Health insurance in Clark County, Nevada
151,253 people here have no coverage and earn in the range a premium tax credit is built for — 54% of everyone uninsured in the county.
Source: US Census Small Area Health Insurance Estimates, 2024 release. Income bands are measured against the federal poverty level.
Half the uninsured here sit in the subsidy range
151,253 people here are uninsured and inside the premium tax credit range — 54% of everyone uninsured in Clark County, and one of the largest such populations in the country. That is near the 51% national median. Within that income band itself, 17.1% are uninsured — roughly one in 6 of the people the credit was designed for.
One in seven has no coverage
14.1% of Clark County's 1,991,138 under-65 residents have no health coverage — 279,974 people. That is close to the Nevada rate of 13.7%, and puts Clark County in the top quarter of the 3,143 counties measured nationally (590th).
Who falls under the Medicaid line
80,717 of Clark County's uninsured — 29%, close to the 31% typical nationally — earn under $22,025 a year, which in Nevada is Medicaid territory rather than marketplace territory.
Older residents here are better covered
51,280 people aged 50 to 64 in Clark County have no coverage, a rate of 11.6% — lower than the 14.1% across all under-65 residents here, which is the usual pattern — people in their fifties and early sixties tend to be more settled in employer coverage. Age-rated premiums make this the most expensive group to cover before Medicare.
Clark County against Nevada
Clark County is the largest of the 2 Nevada counties we publish, by under-65 population. Its uninsured rate tracks the state almost exactly and its subsidy-band share matches the state. Coverage among 50 to 64 year olds matches the Nevada picture.
| Clark County | Nevada | National median | |
|---|---|---|---|
| Uninsured, under 65 | 14.1% | 13.7% | 9.8% |
| Uninsured in the subsidy band | 151,253 | 197,559 | — |
| Subsidy band as a share of uninsured | 54% | 54% | 51% |
| At or below 138% of poverty | 29% | 28% | 31% |
| Uninsured, 50 to 64 | 11.6% | 11.3% | 8.1% |
Counties of a similar size
| County | Uninsured | In the subsidy band | Share |
|---|---|---|---|
| King County (Washington) | 6.2% | 56,270 | 46% |
| Riverside County (California) | 8.0% | 92,406 | 55% |
| San Bernardino County (California) | 8.1% | 83,920 | 55% |
| Kings County (New York) | 6.6% | 63,154 | 45% |
With 17% of the subsidy band still uninsured here, how the credit is calculated is the useful place to start. Other Nevada counties.