Health insurance in Catawba County, North Carolina
4 insurers sell 63 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
4 insurers sell marketplace plans in Catawba County, offering 63 plans between them, roughly 16 each. The number has not changed since the previous plan year.
How many people here have no coverage
11.8% of Catawba County's 132,726 under-65 residents have no health coverage — 15,670 people. That is above the North Carolina rate of 10.2%, and puts Catawba County in the middle half of the 1,817 counties on this site (724th).
How much the marketplace is used
12,176 Catawba County residents selected a marketplace plan for 2026: 92 per thousand under-65 residents, 889th of 1,817. That is above the 78 per thousand typical of published counties. 1,734 of them — 14% — were new rather than renewing.
Catawba County against North Carolina
Catawba County is the 17th largest of the 24 North Carolina counties we publish. Its uninsured rate runs 1.6 points higher than North Carolina overall and its 4 insurers sit between the state's 2 and 6. Marketplace use is close to the North Carolina rate.
| Catawba County | North Carolina | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 11.8% | 10.2% | 9.9% |
| Insurers selling | 4 | 2–6 | 4 |
| Plans offered | 63 | — | 57 |
| Selections per 1,000 | 92 | 87 | 78 |
| New rather than renewing | 14% | 17% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Davidson County | 141,465 | 10.3% | 6 | 89 |
| Harnett County | 122,387 | 9.9% | 4 | 56 |
| Pitt County | 143,186 | 9.8% | 2 | 28 |
| Rowan County | 121,307 | 11.2% | 3 | 54 |
Davidson County has 6 insurers against this county's 4 — a reminder that the county line, not the state line, is what decides your options.
63 plans is a lot to work through. Start with network type, then the metal tiers. Other North Carolina counties.