Health insurance in Houston County, Alabama
3 insurers sell 43 marketplace plans here, and 11.3% of under-65 residents have no coverage at all.
Source: CMS Marketplace Open Enrollment Public Use Files and US Census Small Area Health Insurance Estimates, 2026 release.
Who sells here, and how much choice that gives
3 insurers sell marketplace plans in Houston County, offering 43 plans between them, roughly 14 each. It gained 1 since the previous plan year, up from 2.
How many people here have no coverage
11.3% of Houston County's 86,755 under-65 residents have no health coverage — 9,830 people. That is close to the Alabama rate of 10.0%, and puts Houston County in the middle half of the 1,817 counties on this site (800th).
Some of those 9,830 are in the Alabama coverage gap: under $15,960 a year, too little for a subsidy and no expanded Medicaid to fall back on.
How much the marketplace is used
9,992 Houston County residents selected a marketplace plan for 2026: 115 per thousand under-65 residents, 599th of 1,817. That is above the 78 per thousand typical of published counties. 1,514 of them — 15% — were new rather than renewing.
Houston County against Alabama
Houston County is the smallest of the 8 Alabama counties we publish a page for. Its uninsured rate runs 1.3 points higher than Alabama overall and its 3 insurers sit between the state's 2 and 4. Marketplace use is close to the Alabama rate.
| Houston County | Alabama | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 11.3% | 10.0% | 9.9% |
| Insurers selling | 3 | 2–4 | 4 |
| Plans offered | 43 | — | 57 |
| Selections per 1,000 | 115 | 114 | 78 |
| New rather than renewing | 15% | 13% | 15% |
Other Alabama counties · Where the subsidy stops · Enrollment dates