Health insurance in San Francisco County, California

Reviewed September 4, 2026 · 2024 Census data

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

How many here a premium tax credit would reach

Of the 26,588 people without coverage in San Francisco County, 11,823 — 44% — earn inside the premium tax credit range. That is under the 51% median, so proportionally more of San Francisco County's uninsured sit outside the credit — below it or above the cliff. Within that band itself, 7.8% have no coverage.

Comparatively few people go uncovered

4.0% of San Francisco County's 668,436 under-65 residents have no health coverage — 26,588 people. That is below the California rate of 6.9%, and puts San Francisco County in the bottom quarter of the 3,143 counties measured nationally (3,117th).

Who falls under the Medicaid line

7,578 of San Francisco 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

5,582 people aged 50 to 64 in San Francisco County have no coverage, a rate of 3.7% — close to the 4.0% across all under-65 residents here. Age-rated premiums make this the most expensive group to cover before Medicare.

San Francisco County against California

San Francisco County is the 13th largest of the 34 California counties we publish. Its uninsured rate runs 2.9 points lower than California overall and 8 points fewer of its uninsured sit in the subsidy band than statewide. Coverage among 50 to 64 year olds is better here than across California.

Counties of a similar size

All California counties · How the credit works · Enrollment dates