Medicare Advantage in Fayette County, Texas. About 7,958 Medicare beneficiaries live here, with roughly 35 percent in Medicare Advantage plans. Top carriers include Humana and BSW SeniorCare Advantage. For free help comparing plans, call Giron Agency, a licensed Texas agency, or visit gironagency.com.
Fayette County, TX has 7,958 Medicare beneficiaries per CMS Q1 2024 data, with about 35% enrolled in Medicare Advantage. The top medicare advantage carriers are Humana, BSW SeniorCare Advantage, UnitedHealthcare. We compare these plans for free and never charge a fee.
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The Fayette County medicare advantage market
At roughly 35% MA penetration, most of Fayette County's 7,958 Medicare beneficiaries stay on Original Medicare, frequently paired with a Medigap policy. That pattern usually signals retirees here prize provider choice and predictable out-of-pocket costs over the lower premiums of MA. The county skews older than the Texas average (27% are 65 or older), which means heavy carrier competition and meaningful plan turnover each Annual Enrollment Period — a yearly review almost always pays off. Humana currently leads the county by enrollment, but the lowest total-cost plan for your specific drugs and doctors is often a smaller carrier — which is why we run all of them side by side instead of pushing the biggest name. Right now roughly 15 Medicare Advantage plans are available in Fayette County, so a side-by-side comparison genuinely matters. Medicare Advantage enrollment figures reflect the latest CMS data (May 2026).
Fayette County at a glance
Population (2024 ACS)
25,417
Medicare beneficiaries
7,958
MA penetration
35%
Age 65 or older
27%
What makes Fayette County different: Fayette County is a heavily German- and Czech-heritage rural county anchored by La Grange and the Schulenburg-area 'Painted Churches,' with an economy built on beef cattle, corn, oil and gas, and power generation. Its older population (27.4% age 65+) skews strongly toward Original Medicare; St. Mark's Medical Center in La Grange, the county's only hospital, closed in October 2023 and the facility was acquired in August 2025 to relaunch as Progressive Health of Fayette.
Top Medicare Advantage plans in Fayette County
Humana
4-star CMS rating
BSW SeniorCare Advantage (Baylor Scott & White)
4.5-star CMS rating
UnitedHealthcare (AARP)
4-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 Fayette County
Each Medicare Advantage plan builds its own provider network — a hospital that's in-network
on one plan may be out-of-network on another. Fayette 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
▸Progressive Health of Fayette (former St. Mark's Medical Center, La Grange)
▸Baylor Scott & White Medical Center - Brenham (regional referral)
▸CHRISTUS St. Joseph Health - Columbus (regional referral)
Call each hospital's billing office directly — or use the carrier's
network tool on the right to search by hospital name.
Free help in Fayette County: Texas HICAP — call 1-800-252-9240.
SHIP counselors offer free unbiased Medicare guidance and can run network checks at no cost.
Or skip the cross-checking — we run network checks against your prescriptions and doctors
at no cost during any consult.
Medicare AEP opens in 131 days
131 daysuntil open
Outside the windows, Special Enrollment Periods (SEP) still let you change plans if you moved, lost coverage, qualify for Extra Help / dual eligible, or had a plan terminated. Call to see if you qualify.
Major hospitals: Progressive Health of Fayette (former St. Mark's Medical Center, La Grange), Baylor Scott & White Medical Center - Brenham (regional referral), CHRISTUS St. Joseph Health - Columbus (regional referral)
Frequently Asked Questions
How many Medicare beneficiaries live in Fayette County?▾
About 7,958 Texans in Fayette County are enrolled in Medicare as of May 2026 CMS data. About 35% are in Medicare Advantage plans; the rest are in Original Medicare (with or without Medigap).
Who are the top Medicare carriers in Fayette County?▾
The largest carriers in Fayette County are Humana, BSW SeniorCare Advantage (Baylor Scott & White), UnitedHealthcare (AARP), Aetna. We work with all of them and a few smaller carriers that often have better rates for specific situations.
What SHIP resources are available in Fayette County?▾
Texas HICAP (1-800-252-9240) provides free unbiased Medicare counseling. Major hospitals in the county include Progressive Health of Fayette (former St. Mark's Medical Center, La Grange), Baylor Scott & White Medical Center - Brenham (regional referral), CHRISTUS St. Joseph Health - Columbus (regional referral).
How many Medicare Advantage plans are available in Fayette County?▾
As of May 2026, about 15 Medicare Advantage plans are available to Fayette County residents, led by Humana Inc., UnitedHealth Group, Inc., CVS Health Corporation, Health Care Service Corporation. We compare all of them side by side at no cost.
Why is Progressive Health of Fayette important for Medicare beneficiaries in Fayette County?▾
Progressive Health of Fayette, formerly St. Mark's Medical Center, has recently reopened after its acquisition in August 2025. This local hospital is crucial for residents needing medical care nearby.
When can I enroll in Medicare Advantage plans this year?▾
You can enroll during the Annual Enrollment Period (AEP) from October 15 to December 7, or during a Special Election Period if you have a qualifying life event. Check with your local agent for more details.
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