Medicare in the region
West Texas, the Panhandle & the Permian Basin: what shapes the choice here
West Texas Medicare is a distance problem. Lubbock, Amarillo, Midland–Odessa, Abilene and San Angelo each have solid regional systems, but the counties between them may be an hour or more from a hospital, and Advantage networks that look fine on paper can be a two-hour drive in practice. For 2026 several rural counties out here lost Advantage plans altogether.
That is why so many West Texans keep Original Medicare with a Medigap policy: it works at Covenant, UMC, BSA and Midland Memorial alike, and at the Lubbock or Amarillo VA clinics for veterans who carry both.
What to watch: The Panhandle and Permian counties outside the hub cities were among the hardest hit by the 2026 carrier withdrawals; some counties now have one or two Advantage plans or none. Original Medicare with a Medigap policy covers every hospital in the region without a network, and that is often the practical answer out here.
Counties: Lubbock, Potter, Randall, Midland, Ector, Taylor, Tom Green, Hale, Hockley, Howard, Scurry, Wichita, Deaf Smith, Gray, Hutchinson.
Health systems
- Covenant Health (Lubbock)
- UMC Health System (Lubbock)
- BSA Health System (Amarillo)
- Northwest Texas Healthcare
- Midland Memorial
- Medical Center Health System (Odessa)
- Hendrick Health (Abilene)
- Shannon Medical Center (San Angelo)
Each contracts differently with each plan; we check your doctors first.
Cities in this region
When you can enroll
Turning 65? Your Initial Enrollment Period is the 7 months around your birthday. Already on Medicare? The Annual Election Period is Oct 15–Dec 7, and Medicare Advantage Open Enrollment runs Jan 1–Mar 31. A plan leaving your county opens a Special Enrollment Period.