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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.

Reviewed September 4, 2026 · 2024 Census data

89,322Uninsured, subsidy range 138–400% of poverty
6.5%Uninsured, under 65 174,061 people
6.1%Uninsured, 50 to 64 34,541 people
2,698,175Under-65 residents 5th 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

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 CountyCalifornia National median
Uninsured, under 656.5% 6.9%9.8%
Uninsured in the subsidy band89,322 1,173,956
Subsidy band as a share of uninsured51% 52% 51%
At or below 138% of poverty23% 25% 31%
Uninsured, 50 to 646.1% 6.6% 8.1%

The nearest by population

CountyUninsured In the subsidy bandShare
Riverside County8.0%92,40655%
San Bernardino County8.1%83,92055%
Santa Clara County4.4%33,66448%
Los Angeles County8.3%356,24253%

What a plan actually costs in San Diego 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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