Health insurance in Black Hawk County, Iowa
3 insurers sell 42 marketplace plans here, and 6.6% 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
3 insurers sell marketplace plans in Black Hawk County, offering 42 plans between them, roughly 14 each. The number has not changed since the previous plan year.
How many people here have no coverage
6.6% of Black Hawk County's 104,711 under-65 residents have no health coverage — 6,884 people. That is close to the Iowa rate of 6.4%, and puts Black Hawk County in the bottom quarter of the 1,817 counties on this site (1610th).
How much the marketplace is used
4,791 Black Hawk County residents selected a marketplace plan for 2026: 46 per thousand under-65 residents, 1676th of 1,817. That is under the 78 per thousand typical of published counties. 665 of them — 14% — were new rather than renewing.
Black Hawk County against Iowa
Black Hawk County is the 5th largest of the 7 Iowa counties we publish. Its uninsured rate tracks the state almost exactly and its 3 insurers sit between the state's 2 and 5. Marketplace use is close to the Iowa rate.
| Black Hawk County | Iowa | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 6.6% | 6.4% | 9.9% |
| Insurers selling | 3 | 2–5 | 4 |
| Plans offered | 42 | — | 57 |
| Selections per 1,000 | 46 | 48 | 78 |
| New rather than renewing | 14% | 14% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Dallas County | 100,226 | 4.1% | 3 | 42 |
| Woodbury County | 87,572 | 9.0% | 4 | 58 |
| Johnson County | 129,488 | 6.0% | 2 | 16 |
| Scott County | 141,985 | 5.2% | 4 | 58 |
Woodbury County has 4 insurers against this county's 3 — a reminder that the county line, not the state line, is what decides your options.