Health insurance in Fairbanks North Star Borough, Alaska
2 insurers sell 15 marketplace plans here, and 11.5% 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.
Two insurers, and what that means
Two insurers sell here, offering 15 plans between them. If either leaves, Fairbanks North Star Borough becomes a single-insurer county. It gained 1 since the previous plan year, up from 1.
How many people here have no coverage
11.5% of Fairbanks North Star Borough's 79,659 under-65 residents have no health coverage — 9,129 people. That is close to the Alaska rate of 12.1%, and puts Fairbanks North Star Borough in the middle half of the 1,817 counties on this site (764th).
A thin marketplace
3,103 Fairbanks North Star Borough residents selected a marketplace plan for 2026: 39 per thousand under-65 residents, 1769th of 1,817. That is light use against the 78 per thousand typical here, and thin markets attract fewer insurers. 497 of them — 16% — were new rather than renewing.
Fairbanks North Star Borough against Alaska
Fairbanks North Star Borough is the smallest of the 3 Alaska counties we publish a page for. Its uninsured rate tracks the state almost exactly and it carries the same 2 insurers as every other county in the state. Marketplace use is close to the Alaska rate.
| Fairbanks North Star Borough | Alaska | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 11.5% | 12.1% | 9.9% |
| Insurers selling | 2 | 2–2 | 4 |
| Plans offered | 15 | — | 57 |
| Selections per 1,000 | 39 | 46 | 78 |
| New rather than renewing | 16% | 18% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Burleigh County (North Dakota) | 79,314 | 5.4% | 3 | 37 |
| Laramie County (Wyoming) | 82,792 | 10.2% | 2 | 23 |
| Franklin County (Missouri) | 85,622 | 8.8% | 4 | 48 |
| Eaton County (Michigan) | 85,802 | 5.4% | 4 | 42 |
Franklin County has 4 insurers against this county's 2 — a reminder that the county line, not the state line, is what decides your options.
All Alaska counties · How the credit works · Enrollment dates