Brewster County is in El Paso and Far West Texas along the Rio Grande, with about 9,508 residents (Census 2024 estimate). Its largest town is Alpine.
Big Bend country: Alpine is the main town, and the nearest large hospitals can be hours away, so a plan's network and travel distance matter.
Fewer plans and longer drives to a hospital are common here: rural hospitals, telehealth and Medicare.
2027 plans in Brewster County at a glance
What it means if you live in Brewster County
- That's 4 plans fewer than in 2026 (8). If you have a Medicare Advantage plan, check your Annual Notice of Change to see whether it continues and what changes. HealthSpring stops selling regular Medicare Advantage plans here on December 31; at least 130 people in Brewster County are in one of those plans. If that's you, here is what to do. (CMS data)
- All of them are PPOs, which also pay for doctors outside the network, usually at a higher cost to you.
- 1 plan has no Part D drug coverage. Those suit people who get drug coverage elsewhere, such as from the VA; otherwise you could owe a late-enrollment penalty for going without it.
- Special needs plans here: 4 for people with both Medicare and Texas Medicaid; 1 for people with certain chronic conditions, such as diabetes or heart failure. You can join one only if you qualify.
- Brewster County ranks 234th of Texas's 254 counties for plans open to everyone. In the El Paso and Far West Texas region (6 counties), the count runs from 4 to 42.
- At least 866 people in Brewster County were in a Medicare Advantage plan in October 2026.
Licensed insurance agents for Brewster County
These independent insurance agents are licensed in Texas and work with Benefits Life, the publisher of this site. When they enroll you in a plan, the agent and Benefits Life may be paid by the insurance company. Learn more.
See Medicare plans in Brewster County
Enter your ZIP code to compare Medicare Advantage, Part D, and Medigap plans available where you live.
You'll go to PlanMatchMedicare.com, a plan comparison site from Benefits Life, the publisher of this site. Only your ZIP code is sent.
Original Medicare and Medigap
If you'd rather keep any doctor who takes Medicare, Original Medicare with a Medigap policy and a Part D plan works the same in every Texas county. Medigap in Texas.
Nearby counties
You can only join a Medicare Advantage plan sold in the county where you live.
| County | Plans open to everyone, 2027 | Special needs plans |
|---|---|---|
| Presidio County | 5 | 5 |
| Pecos County | 8 | 10 |
| Terrell County | 4 | 5 |
| Jeff Davis County | 4 | 8 |
2026 Medicare costs (the same in every county)
| Cost | 2026 |
|---|---|
| Part B premium | $202.90 a month (standard) |
| Part B deductible | $283 a year |
| Part A deductible | $1,736 per benefit period |
| Part D out-of-pocket cap | $2,100 a year |
Other places to get answers
- Medicare: 1-800-MEDICARE (1-800-633-4227), TTY 1-877-486-2048, 24 hours a day, or Medicare.gov.
- Social Security (signing up for Parts A and B, Extra Help): 1-800-772-1213, TTY 1-800-325-0778.
- Texas Health and Human Services (Texas Medicaid and help with Medicare costs): YourTexasBenefits.com or dial 2-1-1, option 2. Texas Medicaid and Medicare.
- Texas Department of Insurance (complaints about an insurance company or agent): tdi.texas.gov.
Questions about Medicare in Brewster County
How many Medicare Advantage plans are there in Brewster County for 2027?
CMS lists 4 open to everyone with Medicare (8 in 2026), plus 5 special needs plans for people who qualify. You still pay your Part B premium.
When can I change my Medicare plan in Brewster County?
Open Enrollment runs October 15 to December 7, for coverage starting January 1. If you're in a Medicare Advantage plan, you can switch plans or go back to Original Medicare once between January 1 and March 31. If your plan leaves your county, you get a Special Enrollment Period.
How do I find a licensed insurance agent in Brewster County?
Use the agent search on this page, or call (512) SENIORS (512-736-4677), TTY 711 to compare plans with a licensed insurance agent at no cost to you. Agents listed here are licensed in Texas.
Sources
Plans open to everyone are Medicare Advantage plans with or without drug coverage, not special needs plans. Enrollment counts HMO and PPO plans; CMS hides counts of 10 or fewer, so real numbers are a little higher.