ACA Health Insurance in Orange County, Texas. About 17,492 Medicare beneficiaries live here, with roughly 55 percent in Medicare Advantage plans. Top carriers include Humana and WellCare TexanPlus. For free help comparing plans, call Giron Agency, a licensed Texas agency, or visit gironagency.com.
Orange County, TX has about 86,115 residents per the 2024 ACS 5-year estimates (17% age 65 or older). The leading insurance carriers serving the county for aca health insurance include Humana, WellCare TexanPlus, Humana Gold Plus. We compare options at no cost to you.
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The Orange County aca health insurance market
Orange County has about 86,115 residents, 17% of them 65 or older. For aca health insurance, the carriers with the strongest local presence include Humana, WellCare TexanPlus, Humana Gold Plus — 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 Orange 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).
Orange County at a glance
Population (2024 ACS)
86,115
Medicare beneficiaries
17,492
MA penetration
55%
Age 65 or older
17%
What makes Orange County different: Orange County sits on the Texas-Louisiana line in the Golden Triangle petrochemical corridor and went seven years without a hospital after Baptist Orange closed its ER in January 2017 — CHRISTUS Hospital-Orange finally reopened 24/7 emergency and extended-stay care to the county on February 1, 2024, with direct transfer to CHRISTUS St. Elizabeth in Beaumont for complex inpatient needs. Humana and WellCare TexanPlus dominate the local Medicare Advantage market, and proximity to Louisiana refineries gives the county a heavy union-retiree and working-age insurance profile.
Top carriers in Orange County
Humana (HumanaChoice PPO)
4-star CMS rating
WellCare TexanPlus (HMO-POS)
3.5-star CMS rating
Humana Gold Plus (HMO)
4-star CMS rating
UnitedHealthcare
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 Orange 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. Orange 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
▸CHRISTUS Hospital-Orange (Orange)
▸CHRISTUS Southeast Texas-St. Elizabeth (Beaumont, referral)
▸Baptist Hospitals of Southeast Texas (Beaumont)
Call each hospital's billing office directly — or use the carrier's
network tool on the right to search by hospital name.
Major hospitals: CHRISTUS Hospital-Orange (Orange), CHRISTUS Southeast Texas-St. Elizabeth (Beaumont, referral), Baptist Hospitals of Southeast Texas (Beaumont)
Frequently Asked Questions
How many people live in Orange County?▾
Orange County has about 86,115 residents per the 2024 ACS 5-year estimates; 17% are age 65 or older.
Who are the top insurers in Orange County?▾
The largest carriers in Orange County are Humana (HumanaChoice PPO), WellCare TexanPlus (HMO-POS), Humana Gold Plus (HMO), UnitedHealthcare. 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 Orange 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 Hospital-Orange (Orange), CHRISTUS Southeast Texas-St. Elizabeth (Beaumont, referral), Baptist Hospitals of Southeast Texas (Beaumont).
Why did Orange County go seven years without a hospital?▾
Orange County experienced a healthcare gap after Baptist Orange closed its ER in January 2017. CHRISTUS Hospital-Orange finally reopened on February 1, 2024, offering 24/7 emergency and extended-stay care.
When can I enroll in ACA plans for Orange County residents?▾
For Orange County, Texas, you can enroll during the Annual Enrollment Period (AEP) from October 15 to December 7. Special enrollment periods may apply if your circumstances change.
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