ACA Health Insurance in Hopkins County, Texas. About 8,726 Medicare beneficiaries live here, with roughly 45 percent in Medicare Advantage plans. Top carriers include Humana and UnitedHealthcare. For free help comparing plans, call Giron Agency, a licensed Texas agency, or visit gironagency.com.
Hopkins County ACA Health Insurance — quick answer
Hopkins County, TX has about 37,784 residents per the 2024 ACS 5-year estimates (19% age 65 or older). The leading insurance carriers serving the county for aca health insurance include Humana, UnitedHealthcare, Wellpoint. We compare options at no cost to you.
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The Hopkins County aca health insurance market
Hopkins County has about 37,784 residents, 19% of them 65 or older. For aca health insurance, the carriers with the strongest local presence include Humana, UnitedHealthcare, Wellpoint — 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 Hopkins 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).
Hopkins County at a glance
Population (2024 ACS)
37,784
Medicare beneficiaries
8,726
MA penetration
45%
Age 65 or older
19%
What makes Hopkins County different: Hopkins County is the dairy-and-agriculture seat of Northeast Texas, with Sulphur Springs as its hub — about 19.1% of its ~37,800 residents are 65+. Of roughly 8,400-8,700 Medicare beneficiaries, about 3,950 (mid-40% range) are in Medicare Advantage, leaving meaningful room for Medicare Supplement and Part D. CHRISTUS Mother Frances Hospital-Sulphur Springs, a 96-bed acute-care hospital that marked its 75th anniversary in 2024, is the county's lone hospital and is undergoing a $25M two-phase expansion adding eight operating rooms and a new specialty clinic.
Top carriers in Hopkins County
Humana
4-star CMS rating
UnitedHealthcare (AARP Medicare Advantage)
4-star CMS rating
Wellpoint (Anthem)
3.5-star CMS rating
Molina Healthcare
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 Hopkins 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. Hopkins County has 1
major hospital systems. Before you enroll, check that your preferred hospital and physicians
participate in the specific plan you're considering.
Hopkins County has about 37,784 residents per the 2024 ACS 5-year estimates; 19% are age 65 or older.
Who are the top insurers in Hopkins County?▾
The largest carriers in Hopkins County are Humana, UnitedHealthcare (AARP Medicare Advantage), Wellpoint (Anthem), Molina Healthcare. 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 Hopkins County?▾
Texas HICAP (Health Information, Counseling and Advocacy Program) (1-800-252-9240) provides free unbiased Medicare counseling. Major hospitals in the county include CHRISTUS Mother Frances Hospital - Sulphur Springs (Sulphur Springs).
How does Medicare Advantage enrollment impact ACA plans in Hopkins County?▾
With about 3,950 of the county's 8,400-8,700 Medicare beneficiaries in Medicare Advantage, there is still significant room for ACA Marketplace plans. Get a free quote to see how they fit your needs.
When can I enroll in ACA Marketplace plans for Hopkins County residents?▾
Open Enrollment Period (OEP) runs from November 1st to December 15th, with Special Enrollments (SEPs) available if you have a qualifying life event. Visit us for personalized guidance.
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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.
