Health insurance in San Diego County, California
89,322 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
San Diego County has 89,322 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, 9.5% have no coverage.
How many people here have no coverage
6.5% of San Diego County's 2,698,175 under-65 residents have no health coverage — 174,061 people. That is close to the California rate of 6.9%, and puts San Diego County in the bottom quarter of the 3,143 counties measured nationally (2,638th).
Who falls under the Medicaid line
40,743 of San Diego County's uninsured — 23%, below the 31% typical of counties nationally — earn under $22,025 a year, which in California is Medicaid territory rather than marketplace territory.
The years before Medicare
34,541 people aged 50 to 64 in San Diego County have no coverage, a rate of 6.1% — close to the 6.5% across all under-65 residents here. Age-rated premiums make this the most expensive group to cover before Medicare.
San Diego County against California
San Diego County is the 2nd largest of the 34 California counties we publish. Its uninsured rate tracks the state almost exactly and its subsidy-band share matches the state. Coverage among 50 to 64 year olds matches the California picture.
| San Diego County | California | National median | |
|---|---|---|---|
| Uninsured, under 65 | 6.5% | 6.9% | 9.8% |
| Uninsured in the subsidy band | 89,322 | 1,173,956 | — |
| Subsidy band as a share of uninsured | 51% | 52% | 51% |
| At or below 138% of poverty | 23% | 25% | 31% |
| Uninsured, 50 to 64 | 6.1% | 6.6% | 8.1% |
The nearest by population
| County | Uninsured | In the subsidy band | Share |
|---|---|---|---|
| Riverside County | 8.0% | 92,406 | 55% |
| San Bernardino County | 8.1% | 83,920 | 55% |
| Santa Clara County | 4.4% | 33,664 | 48% |
| Los Angeles County | 8.3% | 356,242 | 53% |
All California counties · How the credit works · Enrollment dates