The numbers behind Medicare in Guadalupe County
| Guadalupe County | Texas | |
|---|---|---|
| Residents age 65 and older | 28,497 | 4,188,063 statewide |
| Share of residents age 65+ | 15.1% | 13.7% statewide |
| People with Medicare | 35,785 | 5,048,909 statewide |
| Enrolled in Medicare Advantage | 16,771 | 2,770,279 statewide |
| Medicare Advantage share | 46.9% | 54.9% statewide |
Figures come from the Census Bureau and CMS (September 2026).
With roughly 28,497 residents age 65 and older, Guadalupe County is 26th among 254 Texas counties for older residents. That group is 15.1% of its population, compared with 13.7% across Texas. The 10,819 residents now between 60 and 64 will become Medicare-eligible soon, and our turning 65 guide walks through it. Census 2023 estimates show 59% of the 65-plus population is under 75, 31% is 75 to 84 and 10% is 85 or older. Medicare Advantage enrollment in Guadalupe County is 46.9% of people with Medicare, 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 Guadalupe County
Guadalupe County sits in a metro area, which the USDA defines as counties in metro areas of 1 million population or more. That usually means more doctors, more hospitals and more plan choices in the area.
CMS counts 32,636 Medicare beneficiaries in Guadalupe County (2023). Their average age is 72, about the same as the Texas average of 73. About 7% are “dual eligible,” meaning they have both Medicare and Medicaid, lower than the state figure of 11%.
Among people in Original Medicare in Guadalupe County, CMS reported about 525 emergency room visits and 179 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.
Insurers choose which counties to serve each year, which means the Medicare Advantage and Part D plans you can pick in Guadalupe County can be different from the ones offered next door. We are not based in Guadalupe County; we help Guadalupe County residents by phone or video call.
Hospitals located in Guadalupe County
The Centers for Medicare & Medicaid Services (CMS) lists this hospital in Guadalupe County:
- Guadalupe Regional Medical Center — Seguin (acute care; government-owned; emergency services; CMS overall rating 2 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.
Communities and ZIP codes in Guadalupe County
People in Guadalupe County live in communities such as Cibolo (36,374), Seguin (36,013), Schertz (35,485), New Braunfels (25,075), Selma (3,738), Marion (1,074) (2023 population estimates, counting only the part of each community that lies inside the county).
We look up plans by ZIP code. In Guadalupe County, that means areas such as 78108, 78123, 78124, 78130, 78155, 78638, 78670, based on Census ZIP Code Tabulation Areas that lie mostly in the county.
Questions about Medicare in Guadalupe 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 Guadalupe County residents
Here is what we can help Guadalupe County residents with, drawing on plans from many insurers: Medicare Supplement (Medigap), Part D drug plans, ACA health insurance, ICHRA, group health insurance, life insurance, final expense insurance, annuities and Medicare Advantage.
Let’s check your Guadalupe County options together
We confirm your doctors and prescriptions before you enroll, at no cost to you.
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Guadalupe County compared with similar Texas counties
| County | Residents 65+ | Medicare Advantage share | Dual eligible share | Area type |
|---|---|---|---|---|
| Webb County | 28,470 | 64.9% | 39% | Metro |
| Johnson County | 28,653 | 60.5% | 10% | Metro |
| Parker County | 28,026 | 44.6% | 6% | Metro |
| Ellis County | 29,218 | 53.4% | 9% | Metro |
| Grayson County | 26,608 | 47.9% | 10% | Metro |
| Brazos County | 26,002 | 50.4% | 8% | Metro |
See every Texas county in our Texas directory or go to our Texas Medicare hub.