Health insurance in Mecklenburg County, North Carolina
5 insurers sell 81 marketplace plans here, and 11.2% 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 Mecklenburg County with 81 plans between them, about 16 plans each. The number has not changed since the previous plan year.
How many people here have no coverage
11.2% of Mecklenburg County's 1,031,708 under-65 residents have no health coverage — 116,047 people. That is close to the North Carolina rate of 10.2%, and puts Mecklenburg County in the middle half of the 1,817 counties on this site (838th).
How much the marketplace is used
111,600 Mecklenburg County residents selected a marketplace plan for 2026: 108 per thousand under-65 residents, 688th of 1,817. That is above the 78 per thousand typical of published counties. 21,442 of them — 19% — were new rather than renewing.
Mecklenburg County against North Carolina
Mecklenburg County is the 2nd largest of the 24 North Carolina counties we publish. Its uninsured rate runs 1.0 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.
| Mecklenburg County | North Carolina | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 11.2% | 10.2% | 9.9% |
| Insurers selling | 5 | 2–6 | 4 |
| Plans offered | 81 | — | 57 |
| Selections per 1,000 | 108 | 87 | 78 |
| New rather than renewing | 19% | 17% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Wake County | 1,047,831 | 7.2% | 4 | 44 |
| Guilford County | 436,358 | 10.1% | 6 | 83 |
| Forsyth County | 314,546 | 11.0% | 6 | 89 |
| Durham County | 277,010 | 10.1% | 3 | 31 |
Guilford County has 6 insurers against this county's 5 — a reminder that the county line, not the state line, is what decides your options.
81 plans is a lot to work through. Start with network type, then the metal tiers. Other North Carolina counties.