ACA Health Insurance in Wilson County, Texas. About 11,661 Medicare beneficiaries live here, with roughly 51 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.
Wilson County, TX has about 56,957 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 UnitedHealthcare, Humana, Devoted Health. We compare options at no cost to you.
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The Wilson County aca health insurance market
Wilson County has about 56,957 residents, 17% of them 65 or older. For aca health insurance, the carriers with the strongest local presence include UnitedHealthcare, Humana, Devoted Health — 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 Wilson 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).
Wilson County at a glance
Population (2024 ACS)
56,957
Medicare beneficiaries
11,661
MA penetration
51%
Age 65 or older
17%
What makes Wilson County different: Floresville, the Wilson County seat about 30 miles southeast of San Antonio, is the self-styled 'Peanut Capital of Texas' and has celebrated its peanut harvest with the annual Floresville Peanut Festival since 1938 (originally the 'Peanut Pow Wow'); the county sits on the northern edge of the oil- and gas-rich Eagle Ford Shale and is increasingly a San Antonio bedroom community.
Top carriers in Wilson County
UnitedHealthcare (AARP)
4-star CMS rating
Humana
4-star CMS rating
Devoted Health
4.5-star CMS rating
Cigna HealthSpring
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 Wilson 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. Wilson 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
▸Connally Memorial Medical Center (Floresville)
Call each hospital's billing office directly — or use the carrier's
network tool on the right to search by hospital name.
Major hospitals: Connally Memorial Medical Center (Floresville)
Frequently Asked Questions
How many people live in Wilson County?▾
Wilson County has about 56,957 residents per the 2024 ACS 5-year estimates; 17% are age 65 or older.
Who are the top insurers in Wilson County?▾
The largest carriers in Wilson County are UnitedHealthcare (AARP), Humana, Devoted Health, Cigna HealthSpring. 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 Wilson County?▾
Texas HICAP (1-800-252-9240) provides free unbiased Medicare counseling. Major hospitals in the county include Connally Memorial Medical Center (Floresville).
How does the peanut festival affect ACA coverage options for residents?▾
While the annual Floresville Peanut Festival doesn't directly impact ACA coverage, it highlights the local economy. Residents can still get Marketplace plans with subsidies verified by Matt.
When is the best time to enroll in ACA health insurance for Wilson County residents?▾
Open Enrollment Period (OEP) runs from November 1 to December 15 each year, but special enrollment periods may be available if you experience a life event like losing coverage. Matt can help guide you through the process.
Hey 👋 — I'm trained on every page of gironagency.com. Ask me anything
about Medicare, ACA, or life insurance and I'll cite the exact source. For specific quotes or applications, I'll send you to Matt.
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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.
