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CMS Medicare enrollment · April 2026

Texas Medicare Enrollment

State and county enrollment from CMS, including Original Medicare, Medicare Advantage and Other Health Plans, and Part D coverage.

Informational only. These enrollment counts do not compare plans or provide medical, financial, or enrollment advice.

Total Medicare enrollment
5M

4,991,734

Original Medicare
2.3M

2,252,112 beneficiaries

MA & Other share
54.9%

CMS combined delivery-system measure

Part D coverage
80.2%

4,005,211 beneficiaries

County enrollment

255 CMS county rows for Texas. Unavailable values remain marked as not reported rather than estimated.

CountyTotalOriginal MedicareMA & OtherMA & Other sharePart D share
Anderson County11,6735,3076,36654.5%80.4%
Andrews County2,4841,2301,25450.5%80.4%
Angelina County18,9889,4299,55950.3%82.9%
Aransas County8,6103,6025,00858.2%82.5%
Archer County2,0811,44963230.4%77.1%
Armstrong County51831320539.6%80.1%
Atascosa County10,1243,4276,69766.1%81.9%
Austin County8,1144,4853,62944.7%82.7%
Bailey County1,13673040635.7%78.4%
Bandera County8,2674,2044,06349.1%75%
Bastrop County19,3598,96910,39053.7%77.3%
Baylor County92762330432.8%80.7%
Bee County5,2181,7833,43565.8%82.8%
Bell County64,25930,75133,50852.1%61.5%
Bexar County340,477140,580199,89758.7%74.3%
Blanco County4,5162,7441,77239.2%77.1%
Borden County106782826.4%75.5%
Bosque County5,7632,7842,97951.7%78.8%
Bowie County20,43911,4718,96843.9%74.8%
Brazoria County64,51426,78637,72858.5%81.8%
Brazos County30,38215,11315,26950.3%77.1%
Brewster County2,3611,40595640.5%72.9%
Briscoe County41626814835.6%81.3%
Brooks County1,5354151,12073%88.1%
Brown County9,9015,8934,00840.5%78.1%
Burleson County5,3422,5612,78152.1%79%
Burnet County14,7967,9786,81846.1%80.3%
Caldwell County8,8113,8964,91555.8%78.4%
Calhoun County4,6762,2752,40151.3%79.6%
Callahan County3,7692,1161,65343.9%76.1%
Cameron County73,25818,79554,46374.3%86.1%
Camp County3,1791,6751,50447.3%80%
Carson County1,28373954442.4%79%
Cass County8,6604,3024,35850.3%80.1%
Castro County1,25273951341%78.8%
Chambers County7,9453,6154,33054.5%82.6%
Cherokee County11,1085,0176,09154.8%82%
Childress County1,29171058145%78.6%
Clay County2,5951,73386233.2%75.5%
Cochran County52425427051.5%85.1%
Coke County1,03558844743.2%76.8%
Coleman County2,6761,80387332.6%76.2%
Collin County160,03291,00569,02743.1%80.4%
Collingsworth County68050417625.9%78.8%
Colorado County6,0333,6892,34438.9%83.4%
Comal County47,63826,25721,38144.9%74.3%
Comanche County3,6942,2351,45939.5%77.6%
Concho County77642934744.7%79.9%
Cooke County9,6545,5824,07242.2%81%
Coryell County12,3896,2466,14349.6%59.6%
Cottle County41222718544.9%77.2%
Crane County67438129343.5%77.9%
Crockett County76945731240.6%76.2%
Crosby County1,27851676259.6%84.2%
Culberson County51234117133.4%73%
Dallam County1,03569434132.9%70.7%
Dallas County365,246164,803200,44354.9%81.3%
Dawson County2,2111,1401,07148.4%82.1%
Deaf Smith County2,8211,4441,37748.8%78.4%
Delta County1,37772565247.3%81.3%
Denton County135,60974,73160,87844.9%79.4%
Dewitt County4,7152,5202,19546.6%82.3%
Dickens County58235622638.8%78.5%
Dimmit County1,9165821,33469.6%86.1%
Donley County96863733134.2%76.1%
Duval County2,4406971,74371.4%87%
Eastland County5,0782,7222,35646.4%78.5%
Ector County21,92910,16611,76353.6%78.7%
Edwards County65934531447.6%75.9%
El Paso County153,59539,313114,28274.4%83.3%
Ellis County37,90217,68820,21453.3%79.1%
Erath County7,7564,2373,51945.4%81.1%
Falls County3,7641,4622,30261.2%77.9%
Fannin County8,3784,5273,85146%76.4%
Fayette County8,1205,2332,88735.6%82.2%
Fisher County94461632834.7%78.4%
Floyd County1,22566056546.1%83%
Foard County35222812435.2%75.3%
Fort Bend County135,73960,06175,67855.8%83.1%
Franklin County2,6861,4651,22145.5%83%
Freestone County4,9182,4662,45249.9%81.1%
Frio County2,9819522,02968.1%84.7%
Gaines County2,2691,35091940.5%73.7%
Galveston County70,39930,76139,63856.3%81.4%
Garza County89943746251.4%82.6%
Gillespie County9,8226,8302,99230.5%80.3%
Glasscock County2011554622.9%79.6%
Goliad County1,90994296750.7%82.6%
Gonzales County4,6742,4682,20647.2%79.5%
Gray County4,1482,4951,65339.9%79.4%
Grayson County33,51717,77615,74147%78.6%
Gregg County28,66713,30915,35853.6%82.2%
Grimes County7,4143,5713,84351.8%79.6%
Guadalupe County34,16018,05516,10547.1%67.1%
Hale County5,8472,8702,97750.9%82.2%
Hall County77244732542.1%78%
Hamilton County2,5481,2571,29150.7%80.7%
Hansford County91668023625.8%77.8%
Hardeman County92259532735.5%76.9%
Hardin County13,1365,8947,24255.1%84.3%
Harris County660,955257,349403,60661.1%83.4%
Harrison County14,1596,5997,56053.4%80.7%
Hartley County54739715027.4%75.3%
Haskell County1,45694750935%80%
Hays County43,45522,34821,10748.6%79.1%
Hemphill County69552816724%79.3%
Henderson County22,71610,55112,16553.6%82.4%
Hidalgo County125,19828,49996,69977.2%87.3%
Hill County9,7844,2665,51856.4%80.1%
Hockley County4,2761,9662,31054%82.2%
Hood County20,96110,77110,19048.6%81.7%
Hopkins County8,6574,7373,92045.3%81.4%
Houston County5,9852,9503,03550.7%81.2%
Howard County5,3182,9682,35044.2%73.8%
Hudspeth County1,10440569963.3%76.2%
Hunt County20,99310,94410,04947.9%78.7%
Hutchinson County4,3412,5281,81341.8%79.5%
Irion County40224315939.6%75.4%
Jack County1,8371,16567236.6%80.2%
Jackson County3,4771,8771,60046%81.5%
Jasper County9,0424,3194,72352.2%83.3%
Jeff Davis County70843527338.6%74.2%
Jefferson County46,15418,48527,66959.9%84.2%
Jim Hogg County98727471372.2%88.2%
Jim Wells County8,7422,5926,15070.4%85.8%
Johnson County38,07215,37522,69759.6%81.7%
Jones County3,5771,9691,60845%78.1%
Karnes County3,0121,4921,52050.5%81.8%
Kaufman County27,57512,59414,98154.3%80.1%
Kendall County14,8789,0945,78438.9%75.8%
Kenedy County53193464.2%83%
Kent County2241289642.9%81.7%
Kerr County17,96311,5636,40035.6%75.2%
Kimble County1,36294841430.4%76.2%
King County36211541.7%75%
Kinney County92648144548.1%73.5%
Kleberg County5,4321,6903,74268.9%82%
Knox County87656331335.7%79%
La Salle County1,16941875164.2%84%
Lamar County11,9097,4074,50237.8%78%
Lamb County2,6851,3711,31448.9%81.3%
Lampasas County6,3463,4412,90545.8%64.9%
Lavaca County6,0053,8512,15435.9%83.5%
Lee County4,1462,1851,96147.3%79.6%
Leon County5,7292,8712,85849.9%79.8%
Liberty County17,0586,19910,85963.7%83.4%
Limestone County5,5042,6132,89152.5%79.7%
Lipscomb County68548619929.1%74.3%
Live Oak County2,5351,1981,33752.7%81.2%
Llano County9,1045,0854,01944.1%81.1%
Loving County16Not reportedNot reportedNot reportedNot reported
Lubbock County54,26725,84728,42052.4%81.4%
Lynn County1,10354455950.7%84.2%
Madison County2,6521,2101,44254.4%79.8%
Marion County3,0541,4101,64453.8%78.2%
Martin County81950731238.1%79%
Mason County1,43291351936.2%80.9%
Matagorda County8,2543,7704,48454.3%80.8%
Maverick County11,5662,7928,77475.9%85.8%
Mcculloch County2,2981,37292640.3%75.6%
Mclennan County50,30023,04227,25854.2%77.8%
Mcmullen County1961029448%75.5%
Medina County11,7625,0096,75357.4%76.8%
Menard County71141929241.1%72.2%
Midland County22,05613,0219,03541%76.1%
Milam County6,5392,6763,86359.1%80.6%
Mills County1,51989662341%81.8%
Mitchell County1,56391365041.6%77.9%
Montague County6,0143,8262,18836.4%78.1%
Montgomery County121,37357,62763,74652.5%82.8%
Moore County2,7571,6641,09339.6%76.2%
Morris County3,5871,6591,92853.7%80.3%
Motley County35523312234.4%79.4%
Nacogdoches County12,8956,2626,63351.4%81.9%
Navarro County11,4055,4185,98752.5%80.8%
Newton County2,9921,4261,56652.3%79.8%
Nolan County3,3281,7171,61148.4%80.5%
Nueces County67,44723,47643,97165.2%81.8%
Ochiltree County1,4251,09133423.4%74.5%
Oldham County45430415033%72.2%
Orange County17,2307,6689,56255.5%84.8%
Palo Pinto County7,1213,9613,16044.4%77.8%
Panola County5,6412,8412,80049.6%79.4%
Parker County33,91718,64215,27545%78.4%
Parmer County1,5261,11041627.3%75.2%
Pecos County2,4781,2691,20948.8%77.3%
Polk County18,8949,3139,58150.7%80.4%
Potter County20,34810,01110,33750.8%78.4%
Presidio County1,80594186447.9%72.6%
Rains County3,6251,9221,70347%79.7%
Randall County27,21216,26010,95240.2%79.3%
Reagan County49830019839.8%70.9%
Real County1,35278456842%79%
Red River County3,6172,0131,60444.3%80.1%
Reeves County2,1331,36676736%76.8%
Refugio County1,8567781,07858.1%82.8%
Roberts County1991326733.7%80.9%
Robertson County4,3652,0892,27652.1%79%
Rockwall County21,47812,1899,28943.2%79.8%
Runnels County2,6701,82584531.6%79.7%
Rusk County10,7524,9185,83454.3%82.2%
Sabine County3,6592,2221,43739.3%79.9%
San Augustine County2,4751,2361,23950.1%80.9%
San Jacinto County6,8262,6774,14960.8%83.4%
San Patricio County14,6854,65310,03268.3%82.9%
San Saba County1,60792468342.5%78.3%
Schleicher County65142023135.5%77.3%
Scurry County3,1211,8121,30941.9%77.2%
Shackelford County84552931637.4%81.1%
Shelby County5,4392,5462,89353.2%82%
Sherman County38726911830.5%72.6%
Smith County52,70726,50426,20349.7%81.8%
Somervell County2,4571,2361,22149.7%81.6%
Starr County10,5381,6708,86884.2%92.4%
Stephens County2,1511,26788441.1%78.2%
Sterling County2541767830.7%75.2%
Stonewall County39629510125.5%79.8%
Sutton County84660723928.3%77.1%
Swisher County1,44783661142.2%82.3%
Tarrant County324,205143,031181,17455.9%79.9%
Taylor County28,19316,11812,07542.8%75%
Terrell County23612311347.9%76.3%
Terry County2,0758661,20958.3%85.9%
Throckmorton County38426012432.3%80.5%
Titus County5,9133,0632,85048.2%80.3%
Tom Green County24,54812,63411,91448.5%76.6%
Travis County160,22183,74176,48047.7%79%
Trinity County4,6871,9182,76959.1%81.8%
Tyler County5,3872,5292,85853.1%81.1%
UnknownNot reportedNot reportedNot reportedNot reportedNot reported
Upshur County9,8824,5035,37954.4%80.2%
Upton County65136528643.9%76.5%
Uvalde County5,7622,4483,31457.5%81.6%
Val Verde County9,0813,6255,45660.1%77.9%
Van Zandt County14,5866,8097,77753.3%81.4%
Victoria County19,9049,14210,76254.1%83.3%
Walker County12,9095,4367,47357.9%81.9%
Waller County8,9524,1384,81453.8%81.3%
Ward County1,9051,12777840.8%72.9%
Washington County10,2876,0094,27841.6%83.4%
Webb County39,20013,76625,43464.9%81.4%
Wharton County9,3664,8884,47847.8%83.4%
Wheeler County1,17585831727%78.4%
Wichita County27,03417,1669,86836.5%73.4%
Wilbarger County2,8191,7151,10439.2%79.7%
Willacy County3,7487902,95878.9%89.2%
Williamson County105,42056,06049,36046.8%78.3%
Wilson County11,4125,6155,79750.8%73.3%
Winkler County1,08360647744%73.9%
Wise County15,3827,6777,70550.1%80.4%
Wood County16,7858,4238,36249.8%81.5%
Yoakum County1,34378356041.7%75.6%
Young County4,6553,3501,30528%77.4%
Zapata County2,1865431,64375.2%90%
Zavala County2,1265451,58174.4%87.7%

Source and interpretation

CMS Medicare Monthly Enrollment, April 2026, published 2026-07-23. “MA & Other” retains the official combined CMS field label.

  • CMS suppresses some small counts with an asterisk; suppressed values remain null in this snapshot.
  • Medicare Advantage and Other Health Plans is the CMS-published combined measure and is not limited to Medicare Advantage alone.
  • Enrollment counts describe a reporting month and do not compare plan benefits, provider networks, quality, or personal costs.

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