Health insurance in Alachua County, Florida
5 insurers sell 101 marketplace plans here, and 10.3% of under-65 residents have no coverage at all.
Source: CMS Marketplace Open Enrollment Public Use Files and US Census Small Area Health Insurance Estimates, 2026 release.
Who sells here, and how much choice that gives
5 insurers compete in Alachua County with 101 plans between them, about 20 plans each. Each insurer averages about 20 plans, so most of the choice here is between products from the same company rather than between companies. It gained 1 since the previous plan year, up from 4.
How many people here have no coverage
10.3% of Alachua County's 226,419 under-65 residents have no health coverage — 23,247 people. That is below the Florida rate of 13.7%, and puts Alachua County in the middle half of the 1,817 counties on this site (989th).
Some of those 23,247 are in the Florida coverage gap: under $15,960 a year, too little for a subsidy and no expanded Medicaid to fall back on.
The marketplace is used heavily here
39,471 Alachua County residents selected a marketplace plan for 2026: 174 per thousand under-65 residents, 221st of 1,817. That is 2.2× the 78 per thousand typical here. 9,428 — 24% — were new rather than renewing, an unusually high share.
Alachua County against Florida
Alachua County is the 24th largest of the 32 Florida counties we publish. Its uninsured rate runs 3.4 points lower than Florida overall and its 5 insurers sit between the state's 1 and 13. Marketplace use is well under the Florida rate.
| Alachua County | Florida | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 10.3% | 13.7% | 9.9% |
| Insurers selling | 5 | 1–13 | 4 |
| Plans offered | 101 | — | 57 |
| Selections per 1,000 | 174 | 254 | 78 |
| New rather than renewing | 24% | 16% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Leon County | 234,677 | 11.4% | 6 | 98 |
| Escambia County | 253,637 | 12.4% | 5 | 123 |
| Clay County | 194,723 | 10.0% | 7 | 146 |
| St. Johns County | 266,361 | 7.6% | 6 | 143 |
Clay County has 7 insurers against this county's 5 — a reminder that the county line, not the state line, is what decides your options.
Other Florida counties · Where the subsidy stops · Enrollment dates