Health insurance in Wayne County, Michigan
5 insurers sell 64 marketplace plans here, and 6.8% 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 Wayne 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
6.8% of Wayne County's 1,431,358 under-65 residents have no health coverage — 96,980 people. That is close to the Michigan rate of 6.2%, and puts Wayne County in the bottom quarter of the 1,817 counties on this site (1593rd).
How much the marketplace is used
116,906 Wayne County residents selected a marketplace plan for 2026: 82 per thousand under-65 residents, 1052nd of 1,817. That is close to the 78 per thousand typical of published counties. 14,310 of them — 12% — were new rather than renewing.
Wayne County against Michigan
Wayne County is the largest of the 19 Michigan counties we publish, by under-65 population. Its uninsured rate runs 0.6 points higher than Michigan overall and its 5 insurers sit between the state's 2 and 7. Marketplace use is about 1.3 times the Michigan rate.
| Wayne County | Michigan | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 6.8% | 6.2% | 9.9% |
| Insurers selling | 5 | 2–7 | 4 |
| Plans offered | 64 | — | 57 |
| Selections per 1,000 | 82 | 62 | 78 |
| New rather than renewing | 12% | 13% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Oakland County | 1,039,644 | 4.9% | 5 | 64 |
| Macomb County | 712,514 | 6.2% | 5 | 64 |
| Kent County | 561,326 | 6.2% | 7 | 80 |
| Genesee County | 320,188 | 6.5% | 6 | 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.