Health insurance in Forsyth County, North Carolina
6 insurers sell 89 marketplace plans here, and 11.0% 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
6 insurers compete in Forsyth County with 89 plans between them, about 15 plans each. The number has not changed since the previous plan year.
How many people here have no coverage
11.0% of Forsyth County's 314,546 under-65 residents have no health coverage — 34,664 people. That is close to the North Carolina rate of 10.2%, and puts Forsyth County in the middle half of the 1,817 counties on this site (879th).
How much the marketplace is used
23,752 Forsyth County residents selected a marketplace plan for 2026: 76 per thousand under-65 residents, 1169th of 1,817. That is close to the 78 per thousand typical of published counties. 4,490 of them — 19% — were new rather than renewing.
Forsyth County against North Carolina
Forsyth County is the 4th largest of the 24 North Carolina counties we publish. Its uninsured rate runs 0.8 points higher than North Carolina overall and with 6 insurers it is as well served as anywhere in North Carolina. Marketplace use is close to the North Carolina rate.
| Forsyth County | North Carolina | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 11.0% | 10.2% | 9.9% |
| Insurers selling | 6 | 2–6 | 4 |
| Plans offered | 89 | — | 57 |
| Selections per 1,000 | 76 | 87 | 78 |
| New rather than renewing | 19% | 17% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Durham County | 277,010 | 10.1% | 3 | 31 |
| Cumberland County | 273,024 | 8.8% | 4 | 56 |
| Union County | 224,411 | 9.0% | 4 | 68 |
| Buncombe County | 213,948 | 11.7% | 5 | 59 |
| Wake County | 1,047,831 | 7.2% | 4 | 44 |
All of them have fewer insurers than this county's 6, which makes it the stronger market locally.
89 plans is a lot to work through. Start with network type, then the metal tiers. Other North Carolina counties.