The numbers behind Medicare in Fayette County
| Fayette County | Texas | |
|---|---|---|
| Residents age 65 and older | 6,907 | 4,188,063 statewide |
| Share of residents age 65+ | 27.1% | 13.7% statewide |
| People with Medicare | 8,032 | 5,048,909 statewide |
| Enrolled in Medicare Advantage | 2,784 | 2,770,279 statewide |
| Medicare Advantage share | 34.7% | 54.9% statewide |
Sources: Census Bureau 2023 estimates and CMS Medicare Advantage penetration, September 2026.
With roughly 6,907 residents age 65 and older, Fayette County is 85th among 254 Texas counties for older residents. That group is 27.1% of its population, compared with 13.7% across Texas. The 2,080 residents now between 60 and 64 will become Medicare-eligible soon, and our turning 65 guide walks through it. Among residents 65 and older, 56% are 65 to 74, 32% are 75 to 84 and 12% are 85 or older (Census 2023 estimates). Medicare Advantage enrollment in Fayette County is 34.7% of people with Medicare, lower than the Texas average of 54.9%. Averages cannot choose a plan for you. Medicare Advantage and Original Medicare with a Medigap plan each suit different people, depending on doctors, medicines and how you prefer to handle costs, and we compare both at your ZIP code.
Who has Medicare in Fayette County
Fayette County is a smaller-city and town county; the U.S. Department of Agriculture describes it as: urban population of 5,000 to 20,000, adjacent to a metro area. Counties like this often sit between a metro area and rural communities, so some residents use hospitals and specialists in a neighboring county and a plan’s network across the county line matters.
CMS counts 7,877 Medicare beneficiaries in Fayette County (2023). Their average age is 75, older than the Texas average of 73. About 6% are “dual eligible,” meaning they have both Medicare and Medicaid, lower than the state figure of 11%.
Among people in Original Medicare in Fayette County, CMS reported about 483 emergency room visits and 208 inpatient hospital stays per 1,000 beneficiaries in 2023, which is lower than the state average for emergency visits (580) and close to it for hospital stays (226). About 9% 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.
Medicare Advantage and Part D plan availability and provider networks are set county by county, so the plans open to you in Fayette County may differ from those in a neighboring county. We are not based in Fayette County; we help Fayette County residents by phone or video call.
Hospitals and doctors near Fayette County
CMS Hospital General Information lists no acute care, critical access or children’s hospital located inside Fayette County. Residents often use hospitals in neighboring counties, which matters for Medicare Advantage because a plan’s network may include or leave out the hospital you use. We check your hospitals and doctors before you enroll.
Where people live in Fayette County
People in Fayette County live in communities such as La Grange (4,541), Schulenburg (2,783), Flatonia (1,371), Ellinger (296), Fayetteville (250), Carmine (248) (2023 population estimates, counting only the part of each community that lies inside the county).
Census ZIP Code Tabulation Areas mostly within Fayette County number 8: 78938, 78940, 78941, 78945, 78949, 78954, 78956, 78963. Your exact ZIP code is what decides which plans you can join.
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.
- Texas Department of Insurance: Texas’s insurance regulator, including agent license lookup.
Coverage we offer Fayette County residents
Here is what we can help Fayette County residents with, drawing on plans from many insurers: annuities, Medicare Advantage, Medicare Supplement (Medigap), Part D drug plans, ACA health insurance, ICHRA, group health insurance, life insurance and final expense 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 comparisonPlain-English Medicare answers
- How to read your Medicare Annual Notice of Change
- When can you switch Medicare plans? Every enrollment window
- Do you really need a Medicare agent?
- Medicare Parts A, B, C and D explained
Fayette County compared with similar Texas counties
| County | Residents 65+ | Medicare Advantage share | Dual eligible share | Area type |
|---|---|---|---|---|
| Jasper County | 6,982 | 51.8% | 13% | Smaller city/town |
| Fannin County | 6,747 | 45.9% | 10% | Smaller city/town |
| Matagorda County | 6,743 | 54.1% | 13% | Smaller city/town |
| Erath County | 6,704 | 44.6% | 13% | Smaller city/town |
| Hopkins County | 7,216 | 45.6% | 11% | Smaller city/town |
| Cass County | 6,444 | 51.6% | 12% | Smaller city/town |
See every Texas county in our Texas directory or go to our Texas Medicare hub.