Health insurance in Pinal County, Arizona
6 insurers sell 78 marketplace plans here, and 13.9% 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
6 insurers compete in Pinal County with 78 plans between them, about 13 plans each. The number has not changed since the previous plan year.
How many people here have no coverage
13.9% of Pinal County's 380,472 under-65 residents have no health coverage — 53,038 people. That is close to the Arizona rate of 12.9%, and puts Pinal County in the top quarter of the 1,817 counties on this site (431st).
How much the marketplace is used
19,698 Pinal County residents selected a marketplace plan for 2026: 52 per thousand under-65 residents, 1547th of 1,817. That is under the 78 per thousand typical of published counties. 2,931 of them — 15% — were new rather than renewing.
Pinal County against Arizona
Pinal County is the 2nd largest of the 7 Arizona counties we publish. Its uninsured rate runs 1.0 points higher than Arizona overall and its 6 insurers sit between the state's 1 and 7. Marketplace use is close to the Arizona rate.
| Pinal County | Arizona | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 13.9% | 12.9% | 9.9% |
| Insurers selling | 6 | 1–7 | 4 |
| Plans offered | 78 | — | 57 |
| Selections per 1,000 | 52 | 60 | 78 |
| New rather than renewing | 15% | 16% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Yuma County | 164,488 | 15.3% | 2 | 14 |
| Yavapai County | 160,993 | 15.2% | 3 | 22 |
| Mohave County | 145,979 | 13.9% | 2 | 24 |
| Coconino County | 105,086 | 12.7% | 2 | 26 |
All of them have fewer insurers than this county's 6, which makes it the stronger market locally.
78 plans is a lot to work through. Start with network type, then the metal tiers. Other Arizona counties.