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Health insurance in Barnstable County, Massachusetts

2,185 people here have no coverage and earn in the range a premium tax credit is built for — 47% of everyone uninsured in the county.

Reviewed September 4, 2026 · 2024 Census data

2,185Uninsured, subsidy range 138–400% of poverty
3.1%Uninsured, under 65 4,670 people
2.4%Uninsured, 50 to 64 1,221 people
150,858Under-65 residents 370th 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

2,185 uninsured people in Barnstable County earn inside the premium tax credit range — 47% of the county's uninsured. That is near the 51% national median. Within that band, only 4.4% are uninsured, so the credit is reaching most of the people it was built for here.

Comparatively few people go uncovered

3.1% of Barnstable County's 150,858 under-65 residents have no health coverage — 4,670 people. That is close to the Massachusetts rate of 3.3%, and puts Barnstable County in the bottom quarter of the 3,143 counties measured nationally (3,138th).

Relatively few are under the Medicaid line

999 of Barnstable County's uninsured — 21%, below the 31% typical of counties nationally — earn under $22,025 a year, which in Massachusetts is Medicaid territory rather than marketplace territory.

The years before Medicare

1,221 people aged 50 to 64 in Barnstable County have no coverage, a rate of 2.4% — close to the 3.1% across all under-65 residents here. Age-rated premiums make this the most expensive group to cover before Medicare.

Barnstable County against Massachusetts

Barnstable County is the 7th largest of the 9 Massachusetts counties we publish. Its uninsured rate tracks the state almost exactly and its subsidy-band share matches the state. Coverage among 50 to 64 year olds matches the Massachusetts picture.

Barnstable CountyMassachusetts National median
Uninsured, under 653.1% 3.3%9.8%
Uninsured in the subsidy band2,185 84,846—
Subsidy band as a share of uninsured47% 46% 51%
At or below 138% of poverty21% 25% 31%
Uninsured, 50 to 642.4% 2.7% 8.1%

The nearest by population

CountyUninsured In the subsidy bandShare
Hampshire County2.7%1,27645%
Berkshire County3.2%1,43849%
Hampden County3.8%6,93149%
Kent County (Delaware)7.8%6,42454%

What a plan actually costs in Barnstable 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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