Health Insurance Guidance for the Greater Austin Region
The Greater Austin region spans Travis, Williamson, Hays, Bastrop, and Caldwell counties, and while they share a metro identity, they differ significantly in population density, healthcare facilities, and workforce makeup. Travis County is home to RGI Group's only physical office, in the city of Austin, while the other four counties are served entirely by phone and virtual appointment. Plan networks and availability can vary from one county to the next, so a plan that works well for someone in downtown Austin might leave real gaps for a household in rural Caldwell County. Many residents across this region also commute across county lines for work or specialty medical care, which makes it important to check a plan's network against where care is actually received, not just where a household lives. Self-employment, contract work, and seasonal income are common throughout the region, all of which can affect Marketplace premium tax credit estimates. Whatever county a household calls home, we start by understanding its specific situation before comparing any numbers.
Counties
Travis County, Williamson County, Hays County, Bastrop County, Caldwell County.
One office, five very different counties
RGI Group's only physical location is in Austin, in Travis County, and every county in this region is served by phone or virtual appointment rather than a local branch. That single-office structure doesn't limit the guidance available; it simply means the relationship is built over the phone or a video call rather than a drop-in visit. Because Travis, Williamson, Hays, Bastrop, and Caldwell counties differ in population density and healthcare infrastructure, the right plan comparison for a household in Georgetown can look quite different from one in Lockhart. We tailor the conversation to each household's actual county and circumstances.
Commuting for care across county lines
It's common across this region for people to live in one county and receive care in another — a Williamson County resident seeing an Austin specialist, or a Caldwell County resident driving to San Marcos or New Braunfels for a procedure. A plan's network needs to be checked against where care is actually received, not just against the county of residence. This is especially important for households in Bastrop, Hays, and Caldwell counties, where in-county specialty options are more limited than in Travis or Williamson counties. We help households map their real care patterns before comparing plans.
Self-employment and variable income across the region
Freelance and startup work in Travis County, small businesses along Williamson County's growth corridors, seasonal and university-linked work in Hays County, and trades or agricultural income in Bastrop and Caldwell counties all share one thing in common: income that can vary meaningfully month to month. Since Marketplace premium tax credit estimates rely on projected annual household income, it's worth revisiting that estimate whenever income shifts, regardless of which county a household is in. Getting the estimate wrong can mean owing money back or missing out on a credit the household was eligible for. We help build realistic estimates specific to each household's income pattern.
Bilingual support and Medicare-versus-Marketplace questions
Across this region, from Austin to Lockhart, many households are more comfortable discussing insurance decisions in Spanish, and we provide that support directly rather than through translation apps. Separately, households approaching 65 anywhere in the region need to understand that Medicare and ACA Marketplace coverage are different programs with different rules, and enrollment windows for both can vary and change from year to year — current dates are available at HealthCare.gov and Medicare.gov. We help each household figure out which program, or combination of considerations, actually applies to them.
Questions to ask about doctors, hospitals, and networks
We can't claim that any doctor, hospital, or pharmacy participates in a specific plan. These are the questions worth asking before you enroll.
- Where does my household actually receive care, and does a plan's network reflect that, not just my home county?
- Which hospital would I be directed to for emergency or inpatient care, and is it in this plan's network?
- Is my prescription on this plan's drug list, and what is its cost tier?
- Does this plan require a referral to see a specialist, and are in-network specialists reasonably accessible from where I live?
- How does my county's typical income pattern — seasonal, self-employed, or salaried — affect how I should estimate income for a Marketplace plan?
Marketplace and Medicare are not the same thing
ACA Marketplace coverage is for people who generally are not on Medicare. Medicare is a separate federal program with its own rules and enrollment periods. If you or a family member is nearing 65, it's worth reviewing the two paths separately.
Frequently asked questions
- Does RGI Group have offices in each of these five counties? No. RGI Group's only physical office is in Austin, in Travis County. Williamson, Hays, Bastrop, and Caldwell county residents are served by phone or virtual appointment.
- Do all five counties have access to the same health plans? Plan availability and networks can vary by county and by year, so it's important to check current options specific to each county rather than assume they match a neighboring county.
- Can I get help in Spanish anywhere in the Greater Austin region? Yes. RGI Group provides bilingual support by phone and video appointment to households throughout Travis, Williamson, Hays, Bastrop, and Caldwell counties.
- Does RGI Group have an office in my city? No. RGI Group has one office, in Austin, and serves Texas residents statewide by phone and virtual appointment. Paperwork can usually be completed electronically, so you do not need to travel to meet with us.
- Is there a cost to review my options with RGI Group? You do not pay RGI Group a separate fee to review coverage options. You are also free to enroll on your own through the official government resources linked on this page.
- Can we talk in Spanish? Yes. Appointments and follow-up can be handled in English or Spanish, whichever you prefer.
- Which plans and carriers are available to me? Availability depends on your county, eligibility, and the product you are looking at, and it can change from year to year. We can tell you what we are able to offer for your situation rather than promise a specific plan or price.
- What should I have ready for a first conversation? Your ZIP code, who needs coverage, the doctors or prescriptions that matter to you, and a general sense of your budget. Please do not send Social Security numbers, Medicare ID numbers, date of birth, income, diagnoses, or prescription details through this website.
Talk with a licensed Texas agent
Call 346-888-0811. Office: 5900 Balcones Drive, Ste 100, Austin, TX 78731. Monday–Sunday, 8:00 AM–11:00 PM. Licensed in Texas. Guidance available in English and Spanish.