Medicare Advantage in Wise County, Texas. About 15,669 Medicare beneficiaries live here, with roughly 50 percent in Medicare Advantage plans. Top carriers include UnitedHealthcare and Humana Gold Plus. For free help comparing plans, call Giron Agency, a licensed Texas agency, or visit gironagency.com.

Wise County Medicare Advantage Plans

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Matt Giron

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Wise County Medicare Advantage — quick answer

Wise County, TX has 15,669 Medicare beneficiaries per CMS Q1 2024 data, with about 50% enrolled in Medicare Advantage. The top medicare advantage carriers are UnitedHealthcare, Humana Gold Plus, UnitedHealthcare. We compare these plans for free and never charge a fee.

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The Wise County medicare advantage market

About 50% of Wise County's 15,669 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. UnitedHealthcare 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 22 Medicare Advantage plans are available in Wise County, so a side-by-side comparison genuinely matters. Medicare Advantage enrollment figures reflect the latest CMS data (May 2026).

Wise County at a glance

Population (2024 ACS)
81,275
Medicare beneficiaries
15,669
MA penetration
50%
Age 65 or older
16%

What makes Wise County different: Wise County is one of the fastest-growing counties in the Barnett Shale / Fort Worth exurbs, with a younger blue-collar oil-and-gas workforce (only 15.9% are 65+). Its main hospital in Decatur, formerly Wise Health System (originally Decatur Community Hospital), was acquired by HCA's Medical City Healthcare in December 2023 and rebranded Medical City Decatur.

Top Medicare Advantage plans in Wise County

  • UnitedHealthcare (AARP Medicare Advantage Extras, HMO-POS)

    4-star CMS rating

  • Humana Gold Plus (HMO)

    3.5-star CMS rating

  • UnitedHealthcare (AARP Medicare Advantage Essentials, HMO-POS)

    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 Wise 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. Wise 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

  • Medical City Decatur (formerly Wise Health System)

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

Top Wise carriers — network lookup

Free help in Wise 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.

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 Wise County plans that fit your situation.

Local resources in Wise County

Frequently Asked Questions

How many Medicare beneficiaries live in Wise County?

About 15,669 Texans in Wise 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 Wise County?

The largest carriers in Wise County are UnitedHealthcare (AARP Medicare Advantage Extras, HMO-POS), Humana Gold Plus (HMO), UnitedHealthcare (AARP Medicare Advantage Essentials, HMO-POS). 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 Wise County?

Texas HICAP (1-800-252-9240) provides free unbiased Medicare counseling. Major hospitals in the county include Medical City Decatur (formerly Wise Health System).

How many Medicare Advantage plans are available in Wise County?

As of May 2026, about 22 Medicare Advantage plans are available to Wise County residents, led by UnitedHealth Group, Inc., Humana Inc., Health Care Service Corporation, CVS Health Corporation. We compare all of them side by side at no cost.

Why is Medicare Advantage growing faster than other plans in Wise County?

Wise County has a younger blue-collar oil-and-gas workforce, making up only 15.9% of residents aged 65+, which drives the rapid growth of Medicare Advantage plans.

When can I enroll in a Medicare Advantage plan in Wise County?

You can enroll during Annual Enrollment Period (AEP) from October 15 to December 7, or during Special Enrollment Periods if you have qualifying life events. Always consult with your local licensed agent for personalized guidance.

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