Health insurance in Richmond 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 20,964 people without coverage in Richmond County, 9,410 — 45% — earn inside the premium tax credit range. That is under the 51% median, so proportionally more of Richmond County's uninsured sit outside the credit — below it or above the cliff. Within that band itself, 7.0% have no coverage.

How many people here have no coverage

5.2% of Richmond County's 402,713 under-65 residents have no health coverage — 20,964 people. That is close to the New York rate of 5.9%, and puts Richmond County in the bottom quarter of the 3,143 counties measured nationally (3,008th).

Who falls under the Medicaid line

5,765 of Richmond County's uninsured — 27%, 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

4,535 people aged 50 to 64 in Richmond County have no coverage, a rate of 4.5% — close to the 5.2% across all under-65 residents here. Age-rated premiums make this the most expensive group to cover before Medicare.

Richmond County against New York

Richmond County is the 10th largest of the 27 New York counties we publish. Its uninsured rate runs 0.7 points lower than New York overall and 2 points fewer of its uninsured sit in the subsidy band than statewide. Coverage among 50 to 64 year olds matches the New York picture.

The next largest counties

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