Health insurance in Henderson County, North Carolina
5 insurers sell 57 marketplace plans here, and 12.3% 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 Henderson County with 57 plans between them, about 11 plans each. The number has not changed since the previous plan year.
How many people here have no coverage
12.3% of Henderson County's 87,580 under-65 residents have no health coverage — 10,791 people. That is above the North Carolina rate of 10.2%, and puts Henderson County in the middle half of the 1,817 counties on this site (649th).
How much the marketplace is used
7,639 Henderson County residents selected a marketplace plan for 2026: 87 per thousand under-65 residents, 951st of 1,817. That is close to the 78 per thousand typical of published counties. 1,035 of them — 14% — were new rather than renewing.
Henderson County against North Carolina
Henderson County is the smallest of the 24 North Carolina counties we publish a page for. Its uninsured rate runs 2.1 points higher than North Carolina overall and its 5 insurers sit between the state's 2 and 6. Marketplace use is close to the North Carolina rate.
| Henderson County | North Carolina | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 12.3% | 10.2% | 9.9% |
| Insurers selling | 5 | 2–6 | 4 |
| Plans offered | 57 | — | 57 |
| Selections per 1,000 | 87 | 87 | 78 |
| New rather than renewing | 14% | 17% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Wayne County | 93,705 | 12.5% | 2 | 28 |
| Brunswick County | 108,465 | 9.0% | 4 | 65 |
| Orange County | 117,265 | 8.1% | 4 | 44 |
| Randolph County | 118,898 | 12.8% | 5 | 75 |
| Pennington County (South Dakota) | 88,305 | 10.5% | 3 | 28 |
All of them have fewer insurers than this county's 5, which makes it the stronger market locally.
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