Medicare Part D in Fayette County, Texas. About 7,877 Medicare beneficiaries live here, with roughly 18 percent in Medicare Advantage plans. Top carriers include Humana and BSW SeniorCare Advantage. For free help comparing plans, call Mr. and Mrs. Insurance, a licensed Texas agency, or visit mrandmrsinsurance.com.
Fayette County, TX has 7,877 Medicare beneficiaries per CMS Q1 2024 data, with about 18% enrolled in Medicare Advantage. The top medicare part d 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 part d market
At roughly 18% MA penetration, most of Fayette County's 7,877 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.
Fayette County at a glance
Population (2024 ACS)
25,417
Medicare beneficiaries
7,877
MA penetration
18%
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 Part D 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 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 Fayette County plans that fit your situation.
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 7,877 Texans in Fayette County are enrolled in Medicare as of 2024 CMS data. About 18% 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 will the closure of St. Mark's Medical Center affect Medicare Part D plans in Fayette County?▾
With Progressive Health of Fayette taking over the former St. Mark's Medical Center, residents should focus on standalone prescription drug plans that offer comprehensive coverage. Our local agents can help you navigate this change and find a plan that fits your needs.
When is the best time to enroll in Medicare Part D for someone living in Fayette County?▾
Enrollment periods like Annual Enrollment Period (AEP) from Oct 15 to Dec 7 are crucial. However, Special Enrollment Periods (SEPs) may also be available if you have a life-changing event. Our agents can provide personalized advice based on your specific circumstances.
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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.
