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Health insurance in Fresno County, California

34,118 people here have no coverage and earn in the range a premium tax credit is built for — 53% of everyone uninsured in the county.

Reviewed September 4, 2026 · 2024 Census data

34,118Uninsured, subsidy range 138–400% of poverty
7.5%Uninsured, under 65 64,584 people
7.2%Uninsured, 50 to 64 11,144 people
865,595Under-65 residents 47th of 3,143

Source: US Census Small Area Health Insurance Estimates, 2024 release. Income bands are measured against the federal poverty level.

Half the uninsured here sit in the subsidy range

Fresno County has 34,118 uninsured residents earning inside the premium tax credit range, 53% of its uninsured total. That is near the 51% national median. Within that band itself, 9.1% have no coverage.

How many people here have no coverage

7.5% of Fresno County's 865,595 under-65 residents have no health coverage — 64,584 people. That is close to the California rate of 6.9%, and puts Fresno County in the lower half of the 3,143 counties measured nationally (2,309th).

Who falls under the Medicaid line

18,782 of Fresno County's uninsured — 29%, close to the 31% typical nationally — earn under $22,025 a year, which in California is Medicaid territory rather than marketplace territory.

The years before Medicare

11,144 people aged 50 to 64 in Fresno County have no coverage, a rate of 7.2% — close to the 7.5% across all under-65 residents here. Age-rated premiums make this the most expensive group to cover before Medicare.

Fresno County against California

Fresno County is the 9th largest of the 34 California counties we publish. Its uninsured rate runs 0.6 points higher than California overall and its subsidy-band share matches the state. Coverage among 50 to 64 year olds matches the California picture.

Fresno CountyCalifornia National median
Uninsured, under 657.5% 6.9%9.8%
Uninsured in the subsidy band34,118 1,173,956
Subsidy band as a share of uninsured53% 52% 51%
At or below 138% of poverty29% 25% 31%
Uninsured, 50 to 647.2% 6.6% 8.1%

Counties of a similar size

CountyUninsured In the subsidy bandShare
Kern County8.6%34,62451%
Contra Costa County5.0%22,93647%
San Joaquin County7.7%28,59554%
Ventura County7.0%24,87753%

What a plan actually costs in Fresno County

These figures say how many people here a credit would reach. What it would be worth to you depends on your age, household and income — a licensed agent can work that out on the call.

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