Ranking of Texas Counties By Number of People and Percentage of Population With Medicare Health Insurance Coverage in 2021 (ACS-5Yrs)
Updated on October 26, 2025.
Based on the US Census ACS-5Yrs estimates, in 2021, the percentage of the Texas population who had Medicare health insurance coverage was 13.62% (i.e. 3,868,582 people). Percentagewise, among all Texas counties, Terrell County had the highest percentage of its population with Medicare health insurance coverage (41.78%), followed by Llano County (38.57%), and Menard County (38.52%).
In numerical terms, Harris County had the highest number of people with Medicare health insurance coverage (520,812), followed by Dallas County (303,091), and Bexar County (270,727).
The charts below shows the top 10 counties by the number of people and percentage of the population with Medicare health insurance coverage. The tables below shows the ranking for all Texas counties.
You can see similar information for other types of health insurance coverages.
You can also see similar information for other states.
Related Topics: Texas ACS-5Yrs Estimates, 2021 Topic List.
Data Source: US Census - ACS 5-Year Estimates.
Ranking of Texas Counties By Percentage of Population With
Medicare Health Insurance Coverage in 2021
Items per page:
25
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| Rank | County | Percentage of Population (%) |
|---|---|---|
| 1 | Terrell County | 41.78 |
| 2 | Llano County | 38.57 |
| 3 | Menard County | 38.52 |
| 4 | Jeff Davis County | 37.26 |
| 5 | Concho County | 34.75 |
| 6 | Real County | 34.49 |
| 7 | Foard County | 34.38 |
| 8 | Kent County | 34.31 |
| 9 | Sabine County | 34.09 |
| 10 | Mason County | 31.95 |
| 11 | Loving County | 31.33 |
| 12 | Gillespie County | 30.87 |
| 13 | Motley County | 30.26 |
| 14 | Trinity County | 30.22 |
| 15 | Dickens County | 29.83 |
| 16 | Coke County | 29.69 |
| 17 | Coleman County | 29.68 |
| 18 | Wood County | 29.49 |
| 19 | Bandera County | 29.46 |
| 20 | Aransas County | 29.39 |
| 21 | Kerr County | 29.29 |
| 22 | San Augustine County | 29.22 |
| 23 | Marion County | 29.21 |
| 24 | Tyler County | 28.68 |
| 25 | Mills County | 28.54 |
| 26 | Edwards County | 28.50 |
| 27 | Red River County | 28.14 |
| 28 | Kinney County | 27.75 |
| 29 | San Saba County | 27.74 |
| 30 | Baylor County | 27.72 |
| 31 | Kimble County | 27.51 |
| 32 | Hudspeth County | 27.40 |
| 33 | Houston County | 27.14 |
| 34 | Roberts County | 26.93 |
| 35 | Hamilton County | 26.63 |
| 36 | Haskell County | 26.59 |
| 37 | San Jacinto County | 26.30 |
| 38 | Leon County | 26.06 |
| 39 | Throckmorton County | 26.02 |
| 40 | Fayette County | 26.01 |
| 41 | Rains County | 25.92 |
| 42 | Briscoe County | 25.83 |
| 43 | Hall County | 25.81 |
| 44 | Brooks County | 25.67 |
| 45 | Hood County | 25.18 |
| 46 | Goliad County | 25.02 |
| 47 | Bosque County | 24.99 |
| 48 | Henderson County | 24.86 |
| 49 | Kenedy County | 24.85 |
| 50 | Schleicher County | 24.77 |
| 51 | Clay County | 24.66 |
| 52 | Newton County | 24.48 |
| 53 | Jasper County | 24.40 |
| 54 | Blanco County | 24.27 |
| 54 | Fisher County | 24.27 |
| 55 | McCulloch County | 24.22 |
| 56 | Borden County | 24.18 |
| 56 | Burnet County | 24.18 |
| 57 | Comanche County | 24.10 |
| 58 | Freestone County | 23.84 |
| 59 | Polk County | 23.81 |
| 60 | Donley County | 23.61 |
| 61 | Delta County | 23.51 |
| 62 | Eastland County | 23.47 |
| 63 | Lavaca County | 23.43 |
| 64 | Cass County | 23.35 |
| 65 | Burleson County | 23.32 |
| 66 | Callahan County | 23.28 |
| 67 | Jones County | 23.27 |
| 68 | Archer County | 23.26 |
| 69 | Refugio County | 23.25 |
| 70 | Lampasas County | 23.23 |
| 71 | Morris County | 23.13 |
| 72 | Franklin County | 23.10 |
| 72 | Montague County | 23.10 |
| 73 | Falls County | 22.71 |
| 74 | Milam County | 22.69 |
| 75 | Hardeman County | 22.56 |
| 76 | Van Zandt County | 22.54 |
| 77 | Shackelford County | 22.48 |
| 78 | Stephens County | 22.45 |
| 79 | Live Oak County | 22.30 |
| 80 | Robertson County | 22.25 |
| 80 | Swisher County | 22.25 |
| 81 | Colorado County | 22.20 |
| 82 | Hill County | 22.08 |
| 83 | Brown County | 21.94 |
| 84 | Washington County | 21.93 |
| 85 | Young County | 21.73 |
| 86 | Wilbarger County | 21.65 |
| 87 | Garza County | 21.62 |
| 88 | Lamar County | 21.59 |
| 89 | Lee County | 21.45 |
| 89 | Panola County | 21.45 |
| 90 | Palo Pinto County | 21.36 |
| 91 | Runnels County | 21.32 |
| 92 | Jack County | 21.25 |
| 93 | DeWitt County | 21.22 |
| 94 | Shelby County | 21.19 |
| 95 | Crosby County | 21.15 |
| 96 | Armstrong County | 21.00 |
| 97 | Irion County | 20.97 |
| 98 | Brewster County | 20.87 |
| 99 | Grimes County | 20.78 |
| 100 | Limestone County | 20.73 |
| 101 | Fannin County | 20.67 |
| 102 | Upshur County | 20.64 |
| 103 | Cherokee County | 20.57 |
| 104 | Floyd County | 20.55 |
| 105 | Austin County | 20.46 |
| 106 | Somervell County | 20.42 |
| 107 | Jackson County | 20.14 |
| 108 | Knox County | 20.10 |
| 109 | Hopkins County | 20.08 |
| 110 | Grayson County | 19.95 |
| 111 | Crockett County | 19.91 |
| 112 | Presidio County | 19.83 |
| 113 | Mitchell County | 19.74 |
| 114 | Duval County | 19.68 |
| 115 | Madison County | 19.66 |
| 116 | Cottle County | 19.61 |
| 117 | Wheeler County | 19.56 |
| 118 | Harrison County | 19.55 |
| 119 | Nolan County | 19.51 |
| 120 | Anderson County | 19.49 |
| 121 | Calhoun County | 19.47 |
| 121 | Medina County | 19.47 |
| 122 | Culberson County | 19.38 |
| 123 | Comal County | 19.23 |
| 124 | Camp County | 19.17 |
| 125 | Rusk County | 19.03 |
| 126 | Collingsworth County | 19.02 |
| 126 | Karnes County | 19.02 |
| 127 | Dawson County | 18.96 |
| 128 | Cooke County | 18.91 |
| 129 | Gonzales County | 18.85 |
| 130 | La Salle County | 18.84 |
| 131 | Hardin County | 18.72 |
| 132 | Angelina County | 18.66 |
| 133 | Wharton County | 18.65 |
| 134 | Matagorda County | 18.62 |
| 135 | Kendall County | 18.61 |
| 136 | Hunt County | 18.50 |
| 137 | Bowie County | 18.45 |
| 138 | Navarro County | 18.44 |
| 139 | Dimmit County | 18.40 |
| 140 | Hutchinson County | 18.22 |
| 141 | Wichita County | 18.17 |
| 142 | Hemphill County | 18.15 |
| 143 | Jim Wells County | 18.07 |
| 144 | Smith County | 18.04 |
| 145 | Stonewall County | 17.85 |
| 146 | Scurry County | 17.81 |
| 147 | Lynn County | 17.67 |
| 148 | Carson County | 17.66 |
| 149 | Uvalde County | 17.63 |
| 150 | Orange County | 17.61 |
| 151 | Childress County | 17.51 |
| 152 | Victoria County | 17.40 |
| 153 | Gregg County | 17.38 |
| 154 | Gray County | 17.37 |
| 155 | Lamb County | 17.26 |
| 156 | Sutton County | 17.22 |
| 157 | Cochran County | 17.19 |
| 158 | San Patricio County | 17.17 |
| 159 | Hartley County | 17.13 |
| 160 | Wilson County | 17.10 |
| 161 | Willacy County | 17.08 |
| 162 | Upton County | 17.01 |
| 163 | Bee County | 16.96 |
| 164 | Tom Green County | 16.93 |
| 165 | Terry County | 16.88 |
| 165 | Zavala County | 16.88 |
| 166 | Sherman County | 16.72 |
| 167 | Randall County | 16.71 |
| 168 | Bailey County | 16.69 |
| 169 | Parker County | 16.68 |
| 170 | Wise County | 16.67 |
| 171 | Jefferson County | 16.65 |
| 172 | Walker County | 16.63 |
| 173 | Nacogdoches County | 16.50 |
| 174 | Castro County | 16.44 |
| 175 | Nueces County | 16.21 |
| 176 | Frio County | 16.19 |
| 177 | Taylor County | 16.15 |
| 178 | Hockley County | 16.11 |
| 179 | Caldwell County | 16.00 |
| 180 | Coryell County | 15.93 |
| 181 | Bastrop County | 15.92 |
| 182 | McLennan County | 15.90 |
| 183 | Parmer County | 15.71 |
| 184 | Oldham County | 15.66 |
| 185 | Galveston County | 15.53 |
| 186 | Lipscomb County | 15.50 |
| 187 | Kleberg County | 15.48 |
| 188 | Hansford County | 15.44 |
| 189 | Atascosa County | 15.41 |
| 190 | Titus County | 15.35 |
| 191 | Liberty County | 15.27 |
| 192 | Val Verde County | 15.22 |
| 193 | Guadalupe County | 15.17 |
| 194 | Howard County | 15.09 |
| 195 | Erath County | 15.06 |
| 196 | Deaf Smith County | 14.96 |
| 197 | Johnson County | 14.93 |
| 198 | Hale County | 14.79 |
| 199 | Cameron County | 14.75 |
| 200 | Zapata County | 14.72 |
| 201 | Ward County | 14.27 |
| 202 | Potter County | 14.19 |
| 203 | McMullen County | 13.99 |
| 204 | Bexar County | 13.84 |
| 205 | Lubbock County | 13.79 |
| 206 | Reeves County | 13.75 |
| 207 | Bell County | 13.72 |
| 208 | Montgomery County | 13.70 |
| 209 | El Paso County | 13.54 |
| 210 | Ellis County | 13.51 |
| 211 | Pecos County | 13.30 |
| 212 | Starr County | 13.29 |
| 213 | Jim Hogg County | 13.04 |
| 214 | Maverick County | 13.01 |
| 215 | Brazoria County | 12.88 |
| 216 | Waller County | 12.85 |
| 217 | Kaufman County | 12.67 |
| 217 | Williamson County | 12.67 |
| 218 | Winkler County | 12.62 |
| 219 | Crane County | 12.47 |
| 220 | Hidalgo County | 12.42 |
| 221 | Rockwall County | 12.41 |
| 222 | Chambers County | 12.36 |
| 223 | Martin County | 12.19 |
| 224 | Tarrant County | 12.02 |
| 225 | Hays County | 12.01 |
| 226 | Ochiltree County | 11.72 |
| 227 | Dallas County | 11.71 |
| 228 | Glasscock County | 11.47 |
| 229 | Fort Bend County | 11.28 |
| 230 | Harris County | 11.14 |
| 231 | Dallam County | 10.79 |
| 232 | Collin County | 10.77 |
| 233 | Ector County | 10.75 |
| 234 | Sterling County | 10.73 |
| 235 | Denton County | 10.66 |
| 236 | Gaines County | 10.59 |
| 237 | Midland County | 10.48 |
| 238 | Moore County | 10.46 |
| 239 | Travis County | 10.33 |
| 240 | Brazos County | 10.31 |
| 241 | Webb County | 10.13 |
| 242 | Andrews County | 9.88 |
| 243 | Reagan County | 9.20 |
| 244 | Yoakum County | 8.11 |
| 245 | King County | 7.86 |
Ranking of Texas Counties By Number of People With
Medicare Health Insurance Coverage in 2021
Items per page:
25
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| Rank | County | Number of People |
|---|---|---|
| 1 | Harris County | 520812 |
| 2 | Dallas County | 303091 |
| 3 | Bexar County | 270727 |
| 4 | Tarrant County | 249552 |
| 5 | Travis County | 130176 |
| 6 | El Paso County | 113184 |
| 7 | Collin County | 111647 |
| 8 | Hidalgo County | 106549 |
| 9 | Denton County | 94008 |
| 10 | Fort Bend County | 90407 |
| 11 | Montgomery County | 82983 |
| 12 | Williamson County | 74614 |
| 13 | Cameron County | 61828 |
| 14 | Nueces County | 56437 |
| 15 | Galveston County | 53159 |
| 16 | Bell County | 47063 |
| 17 | Brazoria County | 45905 |
| 18 | Lubbock County | 42011 |
| 19 | Smith County | 41300 |
| 20 | Jefferson County | 40533 |
| 21 | McLennan County | 40390 |
| 22 | Comal County | 29791 |
| 23 | Hays County | 27987 |
| 24 | Webb County | 26858 |
| 25 | Grayson County | 26560 |
| 26 | Johnson County | 26072 |
| 27 | Guadalupe County | 25332 |
| 28 | Ellis County | 25248 |
| 29 | Parker County | 23916 |
| 30 | Brazos County | 23364 |
| 31 | Randall County | 23117 |
| 32 | Taylor County | 21985 |
| 33 | Wichita County | 21201 |
| 34 | Gregg County | 21147 |
| 35 | Henderson County | 20090 |
| 36 | Tom Green County | 19349 |
| 37 | Hunt County | 18138 |
| 38 | Kaufman County | 17608 |
| 39 | Midland County | 17381 |
| 40 | Ector County | 17218 |
| 41 | Bowie County | 16125 |
| 42 | Potter County | 15938 |
| 43 | Angelina County | 15823 |
| 44 | Victoria County | 15728 |
| 45 | Kerr County | 15123 |
| 46 | Hood County | 15075 |
| 47 | Orange County | 14863 |
| 48 | Bastrop County | 14775 |
| 49 | Harrison County | 13292 |
| 50 | Van Zandt County | 13125 |
| 51 | Rockwall County | 12985 |
| 52 | Wood County | 12878 |
| 53 | Liberty County | 12765 |
| 54 | San Patricio County | 11661 |
| 55 | Burnet County | 11541 |
| 56 | Wise County | 11183 |
| 57 | Polk County | 10941 |
| 58 | Lamar County | 10684 |
| 59 | Walker County | 10606 |
| 60 | Nacogdoches County | 10581 |
| 61 | Hardin County | 10431 |
| 62 | Coryell County | 10031 |
| 63 | Cherokee County | 9843 |
| 64 | Navarro County | 9440 |
| 65 | Medina County | 9362 |
| 66 | Rusk County | 9188 |
| 67 | Anderson County | 8839 |
| 68 | Starr County | 8647 |
| 69 | Wilson County | 8333 |
| 70 | Upshur County | 8325 |
| 71 | Gillespie County | 8172 |
| 72 | Brown County | 8137 |
| 73 | Llano County | 8130 |
| 74 | Kendall County | 8087 |
| 75 | Jasper County | 7933 |
| 76 | Hill County | 7744 |
| 77 | Cooke County | 7719 |
| 78 | Wharton County | 7702 |
| 79 | Washington County | 7622 |
| 80 | Maverick County | 7488 |
| 81 | Atascosa County | 7450 |
| 82 | Hopkins County | 7268 |
| 83 | San Jacinto County | 7169 |
| 84 | Waller County | 7109 |
| 85 | Jim Wells County | 7023 |
| 86 | Aransas County | 7007 |
| 87 | Caldwell County | 6921 |
| 88 | Val Verde County | 6810 |
| 89 | Fannin County | 6751 |
| 90 | Matagorda County | 6690 |
| 91 | Cass County | 6628 |
| 92 | Erath County | 6301 |
| 93 | Fayette County | 6268 |
| 94 | Austin County | 6117 |
| 95 | Bandera County | 6093 |
| 96 | Palo Pinto County | 5998 |
| 97 | Chambers County | 5560 |
| 98 | Milam County | 5549 |
| 99 | Grimes County | 5256 |
| 100 | Houston County | 5202 |
| 101 | Tyler County | 5114 |
| 102 | Shelby County | 5110 |
| 103 | Lampasas County | 4898 |
| 104 | Panola County | 4803 |
| 105 | Titus County | 4780 |
| 106 | Kleberg County | 4696 |
| 107 | Lavaca County | 4666 |
| 108 | Howard County | 4654 |
| 109 | Hale County | 4621 |
| 110 | Montague County | 4526 |
| 111 | Colorado County | 4505 |
| 112 | Bosque County | 4492 |
| 113 | Limestone County | 4469 |
| 114 | Freestone County | 4317 |
| 115 | Uvalde County | 4310 |
| 116 | Eastland County | 4123 |
| 117 | Leon County | 4120 |
| 118 | Trinity County | 4100 |
| 119 | Burleson County | 4092 |
| 120 | Bee County | 4012 |
| 121 | Calhoun County | 3921 |
| 122 | Young County | 3838 |
| 123 | DeWitt County | 3822 |
| 124 | Hutchinson County | 3773 |
| 125 | Robertson County | 3711 |
| 126 | Gonzales County | 3669 |
| 127 | Lee County | 3653 |
| 128 | Falls County | 3467 |
| 129 | Hockley County | 3459 |
| 130 | Gray County | 3444 |
| 131 | Sabine County | 3373 |
| 132 | Willacy County | 3296 |
| 133 | Red River County | 3242 |
| 134 | Comanche County | 3223 |
| 135 | Callahan County | 3193 |
| 136 | Rains County | 3099 |
| 137 | Jones County | 3090 |
| 138 | Newton County | 3034 |
| 139 | Jackson County | 2979 |
| 140 | Nolan County | 2845 |
| 141 | Marion County | 2821 |
| 142 | Deaf Smith County | 2768 |
| 143 | Scurry County | 2753 |
| 144 | Morris County | 2742 |
| 145 | Blanco County | 2728 |
| 146 | Wilbarger County | 2703 |
| 147 | Clay County | 2505 |
| 148 | Camp County | 2388 |
| 149 | Franklin County | 2385 |
| 150 | Frio County | 2359 |
| 151 | Coleman County | 2320 |
| 152 | San Augustine County | 2272 |
| 153 | Madison County | 2242 |
| 154 | Lamb County | 2239 |
| 155 | Moore County | 2235 |
| 156 | Live Oak County | 2233 |
| 157 | Gaines County | 2232 |
| 158 | Karnes County | 2214 |
| 159 | Hamilton County | 2140 |
| 160 | Runnels County | 2069 |
| 161 | Zapata County | 2048 |
| 162 | Dawson County | 2016 |
| 163 | Archer County | 1995 |
| 164 | Brewster County | 1966 |
| 165 | Stephens County | 1961 |
| 166 | Terry County | 1884 |
| 167 | Duval County | 1866 |
| 168 | Reeves County | 1856 |
| 169 | Somervell County | 1841 |
| 170 | McCulloch County | 1831 |
| 171 | Andrews County | 1790 |
| 172 | Goliad County | 1754 |
| 173 | Pecos County | 1724 |
| 174 | Brooks County | 1667 |
| 175 | Zavala County | 1654 |
| 176 | Ward County | 1610 |
| 177 | Dimmit County | 1607 |
| 178 | Jack County | 1578 |
| 179 | Refugio County | 1554 |
| 180 | Parmer County | 1542 |
| 181 | Mitchell County | 1442 |
| 182 | Swisher County | 1429 |
| 183 | San Saba County | 1421 |
| 184 | Haskell County | 1361 |
| 185 | Mason County | 1259 |
| 186 | Presidio County | 1255 |
| 187 | Mills County | 1251 |
| 188 | Delta County | 1222 |
| 189 | Castro County | 1214 |
| 190 | Kimble County | 1175 |
| 191 | Ochiltree County | 1173 |
| 192 | La Salle County | 1138 |
| 193 | Bailey County | 1131 |
| 194 | Floyd County | 1120 |
| 195 | Crosby County | 1099 |
| 196 | Carson County | 1029 |
| 197 | Wheeler County | 985 |
| 198 | Lynn County | 977 |
| 199 | Real County | 955 |
| 200 | Coke County | 952 |
| 201 | Winkler County | 951 |
| 202 | Baylor County | 950 |
| 203 | Garza County | 935 |
| 204 | Childress County | 916 |
| 205 | Fisher County | 899 |
| 206 | Kinney County | 827 |
| 207 | Hansford County | 814 |
| 208 | Concho County | 811 |
| 209 | Hardeman County | 803 |
| 210 | Dallam County | 766 |
| 211 | Donley County | 757 |
| 212 | Menard County | 750 |
| 213 | Jeff Davis County | 734 |
| 214 | Hall County | 731 |
| 215 | Shackelford County | 700 |
| 216 | Hartley County | 696 |
| 217 | Knox County | 659 |
| 218 | Hudspeth County | 648 |
| 219 | Martin County | 631 |
| 220 | Jim Hogg County | 630 |
| 221 | Yoakum County | 625 |
| 222 | Schleicher County | 624 |
| 223 | Hemphill County | 620 |
| 224 | Sutton County | 585 |
| 225 | Crockett County | 576 |
| 226 | Crane County | 569 |
| 227 | Upton County | 559 |
| 228 | Collingsworth County | 550 |
| 229 | Lipscomb County | 481 |
| 230 | Dickens County | 442 |
| 231 | Cochran County | 434 |
| 232 | Culberson County | 427 |
| 233 | Terrell County | 409 |
| 234 | Armstrong County | 404 |
| 235 | Sherman County | 390 |
| 236 | Edwards County | 385 |
| 237 | Motley County | 384 |
| 238 | Throckmorton County | 371 |
| 239 | Foard County | 363 |
| 240 | Briscoe County | 327 |
| 241 | Irion County | 324 |
| 242 | Reagan County | 307 |
| 243 | Cottle County | 306 |
| 244 | Oldham County | 282 |
| 245 | Stonewall County | 236 |
| 246 | Kent County | 200 |
| 247 | Roberts County | 195 |
| 248 | Sterling County | 146 |
| 249 | Glasscock County | 140 |
| 250 | Borden County | 133 |
| 251 | McMullen County | 102 |
| 252 | Kenedy County | 42 |
| 253 | Loving County | 26 |
| 254 | King County | 18 |