ACA Health Insurance in Howard County, Texas. About 5,283 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.

Howard County ACA Health Insurance Plans

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Howard County ACA Health Insurance — quick answer

Howard County, TX has about 30,440 residents per the 2024 ACS 5-year estimates (14% age 65 or older). The leading insurance carriers serving the county for aca health insurance include Humana, UnitedHealthcare, WellCare. We compare options at no cost to you.

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The Howard County aca health insurance market

Howard County has about 30,440 residents, 14% of them 65 or older. For aca health insurance, the carriers with the strongest local presence include Humana, UnitedHealthcare, WellCare — 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 Howard 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).

Howard County at a glance

Population (2024 ACS)
30,440
Medicare beneficiaries
5,283
MA penetration
45%
Age 65 or older
14%

What makes Howard County different: Howard County, with Big Spring as its seat in the Permian Basin, is an oil-and-gas and energy county whose workforce skews younger (about 14% age 65+). Its primary hospital, the 146-bed Scenic Mountain Medical Center, was acquired by Shannon Health and rebranded as Shannon Medical Center Big Spring in a merger finalized April 1, 2026.

Top carriers in Howard County

  • Humana

    4-star CMS rating

  • UnitedHealthcare

    3.5-star CMS rating

  • WellCare (Centene)

    3.5-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 Howard 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. Howard 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

  • Scenic Mountain Medical Center (Shannon Medical Center Big Spring)

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

Top Howard 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 Howard County plans that fit your situation.

Local resources in Howard County

Frequently Asked Questions

How many people live in Howard County?

Howard County has about 30,440 residents per the 2024 ACS 5-year estimates; 14% are age 65 or older.

Who are the top insurers in Howard County?

The largest carriers in Howard County are Humana, UnitedHealthcare, WellCare (Centene), 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 Howard County?

Texas HICAP (1-800-252-9240) provides free unbiased Medicare counseling. Major hospitals in the county include Scenic Mountain Medical Center (Shannon Medical Center Big Spring).

What hospitals are covered under ACA plans in Howard County?

ACA plans in Howard County cover services at Scenic Mountain Medical Center, now rebranded as Shannon Medical Center Big Spring. This is the primary hospital for the area.

When can I enroll in ACA Marketplace plans if I'm under 65 in Howard County?

You can enroll during Annual Enrollment Period (AEP) from October 15 to December 7, or Special Enrollment Periods (SEPs) for life-changing events. Check eligibility and enrollment details with a local agent.

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