's billing office directly — or use the carrier's
network tool on the right to search by hospital name.
Major hospitals: Hill Regional Hospital (Hillsboro)
Frequently Asked Questions
How many people live in Hill County?▾
Hill County has about 37,328 residents per the 2024 ACS 5-year estimates; 20% are age 65 or older.
Who are the top insurers in Hill County?▾
The largest carriers in Hill County are UnitedHealthcare (AARP), Humana, 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 Hill County?▾
Texas HICAP (1-800-252-9240) provides free unbiased Medicare counseling. Major hospitals in the county include Hill Regional Hospital (Hillsboro).
How does the high percentage of seniors affect ACA plans in Hill County?▾
With over one in five residents aged 65+, ACA plans in Hill County offer essential coverage tailored to senior needs, ensuring access to necessary medical services at local Hill Regional Hospital.
When is the best time to enroll in ACA Marketplace plans for under-65 Texans and Floridians?▾
The Annual Enrollment Period (AEP) runs from October 15 to December 7. However, special enrollment periods may be available if you experience a qualifying life event.
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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.