Health insurance in Guilford County, North Carolina
6 insurers sell 83 marketplace plans here, and 10.1% 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 Guilford County with 83 plans between them, about 14 plans each. The number has not changed since the previous plan year.
How many people here have no coverage
10.1% of Guilford County's 436,358 under-65 residents have no health coverage — 43,932 people. That is close to the North Carolina rate of 10.2%, and puts Guilford County in the middle half of the 1,817 counties on this site (1035th).
How much the marketplace is used
34,557 Guilford County residents selected a marketplace plan for 2026: 79 per thousand under-65 residents, 1097th of 1,817. That is close to the 78 per thousand typical of published counties. 5,908 of them — 17% — were new rather than renewing.
Guilford County against North Carolina
Guilford County is the 3rd largest of the 24 North Carolina counties we publish. Its uninsured rate tracks the state almost exactly and with 6 insurers it is as well served as anywhere in North Carolina. Marketplace use is close to the North Carolina rate.
| Guilford County | North Carolina | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 10.1% | 10.2% | 9.9% |
| Insurers selling | 6 | 2–6 | 4 |
| Plans offered | 83 | — | 57 |
| Selections per 1,000 | 79 | 87 | 78 |
| New rather than renewing | 17% | 17% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Forsyth County | 314,546 | 11.0% | 6 | 89 |
| Durham County | 277,010 | 10.1% | 3 | 31 |
| Cumberland County | 273,024 | 8.8% | 4 | 56 |
| Union County | 224,411 | 9.0% | 4 | 68 |
| Polk County (Iowa) | 436,678 | 7.0% | 4 | 58 |
All of them have fewer insurers than this county's 6, which makes it the stronger market locally.
83 plans is a lot to work through. Start with network type, then the metal tiers. Other North Carolina counties.