Health insurance in Madison County, Indiana
5 insurers sell 71 marketplace plans here, and 8.1% 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
5 insurers compete in Madison County with 71 plans between them, about 14 plans each. It gained 2 since the previous plan year, up from 3.
How many people here have no coverage
8.1% of Madison County's 103,839 under-65 residents have no health coverage — 8,448 people. That is close to the Indiana rate of 9.1%, and puts Madison County in the bottom quarter of the 1,817 counties on this site (1384th).
How much the marketplace is used
7,365 Madison County residents selected a marketplace plan for 2026: 71 per thousand under-65 residents, 1238th of 1,817. That is close to the 78 per thousand typical of published counties. 931 of them — 13% — were new rather than renewing.
Madison County against Indiana
Madison County is the 11th largest of the 12 Indiana counties we publish. Its uninsured rate runs 1.0 points lower than Indiana overall and with 5 insurers it is as well served as anywhere in Indiana. Marketplace use is about 1.3 times the Indiana rate.
| Madison County | Indiana | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 8.1% | 9.1% | 9.9% |
| Insurers selling | 5 | 3–5 | 4 |
| Plans offered | 71 | — | 57 |
| Selections per 1,000 | 71 | 54 | 78 |
| New rather than renewing | 13% | 14% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Monroe County | 107,596 | 8.0% | 3 | 47 |
| Delaware County | 86,335 | 8.8% | 3 | 47 |
| Johnson County | 141,425 | 7.3% | 5 | 71 |
| Strafford County (New Hampshire) | 103,621 | 5.3% | 4 | 46 |
All of them have fewer insurers than this county's 5, which makes it the stronger market locally.
71 plans is a lot to work through. Start with network type, then the metal tiers. Other Indiana counties.