Health insurance in Macomb County, Michigan
5 insurers sell 64 marketplace plans here, and 6.2% 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
5 insurers compete in Macomb County with 64 plans between them, about 13 plans each. The number has not changed since the previous plan year.
How many people here have no coverage
6.2% of Macomb County's 712,514 under-65 residents have no health coverage — 44,258 people. That is close to the Michigan rate of 6.2%, and puts Macomb County in the bottom 10% of the 1,817 counties on this site (1677th).
How much the marketplace is used
55,463 Macomb County residents selected a marketplace plan for 2026: 78 per thousand under-65 residents, 1121st of 1,817. That is close to the 78 per thousand typical of published counties. 7,335 of them — 13% — were new rather than renewing.
Macomb County against Michigan
Macomb County is the 3rd largest of the 19 Michigan counties we publish. Its uninsured rate tracks the state almost exactly and its 5 insurers sit between the state's 2 and 7. Marketplace use is close to the Michigan rate.
| Macomb County | Michigan | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 6.2% | 6.2% | 9.9% |
| Insurers selling | 5 | 2–7 | 4 |
| Plans offered | 64 | — | 57 |
| Selections per 1,000 | 78 | 62 | 78 |
| New rather than renewing | 13% | 13% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Kent County | 561,326 | 6.2% | 7 | 80 |
| Oakland County | 1,039,644 | 4.9% | 5 | 64 |
| Genesee County | 320,188 | 6.5% | 6 | 64 |
| Washtenaw County | 294,930 | 4.8% | 5 | 59 |
| Wayne County | 1,431,358 | 6.8% | 5 | 64 |
Kent County has 7 insurers against this county's 5 — a reminder that the county line, not the state line, is what decides your options.
64 plans is a lot to work through. Start with network type, then the metal tiers. Other Michigan counties.