Health insurance in Scott County, Iowa
4 insurers sell 58 marketplace plans here, and 5.2% 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.
Who sells here, and how much choice that gives
4 insurers sell marketplace plans in Scott County, offering 58 plans between them, roughly 14 each. The number has not changed since the previous plan year.
Comparatively few people go uncovered
5.2% of Scott County's 141,985 under-65 residents have no health coverage — 7,440 people. That is close to the Iowa rate of 6.4%, and puts Scott County in the bottom 10% of the 1,817 counties on this site (1781st).
How much the marketplace is used
6,340 Scott County residents selected a marketplace plan for 2026: 45 per thousand under-65 residents, 1700th of 1,817. That is under the 78 per thousand typical of published counties. 931 of them — 15% — were new rather than renewing.
Scott County against Iowa
Scott County is the 3rd largest of the 7 Iowa counties we publish. Its uninsured rate runs 1.2 points lower than Iowa overall and its 4 insurers sit between the state's 2 and 5. Marketplace use is close to the Iowa rate.
| Scott County | Iowa | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 5.2% | 6.4% | 9.9% |
| Insurers selling | 4 | 2–5 | 4 |
| Plans offered | 58 | — | 57 |
| Selections per 1,000 | 45 | 48 | 78 |
| New rather than renewing | 15% | 14% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Johnson County | 129,488 | 6.0% | 2 | 16 |
| Black Hawk County | 104,711 | 6.6% | 3 | 42 |
| Dallas County | 100,226 | 4.1% | 3 | 42 |
| Linn County | 187,348 | 5.3% | 3 | 38 |
All of them have fewer insurers than this county's 4, which makes it the stronger market locally.