Medicare in Gonzales County by the numbers
| Gonzales County | Texas | |
|---|---|---|
| Residents age 65 and older | 3,607 | 4,188,063 statewide |
| Share of residents age 65+ | 18.1% | 13.7% statewide |
| People with Medicare | 4,643 | 5,048,909 statewide |
| Enrolled in Medicare Advantage | 2,201 | 2,770,279 statewide |
| Medicare Advantage share | 47.4% | 54.9% statewide |
Data: U.S. Census Bureau (2023 population estimates); CMS, September 2026. Medicare Advantage share is enrollees divided by people with Medicare.
With roughly 3,607 residents age 65 and older, Gonzales County is 127th among 254 Texas counties for older residents. That group is 18.1% of its population, compared with 13.7% across Texas. Another 1,327 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 58% ages 65 to 74, 31% ages 75 to 84 and 11% age 85 and up (Census 2023). About 47.4% of people with Medicare in Gonzales County are enrolled in a Medicare Advantage plan. That is 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 Gonzales County
The USDA classifies Gonzales County as: urban population of 5,000 to 20,000, adjacent to a metro area. In counties of this type, people often travel to a larger neighboring county for specialists, so we check whether your plan’s network reaches there.
CMS counts 4,662 Medicare beneficiaries in Gonzales County (2023). Their average age is 74, about the same as the Texas average of 73. About 13% are “dual eligible,” meaning they have both Medicare and Medicaid, close to the state figure of 11%.
Among people in Original Medicare in Gonzales County, CMS reported about 591 emergency room visits and 195 inpatient hospital stays per 1,000 beneficiaries in 2023, which is close to the state average for emergency visits (580) and lower than 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.
Where you live decides which Medicare Advantage and Part D plans you can join, and Gonzales County may have a different set of plans than the counties around it. We are not based in Gonzales County; we help Gonzales County residents by phone or video call.
Hospitals located in Gonzales County
The Centers for Medicare & Medicaid Services (CMS) lists this hospital in Gonzales County:
- Memorial Hospital — Gonzales (acute care; government-owned; no emergency department)
A hospital being in the county does not mean every plan covers it. Medicare Advantage networks differ by plan, so we check the hospitals and doctors you actually use before you enroll. Ratings are CMS Care Compare overall hospital star ratings; they describe the hospital, not whether a plan covers it. Source: CMS Hospital General Information.
Communities and ZIP codes in Gonzales County
People in Gonzales County live in communities such as Gonzales (7,221), Nixon (2,389), Waelder (955), Smiley (488) (2023 population estimates, counting only the part of each community that lies inside the county).
We look up plans by ZIP code. In Gonzales County, that means areas such as 78122, 78140, 78159, 78614, 78629, 78632, 78658, 78677, 78959, based on Census ZIP Code Tabulation Areas that lie mostly in the county.
Questions about Medicare in Gonzales 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 Gonzales County residents
Here is what we can help Gonzales County residents with, drawing on plans from many insurers: 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 Gonzales County?
Tell us your doctors and medicines and we will show you what fits. No cost, no pressure.
Get my plan comparisonPlain-English Medicare answers
- What happens if you do nothing during open enrollment?
- Can I change my Medicare plan after December 7?
- Why a Medicare Advantage plan drops a doctor or drug
- Medigap Plan G vs. Plan N
Gonzales County compared with similar Texas counties
| County | Residents 65+ | Medicare Advantage share | Dual eligible share | Area type |
|---|---|---|---|---|
| Hutchinson County | 3,697 | 42.5% | 11% | Smaller city/town |
| Gray County | 3,457 | 39.7% | 12% | Smaller city/town |
| Young County | 3,770 | 27.0% | 12% | Smaller city/town |
| Calhoun County | 3,944 | 51.4% | 12% | Smaller city/town |
| Bee County | 3,975 | 67.6% | 20% | Smaller city/town |
| DeWitt County | 4,069 | 46.3% | 11% | Smaller city/town |
See every Texas county in our Texas directory or go to our Texas Medicare hub.