Health insurance in Monroe County, Michigan
4 insurers sell 46 marketplace plans here, and 5.0% 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
4 insurers sell marketplace plans in Monroe County, offering 46 plans between them, roughly 12 each. The number has not changed since the previous plan year.
Comparatively few people go uncovered
5.0% of Monroe County's 123,647 under-65 residents have no health coverage — 6,221 people. That is close to the Michigan rate of 6.2%, and puts Monroe County in the bottom 10% of the 1,817 counties on this site (1788th).
How much the marketplace is used
5,391 Monroe County residents selected a marketplace plan for 2026: 44 per thousand under-65 residents, 1714th of 1,817. That is under the 78 per thousand typical of published counties. 637 of them — 12% — were new rather than renewing.
Monroe County against Michigan
Monroe County is the 14th largest of the 19 Michigan counties we publish. Its uninsured rate runs 1.2 points lower than Michigan overall and its 4 insurers sit between the state's 2 and 7. Marketplace use is well under the Michigan rate.
| Monroe County | Michigan | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 5.0% | 6.2% | 9.9% |
| Insurers selling | 4 | 2–7 | 4 |
| Plans offered | 46 | — | 57 |
| Selections per 1,000 | 44 | 62 | 78 |
| New rather than renewing | 12% | 13% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| St. Clair County | 126,050 | 5.8% | 5 | 51 |
| Jackson County | 120,964 | 6.0% | 5 | 59 |
| Berrien County | 116,649 | 7.6% | 4 | 42 |
| Muskegon County | 140,022 | 5.8% | 5 | 50 |
St. Clair County has 5 insurers against this county's 4 — a reminder that the county line, not the state line, is what decides your options.
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