Health insurance in Alamance County, North Carolina
5 insurers sell 45 marketplace plans here, and 11.8% 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 Alamance County with 45 plans between them, about 9 plans each. The number has not changed since the previous plan year.
How many people here have no coverage
11.8% of Alamance County's 144,917 under-65 residents have no health coverage — 17,141 people. That is above the North Carolina rate of 10.2%, and puts Alamance County in the middle half of the 1,817 counties on this site (723rd).
A market taking in new buyers
8,882 Alamance County residents selected a marketplace plan for 2026: 61 per thousand under-65 residents, 1392nd of 1,817. That is under the 78 per thousand typical of published counties. 1,825 — 21% — were new rather than renewing, an unusually high share.
Alamance County against North Carolina
Alamance County is the 14th largest of the 24 North Carolina counties we publish. Its uninsured rate runs 1.6 points higher than North Carolina overall and its 5 insurers sit between the state's 2 and 6. Marketplace use is well under the North Carolina rate.
| Alamance County | North Carolina | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 11.8% | 10.2% | 9.9% |
| Insurers selling | 5 | 2–6 | 4 |
| Plans offered | 45 | — | 57 |
| Selections per 1,000 | 61 | 87 | 78 |
| New rather than renewing | 21% | 17% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Pitt County | 143,186 | 9.8% | 2 | 28 |
| Davidson County | 141,465 | 10.3% | 6 | 89 |
| Catawba County | 132,726 | 11.8% | 4 | 63 |
| Harnett County | 122,387 | 9.9% | 4 | 56 |
Davidson County has 6 insurers against this county's 5 — a reminder that the county line, not the state line, is what decides your options.
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