Medicare Advantage 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 10,158 Medicare beneficiaries per CMS Q1 2024 data, with about 54% enrolled in Medicare Advantage. The top medicare advantage carriers are Cigna HealthSpring, Humana, UnitedHealthcare. We compare these plans for free and never charge a fee.
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The Upshur County medicare advantage market
About 54% of Upshur County's 10,158 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. Cigna HealthSpring 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 20 Medicare Advantage plans are available in Upshur County, so a side-by-side comparison genuinely matters. 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 Medicare Advantage plans 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 Medicare Advantage 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.
Free help in Upshur 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: CHRISTUS Mother Frances Hospital-Winnsboro, UT Health Pittsburg (UT Health East Texas)
Frequently Asked Questions
How many Medicare beneficiaries live in Upshur County?▾
About 10,158 Texans in Upshur County are enrolled in Medicare as of May 2026 CMS data. About 54% are in Medicare Advantage plans; the rest are in Original Medicare (with or without Medigap).
Who are the top Medicare carriers 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 SHIP 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 many Medicare Advantage plans are available in Upshur County?▾
As of May 2026, about 20 Medicare Advantage plans are available to Upshur County residents, led by Humana Inc., UnitedHealth Group, Inc., Health Care Service Corporation, CVS Health Corporation. We compare all of them side by side at no cost.
How does the East Texas Yamboree affect Medicare Advantage plans in Upshur County?▾
The large influx of visitors during the four-day sweet-potato festival can lead to increased healthcare needs. Local residents and visitors alike benefit from having comprehensive Part C plans that cover hospital, medical, and usually drug services.
When is the best time to enroll in Medicare Advantage for Upshur County residents?▾
For most Upshur County residents, the Annual Enrollment Period (AEP) from October 15 to December 7 is ideal. However, special enrollment periods may be available if you have a life-changing event like moving or losing coverage.
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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.
