ACA Health Insurance in Upshur County, Texas. About 10,158 Medicare beneficiaries live here, with roughly 54 percent in Medicare Advantage plans. Top carriers include Cigna HealthSpring and Humana. For free help comparing plans, call Giron Agency, a licensed Texas agency, or visit gironagency.com.
Upshur County, TX has about 44,796 residents per the 2024 ACS 5-year estimates (18% age 65 or older). The leading insurance carriers serving the county for aca health insurance include Cigna HealthSpring, Humana, UnitedHealthcare. We compare options at no cost to you.
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The Upshur County aca health insurance market
Upshur County has about 44,796 residents, 18% of them 65 or older. For aca health insurance, the carriers with the strongest local presence include Cigna HealthSpring, Humana, UnitedHealthcare — but the right fit depends on your household size, income, and which doctors you want to keep. We compare Cigna HealthSpring against every other carrier serving Upshur 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).
Upshur County at a glance
Population (2024 ACS)
44,796
Medicare beneficiaries
10,158
MA penetration
54%
Age 65 or older
18%
What makes Upshur County different: Upshur County's seat, Gilmer, hosts the 80-plus-year East Texas Yamboree each October, a four-day sweet-potato festival drawing about 100,000 visitors and rooted in the area's yam-farming heritage. The county has had no in-county hospital since ETMC-Gilmer closed in 2014, so residents rely on CHRISTUS Mother Frances Hospital-Winnsboro and UT Health Pittsburg, with Longview's hospitals about 22 miles away.
Top carriers in Upshur County
Cigna HealthSpring
3.5-star CMS rating
Humana
4-star CMS rating
UnitedHealthcare (AARP Medicare Advantage)
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 Upshur 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. Upshur County has 2
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 Mother Frances Hospital-Winnsboro
▸UT Health Pittsburg (UT Health East Texas)
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 Mother Frances Hospital-Winnsboro, UT Health Pittsburg (UT Health East Texas)
Frequently Asked Questions
How many people live in Upshur County?▾
Upshur County has about 44,796 residents per the 2024 ACS 5-year estimates; 18% are age 65 or older.
Who are the top insurers in Upshur County?▾
The largest carriers in Upshur County are Cigna HealthSpring, Humana, UnitedHealthcare (AARP Medicare Advantage). 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 Upshur County?▾
Texas HICAP (1-800-252-9240) provides free unbiased Medicare counseling. Major hospitals in the county include CHRISTUS Mother Frances Hospital-Winnsboro, UT Health Pittsburg (UT Health East Texas).
How does the East Texas Yamboree affect ACA coverage options in Upshur County?▾
The annual East Texas Yamboree, a 100,000-visitor sweet-potato festival, doesn't directly impact ACA coverage but highlights the community's unique events. Residents can still get free quotes for local carriers like Cigna HealthSpring and Humana.
When is the best time to enroll in Marketplace plans for Upshur County residents?▾
Upshur County residents should consider enrolling during Annual Enrollment Period (AEP) from Oct 15 to Dec 7, or Special Enrollment Periods if there are life changes. Free quotes and assistance are available year-round.
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