Health insurance in Woodbury County, Iowa
4 insurers sell 58 marketplace plans here, and 9.0% 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 Woodbury County, offering 58 plans between them, roughly 14 each. The number has not changed since the previous plan year.
How many people here have no coverage
9.0% of Woodbury County's 87,572 under-65 residents have no health coverage — 7,899 people. That is above the Iowa rate of 6.4%, and puts Woodbury County in the middle half of the 1,817 counties on this site (1227th).
A thin marketplace
3,155 Woodbury County residents selected a marketplace plan for 2026: 36 per thousand under-65 residents, 1789th of 1,817. That is light use against the 78 per thousand typical here, and thin markets attract fewer insurers. 506 of them — 16% — were new rather than renewing.
Woodbury County against Iowa
Woodbury County is the smallest of the 7 Iowa counties we publish a page for. Its uninsured rate runs 2.6 points higher than Iowa overall and its 4 insurers sit between the state's 2 and 5. Marketplace use is close to the Iowa rate.
| Woodbury County | Iowa | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 9.0% | 6.4% | 9.9% |
| Insurers selling | 4 | 2–5 | 4 |
| Plans offered | 58 | — | 57 |
| Selections per 1,000 | 36 | 48 | 78 |
| New rather than renewing | 16% | 14% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Dallas County | 100,226 | 4.1% | 3 | 42 |
| Black Hawk County | 104,711 | 6.6% | 3 | 42 |
| Johnson County | 129,488 | 6.0% | 2 | 16 |
| Scott County | 141,985 | 5.2% | 4 | 58 |
All of them have fewer insurers than this county's 4, which makes it the stronger market locally.