Health insurance in Greene County, Missouri
4 insurers sell 48 marketplace plans here, and 9.9% 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 Greene County, offering 48 plans between them, roughly 12 each. It gained 1 since the previous plan year, up from 3.
How many people here have no coverage
9.9% of Greene County's 247,489 under-65 residents have no health coverage — 24,424 people. That is close to the Missouri rate of 9.2%, and puts Greene County in the middle half of the 1,817 counties on this site (1070th).
How much the marketplace is used
21,204 Greene County residents selected a marketplace plan for 2026: 86 per thousand under-65 residents, 983rd of 1,817. That is close to the 78 per thousand typical of published counties. 2,439 of them — 12% — were new rather than renewing.
Greene County against Missouri
Greene County is the 4th largest of the 12 Missouri counties we publish. Its uninsured rate runs 0.7 points higher than Missouri overall and its 4 insurers sit between the state's 2 and 6. Marketplace use is close to the Missouri rate.
| Greene County | Missouri | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 9.9% | 9.2% | 9.9% |
| Insurers selling | 4 | 2–6 | 4 |
| Plans offered | 48 | — | 57 |
| Selections per 1,000 | 86 | 74 | 78 |
| New rather than renewing | 12% | 13% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Clay County | 221,547 | 8.0% | 5 | 55 |
| St. Louis city | 220,460 | 10.4% | 6 | 68 |
| Jefferson County | 191,304 | 7.7% | 4 | 48 |
| Boone County | 155,950 | 7.6% | 4 | 48 |
St. Louis city has 6 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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