Health insurance in Lee County, Florida
6 insurers sell 132 marketplace plans here, and 16.8% 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
6 insurers compete in Lee County with 132 plans between them, about 22 plans each. Each insurer averages about 22 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.
One in six has no coverage
16.8% of Lee County's 602,881 under-65 residents have no health coverage — 101,490 people. That is above the Florida rate of 13.7%, and puts Lee County in the top quarter of the 1,817 counties on this site (246th).
Some of those 101,490 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
140,308 Lee County residents selected a marketplace plan for 2026: 233 per thousand under-65 residents, 56th of 1,817. That is 3.0× the 78 per thousand typical here. 20,912 of them — 15% — were new rather than renewing.
Lee County against Florida
Lee County is the 9th largest of the 32 Florida counties we publish. Its uninsured rate runs 3.1 points higher than Florida overall and its 6 insurers sit between the state's 1 and 13. Marketplace use is close to the Florida rate.
| Lee County | Florida | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 16.8% | 13.7% | 9.9% |
| Insurers selling | 6 | 1–13 | 4 |
| Plans offered | 132 | — | 57 |
| Selections per 1,000 | 233 | 254 | 78 |
| New rather than renewing | 15% | 16% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Polk County | 666,818 | 13.7% | 7 | 159 |
| Pasco County | 513,364 | 11.6% | 9 | 173 |
| Pinellas County | 694,820 | 12.2% | 7 | 149 |
| Brevard County | 491,895 | 12.2% | 8 | 152 |
Pasco County has 9 insurers against this county's 6 — a reminder that the county line, not the state line, is what decides your options.
Other Florida counties · Where the subsidy stops · Enrollment dates