Fayette County Medicare at a glance
| Fayette County | Alabama | |
|---|---|---|
| Residents age 65 and older | 3,554 | 932,312 statewide |
| Share of residents age 65+ | 22.3% | 18.3% statewide |
| People with Medicare | 3,961 | 1,148,442 statewide |
| Enrolled in Medicare Advantage | 2,465 | 706,387 statewide |
| Medicare Advantage share | 62.2% | 61.5% statewide |
Sources: Census Bureau 2023 estimates and CMS Medicare Advantage penetration, September 2026.
Among Alabama’s 67 counties, Fayette County comes in 52nd for residents age 65 and up (3,554). Older adults make up 22.3% of the population here; the state figure is 18.3%. Another 1,116 residents are age 60 to 64 and will reach Medicare eligibility within about five years (see our turning 65 guide). By age, the 65-and-older group splits 57% ages 65 to 74, 34% ages 75 to 84 and 10% age 85 and up (Census 2023). Medicare Advantage enrollment in Fayette County is 62.2% of people with Medicare, close to the Alabama average of 61.5%. A county average does not tell you which kind of plan fits you. Whether Medicare Advantage or Original Medicare with a Medigap plan is the better fit depends on your doctors, your prescriptions and how you want to handle costs, so we compare both for your ZIP code.
Who has Medicare in Fayette County
The USDA classifies Fayette County as: urban population of fewer than 5,000, adjacent to a metro area. With fewer hospitals and clinics close by, the right Medicare plan here is often the one whose network includes the providers you can really reach.
CMS counts 4,701 Medicare beneficiaries in Fayette County (2023). Their average age is 72, about the same as the Alabama average of 72. About 21% are “dual eligible,” meaning they have both Medicare and Medicaid, higher than the state figure of 14%. Where many people have both, special plans for dual-eligible members can matter; see our Medicaid and dual eligible guide, since availability varies by plan and area.
Among people in Original Medicare in Fayette County, CMS reported about 631 emergency room visits and 243 inpatient hospital stays per 1,000 beneficiaries in 2023, which is close to the state average for emergency visits (600) and close to it for hospital stays (247). About 14% received home health care. These figures describe how people use care under Original Medicare; they do not show what any plan covers or costs.
Sources: CMS Medicare Geographic Variation, 2023; USDA Rural-Urban Continuum Codes, 2023.
Insurers choose which counties to serve each year, which means the Medicare Advantage and Part D plans you can pick in Fayette County can be different from the ones offered next door. We are not based in Fayette County; we help Fayette County residents by phone or video call.
Hospitals located in Fayette County
The Centers for Medicare & Medicaid Services (CMS) lists these hospitals in Fayette County:
- Fayette Medical Center — Fayette (acute care; nonprofit; emergency services; CMS overall rating 4 of 5)
- North Mississippi Health Services - South Marion — Winfield (acute care; for-profit; emergency services; CMS overall rating 4 of 5)
Being located in the county is not the same as being in your plan’s network. Each Medicare Advantage plan builds its own network, so we confirm that your hospital and your doctors are included before you choose. Ratings are CMS Care Compare overall hospital star ratings; they describe the hospital, not whether a plan covers it. Source: CMS Hospital General Information.
Fayette County: communities and ZIP codes
Census Bureau 2023 estimates put the biggest communities in Fayette County at Fayette (4,128), Berry (1,190), Winfield (722), Glen Allen (369), Belk (187), Gu-Win (0), counting only the part of each community inside the county.
ZIP codes that fall mostly inside Fayette County include 35542, 35545, 35549, 35554, 35555, 35559, 35594. Plan availability can change by ZIP code, so have yours ready when we compare plans.
Questions about Medicare in Fayette County?
Reach out to us: fill out our short form or call (571) 354-0146, and a licensed agent will compare the plans available to you, check your doctors and drugs, and stay with you each year at renewal. For general Medicare information, the federal helpline is 1-800-MEDICARE (1-800-633-4227).
Medicare resources from official sources
- Medicare Plan Finder on Medicare.gov, searchable by ZIP code.
- Social Security: Medicare to enroll or check status.
- Medicare.gov: Medigap on how Medicare Supplement works.
- HealthCare.gov if you are not yet on Medicare.
- Alabama Department of Insurance: Alabama’s insurance regulator, including agent license lookup.
Coverage we offer Fayette County residents
We work with many carriers, which lets us compare more than one option for Fayette County households, including ICHRA, group health insurance, life insurance, final expense insurance, annuities, Medicare Advantage, Medicare Supplement (Medigap), Part D drug plans and ACA health insurance.
Let’s check your Fayette County options together
We confirm your doctors and prescriptions before you enroll, at no cost to you.
Get my plan comparisonRead next
- Medicare Advantage vs. Medigap: how to choose
- Can I change my Medicare plan after December 7?
- Do you really need a Medicare agent?
- Medicare 101 for families
Fayette County compared with similar Alabama counties
| County | Residents 65+ | Medicare Advantage share | Dual eligible share | Area type |
|---|---|---|---|---|
| Washington County | 3,240 | 63.3% | 18% | Rural |
| Lamar County | 3,105 | 45.2% | 18% | Rural |
| Clay County | 3,084 | 63.0% | 17% | Rural |
| Cleburne County | 3,053 | 53.7% | 18% | Rural |
| Choctaw County | 3,040 | 59.6% | 21% | Rural |
| Conecuh County | 2,819 | 65.4% | 22% | Rural |
See every Alabama county in our Alabama directory or go to our Alabama Medicare hub.