Health insurance in Johnston County, North Carolina
4 insurers sell 44 marketplace plans here, and 10.5% 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 Johnston County, offering 44 plans between them, roughly 11 each. The number has not changed since the previous plan year.
How many people here have no coverage
10.5% of Johnston County's 212,182 under-65 residents have no health coverage — 22,270 people. That is close to the North Carolina rate of 10.2%, and puts Johnston County in the middle half of the 1,817 counties on this site (965th).
How much the marketplace is used
14,498 Johnston County residents selected a marketplace plan for 2026: 68 per thousand under-65 residents, 1275th of 1,817. That is close to the 78 per thousand typical of published counties. 2,440 of them — 17% — were new rather than renewing.
Johnston County against North Carolina
Johnston County is the 9th 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.
| Johnston County | North Carolina | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 10.5% | 10.2% | 9.9% |
| Insurers selling | 4 | 2–6 | 4 |
| Plans offered | 44 | — | 57 |
| Selections per 1,000 | 68 | 87 | 78 |
| New rather than renewing | 17% | 17% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Buncombe County | 213,948 | 11.7% | 5 | 59 |
| Union County | 224,411 | 9.0% | 4 | 68 |
| Gaston County | 197,709 | 11.1% | 3 | 60 |
| Mecklenburg County | 1,031,708 | 11.2% | 5 | 81 |
Buncombe 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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