Health insurance in Escambia County, Florida
5 insurers sell 123 marketplace plans here, and 12.4% 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 Escambia County with 123 plans between them, about 25 plans each. Each insurer averages about 25 plans, so most of the choice here is between products from the same company rather than between companies. The number has not changed since the previous plan year.
How many people here have no coverage
12.4% of Escambia County's 253,637 under-65 residents have no health coverage — 31,566 people. That is close to the Florida rate of 13.7%, and puts Escambia County in the middle half of the 1,817 counties on this site (619th).
Some of those 31,566 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
38,664 Escambia County residents selected a marketplace plan for 2026: 152 per thousand under-65 residents, 329th of 1,817. That is 2.0× the 78 per thousand typical here. 7,182 of them — 19% — were new rather than renewing.
Escambia County against Florida
Escambia County is the 22nd largest of the 32 Florida counties we publish. Its uninsured rate runs 1.3 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.
| Escambia County | Florida | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 12.4% | 13.7% | 9.9% |
| Insurers selling | 5 | 1–13 | 4 |
| Plans offered | 123 | — | 57 |
| Selections per 1,000 | 152 | 254 | 78 |
| New rather than renewing | 19% | 16% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| St. Johns County | 266,361 | 7.6% | 6 | 143 |
| Collier County | 271,426 | 16.4% | 7 | 131 |
| Leon County | 234,677 | 11.4% | 6 | 98 |
| Alachua County | 226,419 | 10.3% | 5 | 101 |
Collier 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