Health insurance in Monroe County, New York

Reviewed September 4, 2026 · 2024 Census data

Source: US Census Small Area Health Insurance Estimates, 2024 release. Income bands are measured against the federal poverty level.

How many here a premium tax credit would reach

Of the 25,568 people without coverage in Monroe County, 12,440 — 49% — earn inside the premium tax credit range. That is near the 51% national median. Within that band, only 5.7% are uninsured, so the credit is reaching most of the people it was built for here.

Comparatively few people go uncovered

4.4% of Monroe County's 581,850 under-65 residents have no health coverage — 25,568 people. That is below the New York rate of 5.9%, and puts Monroe County in the bottom quarter of the 3,143 counties measured nationally (3,095th).

Who falls under the Medicaid line

7,333 of Monroe County's uninsured — 29%, close to the 31% typical nationally — earn under $22,025 a year, which in New York is Medicaid territory rather than marketplace territory.

The years before Medicare

5,485 people aged 50 to 64 in Monroe County have no coverage, a rate of 3.9% — close to the 4.4% across all under-65 residents here. Age-rated premiums make this the most expensive group to cover before Medicare.

Monroe County against New York

Monroe County is the 9th largest of the 27 New York counties we publish. Its uninsured rate runs 1.5 points lower than New York overall and 2 points more of its uninsured sit in the subsidy band than statewide. Coverage among 50 to 64 year olds is better here than across New York.

Counties of a similar size

All New York counties · How the credit works · Enrollment dates