Health insurance in Harnett County, North Carolina
4 insurers sell 56 marketplace plans here, and 9.9% 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 Harnett County, offering 56 plans between them, roughly 14 each. The number has not changed since the previous plan year.
How many people here have no coverage
9.9% of Harnett County's 122,387 under-65 residents have no health coverage — 12,057 people. That is close to the North Carolina rate of 10.2%, and puts Harnett County in the middle half of the 1,817 counties on this site (1072nd).
How much the marketplace is used
8,153 Harnett County residents selected a marketplace plan for 2026: 67 per thousand under-65 residents, 1299th of 1,817. That is close to the 78 per thousand typical of published counties. 1,198 of them — 15% — were new rather than renewing.
Harnett County against North Carolina
Harnett County is the 18th largest of the 24 North Carolina counties we publish. Its uninsured rate tracks the state almost exactly and its 4 insurers sit between the state's 2 and 6. Marketplace use is close to the North Carolina rate.
| Harnett County | North Carolina | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 9.9% | 10.2% | 9.9% |
| Insurers selling | 4 | 2–6 | 4 |
| Plans offered | 56 | — | 57 |
| Selections per 1,000 | 67 | 87 | 78 |
| New rather than renewing | 15% | 17% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Rowan County | 121,307 | 11.2% | 3 | 54 |
| Randolph County | 118,898 | 12.8% | 5 | 75 |
| Orange County | 117,265 | 8.1% | 4 | 44 |
| Catawba County | 132,726 | 11.8% | 4 | 63 |
Randolph County has 5 insurers against this county's 4 — a reminder that the county line, not the state line, is what decides your options.
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