Health insurance in Hillsborough County, Florida
9 insurers sell 173 marketplace plans here, and 13.1% 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.
9 insurers competing here
9 insurers sell in Hillsborough County — 173 plans in total, around 19 each. Few people compare 173 plans properly without help. Each insurer averages about 19 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
13.1% of Hillsborough County's 1,308,341 under-65 residents have no health coverage — 171,922 people. That is close to the Florida rate of 13.7%, and puts Hillsborough County in the middle half of the 1,817 counties on this site (517th).
Some of those 171,922 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
260,235 Hillsborough County residents selected a marketplace plan for 2026: 199 per thousand under-65 residents, 125th of 1,817. That is 2.5× the 78 per thousand typical here. 39,390 of them — 15% — were new rather than renewing.
Hillsborough County against Florida
Hillsborough County is the 3rd largest of the 32 Florida counties we publish. Its uninsured rate tracks the state almost exactly and its 9 insurers sit between the state's 1 and 13. Marketplace use is close to the Florida rate.
| Hillsborough County | Florida | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 13.1% | 13.7% | 9.9% |
| Insurers selling | 9 | 1–13 | 4 |
| Plans offered | 173 | — | 57 |
| Selections per 1,000 | 199 | 254 | 78 |
| New rather than renewing | 15% | 16% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Orange County | 1,281,296 | 13.5% | 12 | 208 |
| Palm Beach County | 1,157,259 | 16.5% | 12 | 195 |
| Broward County | 1,629,773 | 13.8% | 13 | 197 |
| Duval County | 859,295 | 11.9% | 7 | 142 |
Broward County has 13 insurers against this county's 9 — a reminder that the county line, not the state line, is what decides your options.
Other Florida counties · Where the subsidy stops · Enrollment dates