Medicare Advantage in Smith County, Texas. About 52,592 Medicare beneficiaries live here, with roughly 50 percent in Medicare Advantage plans. Top carriers include Humana Gold Plus H4007 and UT Health East Texas Medicare Advantage. For free help comparing plans, call Giron Agency, a licensed Texas agency, or visit gironagency.com.

Smith County Medicare Advantage Plans

Tyler-area carriers, real enrollment data, free quotes from a licensed Texas agent.

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Matt Giron

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Smith County Medicare Advantage — quick answer

Smith County, TX has 52,592 Medicare beneficiaries per CMS Q1 2024 data, with about 50% enrolled in Medicare Advantage. The top medicare advantage carriers are Humana Gold Plus H4007, UT Health East Texas Medicare Advantage, UnitedHealthcare AARP Medicare Advantage Plan 1. We compare these plans for free and never charge a fee.

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The Smith County medicare advantage market

About 50% of Smith County's 52,592 Medicare beneficiaries are in Medicare Advantage — right around the national norm — so you'll find a genuine mix of competitive MA plans and Medigap options here rather than a one-sided market. Humana Gold Plus H4007 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 29 Medicare Advantage plans are available in Smith County, so a side-by-side comparison genuinely matters. Medicare Advantage enrollment figures reflect the latest CMS data (May 2026).

Smith County at a glance

Population (2024 ACS)
240,000
Medicare beneficiaries
52,592
MA penetration
50%
Age 65 or older
18%

What makes Smith County different: East Texas regional medical hub — UT Health East Texas system. Higher 65+ rate than TX average; classic retiree market.

Top Medicare Advantage plans in Smith County

  • Humana Gold Plus H4007 (HMO)

    4-star CMS rating

  • UT Health East Texas Medicare Advantage (HMO)

    4-star CMS rating

  • UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO)

    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 Smith 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. Smith 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

  • UT Health Tyler
  • Christus Trinity Mother Frances Hospital–Tyler
  • Texas Spine and Joint Hospital

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

Top Smith carriers — network lookup

Free help in Smith County: TX HICAP — East Texas Council of Governments — 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.

Check SEP eligibility (15-min) →

Want to talk it through?

Pick a time on Matt's calendar — 15 minutes, no sales pressure, no obligation. We'll walk through the Smith County plans that fit your situation.

Local resources in Smith County

Frequently Asked Questions

How many Medicare beneficiaries live in Smith County?

About 52,592 Texans in Smith County are enrolled in Medicare as of May 2026 CMS data. About 50% are in Medicare Advantage plans; the rest are in Original Medicare (with or without Medigap).

Who are the top Medicare carriers in Smith County?

The largest carriers in Smith County are Humana Gold Plus H4007 (HMO), UT Health East Texas Medicare Advantage (HMO), UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO). 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 Smith County?

TX HICAP — East Texas Council of Governments (1-800-252-9240) provides free unbiased Medicare counseling. Major hospitals in the county include UT Health Tyler, Christus Trinity Mother Frances Hospital–Tyler, Texas Spine and Joint Hospital.

How many Medicare Advantage plans are available in Smith County?

As of May 2026, about 29 Medicare Advantage plans are available to Smith County residents, led by UnitedHealth Group, Inc., Humana Inc., Health Care Service Corporation, CHRISTUS Health. We compare all of them side by side at no cost.

How does Medicare Advantage fit the needs of seniors in Smith County?

With over 50,000 Medicare beneficiaries and a higher concentration of seniors, Medicare Advantage plans like Humana Gold Plus H4007 offer comprehensive coverage tailored to East Texas' unique healthcare landscape.

When is the best time for seniors in Tyler to enroll in Medicare Advantage?

Seniors can enroll during Annual Enrollment Period (AEP) from Oct 15 to Dec 7, or Special Enrollment Periods if there's a qualifying life event. Early planning ensures you have coverage when needed.

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