Medicare Advantage in Hays County, Texas. About 35,300 Medicare beneficiaries live here, with roughly 30 percent in Medicare Advantage plans. Top carriers include UnitedHealthcare and Humana. For free help comparing plans, call Mr. and Mrs. Insurance, a licensed Texas agency, or visit mrandmrsinsurance.com.
Hays County, TX has 35,300 Medicare beneficiaries per CMS Q1 2024 data, with about 30% enrolled in Medicare Advantage. The top medicare advantage carriers are UnitedHealthcare, Humana, Humana. We compare these plans for free and never charge a fee.
Prefer to listen?
Free audio version, generated on demand by Azure Speech.
The Hays County medicare advantage market
At roughly 30% MA penetration, most of Hays County's 35,300 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. Only 13% of Hays residents are 65 or older, so it's a younger county where fewer agents specialize in Medicare locally — exactly the gap a dedicated Texas agent fills. 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.
Hays County at a glance
Population (2024 ACS)
292,000
Medicare beneficiaries
35,300
MA penetration
30%
Age 65 or older
13%
What makes Hays County different: Hays County is one of the fastest-growing counties in the United States, fueled by the I-35 corridor between Austin and San Antonio and Texas State University in San Marcos. Its rapid in-migration keeps the 65+ share at just 12.6% and Medicare Advantage penetration near 30% (about 10,599 county MA enrollees), with Ascension Seton Hays in Kyle and CHRISTUS Santa Rosa-San Marcos as the principal hospitals.
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 Hays 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. Hays County has 4
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
▸Ascension Seton Hays (Kyle)
▸CHRISTUS Santa Rosa Hospital - San Marcos
▸Baylor Scott & White Medical Center - Buda
▸CHRISTUS Santa Rosa Emergency - Kyle
Call each hospital's billing office directly — or use the carrier's
network tool on the right to search by hospital name.
Or skip the cross-checking — we run network checks against your prescriptions and doctors
at no cost during any consult.
Medicare AEP opens in 132 days
132 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.
Pick a time on Matt or Robin's calendar — 15 minutes, no sales pressure, no obligation. We'll walk through the Hays County plans that fit your situation.
Major hospitals: Ascension Seton Hays (Kyle), CHRISTUS Santa Rosa Hospital - San Marcos, Baylor Scott & White Medical Center - Buda, CHRISTUS Santa Rosa Emergency - Kyle
Frequently Asked Questions
How many Medicare beneficiaries live in Hays County?▾
About 35,300 Texans in Hays County are enrolled in Medicare as of 2024 CMS data. About 30% are in Medicare Advantage plans; the rest are in Original Medicare (with or without Medigap).
Who are the top Medicare carriers in Hays County?▾
The largest carriers in Hays County are UnitedHealthcare (AARP Medicare Advantage Essentials TX-12 HMO-POS), Humana (Gold Plus H0028-037 HMO), Humana (Full Access H5216-432 PPO), Baylor Scott & White. 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 Hays County?▾
Texas HICAP (Health Information, Counseling and Advocacy Program) (1-800-252-9240) provides free unbiased Medicare counseling. Major hospitals in the county include Ascension Seton Hays (Kyle), CHRISTUS Santa Rosa Hospital - San Marcos, Baylor Scott & White Medical Center - Buda, CHRISTUS Santa Rosa Emergency - Kyle.
How does the fast growth of Hays County affect Medicare Advantage plans?▾
Hays County's rapid growth means more people are enrolling in Medicare Advantage, with nearly 10,600 beneficiaries. This growth affects plan availability and options.
When can I enroll in a Medicare Advantage plan in Hays County?▾
You can enroll during the Annual Enrollment Period (AEP) from October 15 to December 7 each year, or during Special Enrollment Periods if you have qualifying life events.
Hey 👋 — I'm trained on every page of mrandmrsinsurance.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 or Robin.
Try one of these
Educational only — not medical or legal advice. We do not offer every plan in your area. Call 1-800-MEDICARE for all options.
