The numbers behind Medicare in Real County
| Real County | Texas | |
|---|---|---|
| Residents age 65 and older | 870 | 4,188,063 statewide |
| Share of residents age 65+ | 30.5% | 13.7% statewide |
| People with Medicare | 1,340 | 5,048,909 statewide |
| Enrolled in Medicare Advantage | 522 | 2,770,279 statewide |
| Medicare Advantage share | 39.0% | 54.9% statewide |
Figures come from the Census Bureau and CMS (September 2026).
Among Texas’s 254 counties, Real County comes in 204th for residents age 65 and up (870). Older adults make up 30.5% of the population here; the state figure is 13.7%. Another 262 residents are age 60 to 64 and will reach Medicare eligibility within about five years (see our turning 65 guide). Among residents 65 and older, 58% are 65 to 74, 32% are 75 to 84 and 10% are 85 or older (Census 2023 estimates). Medicare Advantage enrollment in Real County is 39.0% 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 Real County
The USDA classifies Real County as: urban population of fewer than 5,000, not 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 1,431 Medicare beneficiaries in Real County (2023). Their average age is 73, about the same as the Texas average of 73. About 12% are “dual eligible,” meaning they have both Medicare and Medicaid, close to the state figure of 11%.
Among people in Original Medicare in Real County, CMS reported about 591 emergency room visits and 245 inpatient hospital stays per 1,000 beneficiaries in 2023, which is close to the state average for emergency visits (580) and close to it for hospital stays (226). About 5% 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 Real County may have a different set of plans than the counties around it. We are not based in Real County; we help Real County residents by phone or video call.
Hospitals and doctors near Real County
CMS Hospital General Information lists no acute care, critical access or children’s hospital located inside Real 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 Real County
People in Real County live in communities such as Camp Wood (511), Leakey (331) (2023 population estimates, counting only the part of each community that lies inside the county).
ZIP codes that fall mostly inside Real County include 78828, 78833, 78873, 78879. Plan availability can change by ZIP code, so have yours ready when we compare plans.
Questions about Medicare in Real 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 Real County residents
As an independent agency we are not tied to one insurer, so for Real County residents we can compare Medicare Supplement (Medigap), Part D drug plans, ACA health insurance, ICHRA, group health insurance, life insurance, final expense insurance, annuities and Medicare Advantage.
Ready to compare plans in Real County?
Tell us your doctors and medicines and we will show you what fits. No cost, no pressure.
Get my plan comparisonRead next
- Medicare Advantage vs. Medigap: how to choose
- Does Medicare cover dental, vision and hearing?
- What Medicare Part D actually costs
- Medicare 101 for families
Real County compared with similar Texas counties
| County | Residents 65+ | Medicare Advantage share | Dual eligible share | Area type |
|---|---|---|---|---|
| Hartley County | 858 | 31.0% | 9% | Rural |
| Jim Hogg County | 853 | 70.7% | 38% | Rural |
| Fisher County | 889 | 34.2% | 12% | Rural |
| Jeff Davis County | 840 | 36.2% | 8% | Rural |
| Coke County | 907 | 41.4% | 13% | Rural |
| Donley County | 829 | 33.6% | 14% | Rural |
See every Texas county in our Texas directory or go to our Texas Medicare hub.