Health insurance in Ottawa County, Michigan
6 insurers sell 67 marketplace plans here, and 5.2% 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
6 insurers compete in Ottawa County with 67 plans between them, about 11 plans each. The number has not changed since the previous plan year.
Comparatively few people go uncovered
5.2% of Ottawa County's 247,015 under-65 residents have no health coverage — 12,831 people. That is close to the Michigan rate of 6.2%, and puts Ottawa County in the bottom 10% of the 1,817 counties on this site (1782nd).
How much the marketplace is used
12,403 Ottawa County residents selected a marketplace plan for 2026: 50 per thousand under-65 residents, 1574th of 1,817. That is under the 78 per thousand typical of published counties. 1,608 of them — 13% — were new rather than renewing.
Ottawa County against Michigan
Ottawa County is the 7th largest of the 19 Michigan counties we publish. Its uninsured rate runs 1.0 points lower than Michigan overall and its 6 insurers sit between the state's 2 and 7. Marketplace use is close to the Michigan rate.
| Ottawa County | Michigan | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 5.2% | 6.2% | 9.9% |
| Insurers selling | 6 | 2–7 | 4 |
| Plans offered | 67 | — | 57 |
| Selections per 1,000 | 50 | 62 | 78 |
| New rather than renewing | 13% | 13% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Ingham County | 230,851 | 6.6% | 5 | 51 |
| Kalamazoo County | 216,062 | 5.9% | 6 | 72 |
| Washtenaw County | 294,930 | 4.8% | 5 | 59 |
| Genesee County | 320,188 | 6.5% | 6 | 64 |
All of them have fewer insurers than this county's 6, which makes it the stronger market locally.
67 plans is a lot to work through. Start with network type, then the metal tiers. Other Michigan counties.