Medicare in Franklin County by the numbers
| Franklin County | Texas | |
|---|---|---|
| Residents age 65 and older | 2,481 | 4,188,063 statewide |
| Share of residents age 65+ | 23.1% | 13.7% statewide |
| People with Medicare | 2,794 | 5,048,909 statewide |
| Enrolled in Medicare Advantage | 1,254 | 2,770,279 statewide |
| Medicare Advantage share | 44.9% | 54.9% statewide |
Data: U.S. Census Bureau (2023 population estimates); CMS, September 2026. Medicare Advantage share is enrollees divided by people with Medicare.
Among Texas’s 254 counties, Franklin County comes in 147th for residents age 65 and up (2,481). Older adults make up 23.1% of the population here; the state figure is 13.7%. The 858 residents now between 60 and 64 will become Medicare-eligible soon, and our turning 65 guide walks through it. Census 2023 estimates show 57% of the 65-plus population is under 75, 33% is 75 to 84 and 10% is 85 or older. About 44.9% of people with Medicare in Franklin County are enrolled in a Medicare Advantage plan. That is lower than the Texas average of 54.9%. 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 Franklin County
Franklin County is a rural county (USDA: urban population of fewer than 5,000, not adjacent to a metro area). Plan choices can be narrower than in a city, and we focus on networks that include the doctors and hospital you actually use.
CMS counts 2,694 Medicare beneficiaries in Franklin County (2023). Their average age is 73, about the same as the Texas average of 73. About 10% are “dual eligible,” meaning they have both Medicare and Medicaid, close to the state figure of 11%.
Among people in Original Medicare in Franklin County, CMS reported about 508 emergency room visits and 222 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 12% 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 Franklin County can be different from the ones offered next door. We are not based in Franklin County; we help Franklin County residents by phone or video call.
Hospitals and doctors near Franklin County
CMS Hospital General Information lists no acute care, critical access or children’s hospital located inside Franklin 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.
Communities and ZIP codes in Franklin County
The largest communities in Franklin County by 2023 Census population estimates are Mount Vernon (2,557), Winnsboro (802). Each figure counts only the people living inside the county.
ZIP codes that fall mostly inside Franklin County include 75457, 75480, 75487. Plan availability can change by ZIP code, so have yours ready when we compare plans.
Questions about Medicare in Franklin 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.
- HealthCare.gov if you are not yet on Medicare.
- Medicare Care Compare for hospitals and doctors.
- Social Security: Medicare to enroll or check status.
- Texas Department of Insurance: Texas’s insurance regulator, including agent license lookup.
Coverage we offer Franklin County residents
As an independent agency we are not tied to one insurer, so for Franklin County residents we can compare Medicare Advantage, Medicare Supplement (Medigap), Part D drug plans, ACA health insurance, ICHRA, group health insurance, life insurance, final expense insurance and annuities.
Ready to compare plans in Franklin County?
Tell us your doctors and medicines and we will show you what fits. No cost, no pressure.
Get my plan comparisonRead next
- What Medicare Part D actually costs
- Can I change my Medicare plan after December 7?
- How to read your Medicare Annual Notice of Change
- Medigap Plan G vs. Plan N
Franklin County compared with similar Texas counties
| County | Residents 65+ | Medicare Advantage share | Dual eligible share | Area type |
|---|---|---|---|---|
| Live Oak County | 2,418 | 54.7% | 10% | Rural |
| Camp County | 2,399 | 47.0% | 12% | Rural |
| Marion County | 2,638 | 52.2% | 16% | Rural |
| Morris County | 2,702 | 48.6% | 13% | Rural |
| Hamilton County | 2,172 | 50.9% | 10% | Rural |
| Karnes County | 2,158 | 49.8% | 12% | Rural |
See every Texas county in our Texas directory or go to our Texas Medicare hub.