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Health insurance in Fayette County, Kentucky

11,327 people here have no coverage and earn in the range a premium tax credit is built for — 46% of everyone uninsured in the county.

Reviewed September 4, 2026 · 2024 Census data

11,327Uninsured, subsidy range 138–400% of poverty
9.1%Uninsured, under 65 24,500 people
6.7%Uninsured, 50 to 64 3,534 people
270,194Under-65 residents 223rd of 3,143

Source: US Census Small Area Health Insurance Estimates, 2024 release. Income bands are measured against the federal poverty level.

How many here a premium tax credit would reach

Of the 24,500 people without coverage in Fayette County, 11,327 — 46% — earn inside the premium tax credit range. That is near the 51% national median. Within that band itself, 11.0% have no coverage.

How many people here have no coverage

9.1% of Fayette County's 270,194 under-65 residents have no health coverage — 24,500 people. That is close to the Kentucky rate of 8.1%, and puts Fayette County in the lower half of the 3,143 counties measured nationally (1,787th).

A large share are under the Medicaid line

9,523 of Fayette County's uninsured — 39%, an unusually large share — the top quarter of all counties measured — earn under $22,025 a year, which in Kentucky is Medicaid territory rather than marketplace territory.

The years before Medicare

3,534 people aged 50 to 64 in Fayette County have no coverage, a rate of 6.7% — close to the 9.1% across all under-65 residents here. Age-rated premiums make this the most expensive group to cover before Medicare.

Fayette County against Kentucky

Fayette County is the 2nd largest of the 7 Kentucky counties we publish. Its uninsured rate runs 1.0 points higher than Kentucky overall and 3 points fewer of its uninsured sit in the subsidy band than statewide. Coverage among 50 to 64 year olds matches the Kentucky picture.

Fayette CountyKentucky National median
Uninsured, under 659.1% 8.1%9.8%
Uninsured in the subsidy band11,327 146,636—
Subsidy band as a share of uninsured46% 49% 51%
At or below 138% of poverty39% 35% 31%
Uninsured, 50 to 646.7% 6.7% 8.1%

The next largest counties

CountyUninsured In the subsidy bandShare
Kenton County6.6%4,92251%
Warren County10.2%5,92747%
Boone County5.4%3,31550%
Hardin County6.9%3,40853%

What a plan actually costs in Fayette County

These figures say how many people here a credit would reach. What it would be worth to you depends on your age, household and income — a licensed agent can work that out on the call.

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