Health insurance in Pinellas County, Florida
7 insurers sell 149 marketplace plans here, and 12.2% 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.
7 insurers competing here
7 insurers sell in Pinellas County — 149 plans in total, around 21 each. Few people compare 149 plans properly without help. Each insurer averages about 21 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
12.2% of Pinellas County's 694,820 under-65 residents have no health coverage — 84,534 people. That is close to the Florida rate of 13.7%, and puts Pinellas County in the middle half of the 1,817 counties on this site (656th).
Some of those 84,534 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
120,128 Pinellas County residents selected a marketplace plan for 2026: 173 per thousand under-65 residents, 228th of 1,817. That is 2.2× the 78 per thousand typical here. 19,728 of them — 16% — were new rather than renewing.
Pinellas County against Florida
Pinellas County is the 7th largest of the 32 Florida counties we publish. Its uninsured rate runs 1.5 points lower than Florida overall and its 7 insurers sit between the state's 1 and 13. Marketplace use is well under the Florida rate.
| Pinellas County | Florida | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 12.2% | 13.7% | 9.9% |
| Insurers selling | 7 | 1–13 | 4 |
| Plans offered | 149 | — | 57 |
| Selections per 1,000 | 173 | 254 | 78 |
| New rather than renewing | 16% | 16% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Polk County | 666,818 | 13.7% | 7 | 159 |
| Lee County | 602,881 | 16.8% | 6 | 132 |
| Duval County | 859,295 | 11.9% | 7 | 142 |
| Pasco County | 513,364 | 11.6% | 9 | 173 |
Pasco County has 9 insurers against this county's 7 — a reminder that the county line, not the state line, is what decides your options.
Other Florida counties · Where the subsidy stops · Enrollment dates