Health insurance in Manatee County, Florida
6 insurers sell 136 marketplace plans here, and 15.1% 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.
Who sells here, and how much choice that gives
6 insurers compete in Manatee County with 136 plans between them, about 23 plans each. Each insurer averages about 23 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
15.1% of Manatee County's 323,277 under-65 residents have no health coverage — 48,951 people. That is close to the Florida rate of 13.7%, and puts Manatee County in the top quarter of the 1,817 counties on this site (344th).
Some of those 48,951 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
64,245 Manatee County residents selected a marketplace plan for 2026: 199 per thousand under-65 residents, 126th of 1,817. That is 2.5× the 78 per thousand typical here. 11,266 of them — 18% — were new rather than renewing.
Manatee County against Florida
Manatee County is the 16th largest of the 32 Florida counties we publish. Its uninsured rate runs 1.4 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.
| Manatee County | Florida | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 15.1% | 13.7% | 9.9% |
| Insurers selling | 6 | 1–13 | 4 |
| Plans offered | 136 | — | 57 |
| Selections per 1,000 | 199 | 254 | 78 |
| New rather than renewing | 18% | 16% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Lake County | 324,106 | 12.6% | 11 | 196 |
| Marion County | 296,206 | 15.2% | 8 | 173 |
| Sarasota County | 294,512 | 13.1% | 5 | 119 |
| St. Lucie County | 288,811 | 14.0% | 7 | 115 |
Lake County has 11 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