Health insurance in Orange County, North Carolina
4 insurers sell 44 marketplace plans here, and 8.1% 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
4 insurers sell marketplace plans in Orange 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
8.1% of Orange County's 117,265 under-65 residents have no health coverage — 9,455 people. That is below the North Carolina rate of 10.2%, and puts Orange County in the bottom quarter of the 1,817 counties on this site (1398th).
How much the marketplace is used
8,007 Orange County residents selected a marketplace plan for 2026: 68 per thousand under-65 residents, 1276th of 1,817. That is close to the 78 per thousand typical of published counties. 1,170 of them — 15% — were new rather than renewing.
Orange County against North Carolina
Orange County is the 21st largest of the 24 North Carolina counties we publish. Its uninsured rate runs 2.1 points lower than North Carolina overall and its 4 insurers sit between the state's 2 and 6. Marketplace use is close to the North Carolina rate.
| Orange County | North Carolina | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 8.1% | 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 | 15% | 17% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Randolph County | 118,898 | 12.8% | 5 | 75 |
| Rowan County | 121,307 | 11.2% | 3 | 54 |
| Harnett County | 122,387 | 9.9% | 4 | 56 |
| Brunswick County | 108,465 | 9.0% | 4 | 65 |
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.
All North Carolina counties · How the credit works · Enrollment dates