Health insurance in Sacramento County, California
37,915 people here have no coverage and earn in the range a premium tax credit is built for — 51% of everyone uninsured in the county.
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
Sacramento County has 37,915 uninsured residents earning inside the premium tax credit range, 51% of its uninsured total. That is near the 51% national median. Within that band itself, 7.3% have no coverage.
How many people here have no coverage
5.5% of Sacramento County's 1,346,482 under-65 residents have no health coverage — 73,710 people. That is below the California rate of 6.9%, and puts Sacramento County in the bottom quarter of the 3,143 counties measured nationally (2,929th).
Who falls under the Medicaid line
19,503 of Sacramento County's uninsured — 26%, 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
12,236 people aged 50 to 64 in Sacramento County have no coverage, a rate of 4.3% — close to the 5.5% across all under-65 residents here. Age-rated premiums make this the most expensive group to cover before Medicare.
Sacramento County against California
Sacramento County is the 7th largest of the 34 California counties we publish. Its uninsured rate runs 1.4 points lower than California overall and its subsidy-band share matches the state. Coverage among 50 to 64 year olds is better here than across California.
| Sacramento County | California | National median | |
|---|---|---|---|
| Uninsured, under 65 | 5.5% | 6.9% | 9.8% |
| Uninsured in the subsidy band | 37,915 | 1,173,956 | — |
| Subsidy band as a share of uninsured | 51% | 52% | 51% |
| At or below 138% of poverty | 26% | 25% | 31% |
| Uninsured, 50 to 64 | 4.3% | 6.6% | 8.1% |
Counties of a similar size
| County | Uninsured | In the subsidy band | Share |
|---|---|---|---|
| Alameda County | 4.6% | 29,855 | 47% |
| Santa Clara County | 4.4% | 33,664 | 48% |
| Contra Costa County | 5.0% | 22,936 | 47% |
| Fresno County | 7.5% | 34,118 | 53% |
All California counties · How the credit works · Enrollment dates