Health insurance in Orleans Parish, Louisiana
3 insurers sell 38 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
3 insurers sell marketplace plans in Orleans Parish, offering 38 plans between them, roughly 13 each. It gained 1 since the previous plan year, up from 2.
How many people here have no coverage
9.0% of Orleans Parish's 274,370 under-65 residents have no health coverage — 24,610 people. That is close to the Louisiana rate of 9.2%, and puts Orleans Parish in the middle half of the 1,817 counties on this site (1232nd).
The marketplace is used heavily here
38,329 Orleans Parish residents selected a marketplace plan for 2026: 140 per thousand under-65 residents, 391st of 1,817. That is 1.8× the 78 per thousand typical here. Only 10% were new rather than renewing: a settled market.
Orleans Parish against Louisiana
Orleans Parish is the 3rd largest of the 12 Louisiana 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 about 1.7 times the Louisiana rate.
| Orleans Parish | Louisiana | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 9.0% | 9.2% | 9.9% |
| Insurers selling | 3 | 2–5 | 4 |
| Plans offered | 38 | — | 57 |
| Selections per 1,000 | 140 | 82 | 78 |
| New rather than renewing | 10% | 11% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| St. Tammany Parish | 222,703 | 8.2% | 4 | 51 |
| Jefferson Parish | 337,381 | 13.0% | 3 | 38 |
| Lafayette Parish | 209,784 | 8.8% | 3 | 32 |
| East Baton Rouge Parish | 357,493 | 9.2% | 5 | 59 |
East Baton Rouge Parish has 5 insurers against this county's 3 — a reminder that the county line, not the state line, is what decides your options.
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