Health insurance in Genesee County, Michigan
6 insurers sell 64 marketplace plans here, and 6.5% 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
6 insurers compete in Genesee County with 64 plans between them, about 11 plans each. The number has not changed since the previous plan year.
How many people here have no coverage
6.5% of Genesee County's 320,188 under-65 residents have no health coverage — 20,836 people. That is close to the Michigan rate of 6.2%, and puts Genesee County in the bottom quarter of the 1,817 counties on this site (1626th).
How much the marketplace is used
14,704 Genesee County residents selected a marketplace plan for 2026: 46 per thousand under-65 residents, 1672nd of 1,817. That is under the 78 per thousand typical of published counties. 1,657 of them — 11% — were new rather than renewing.
Genesee County against Michigan
Genesee County is the 5th largest of the 19 Michigan counties we publish. Its uninsured rate tracks the state almost exactly and its 6 insurers sit between the state's 2 and 7. Marketplace use is well under the Michigan rate.
| Genesee County | Michigan | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 6.5% | 6.2% | 9.9% |
| Insurers selling | 6 | 2–7 | 4 |
| Plans offered | 64 | — | 57 |
| Selections per 1,000 | 46 | 62 | 78 |
| New rather than renewing | 11% | 13% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Washtenaw County | 294,930 | 4.8% | 5 | 59 |
| Ottawa County | 247,015 | 5.2% | 6 | 67 |
| Ingham County | 230,851 | 6.6% | 5 | 51 |
| Kalamazoo County | 216,062 | 5.9% | 6 | 72 |
All of them have fewer insurers than this county's 6, which makes it the stronger market locally.
64 plans is a lot to work through. Start with network type, then the metal tiers. Other Michigan counties.