Health insurance in Pitt County, North Carolina
2 insurers sell 28 marketplace plans here, and 9.8% 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.
Two insurers, and what that means
Two insurers sell here, offering 28 plans between them. If either leaves, Pitt County becomes a single-insurer county. The number has not changed since the previous plan year.
How many people here have no coverage
9.8% of Pitt County's 143,186 under-65 residents have no health coverage — 14,065 people. That is close to the North Carolina rate of 10.2%, and puts Pitt County in the middle half of the 1,817 counties on this site (1092nd).
How much the marketplace is used
9,018 Pitt County residents selected a marketplace plan for 2026: 63 per thousand under-65 residents, 1357th of 1,817. That is under the 78 per thousand typical of published counties. 1,339 of them — 15% — were new rather than renewing.
Pitt County against North Carolina
Pitt County is the 15th largest of the 24 North Carolina counties we publish. Its uninsured rate tracks the state almost exactly and with 2 it has the fewest insurers of any North Carolina county. Marketplace use is well under the North Carolina rate.
| Pitt County | North Carolina | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 9.8% | 10.2% | 9.9% |
| Insurers selling | 2 | 2–6 | 4 |
| Plans offered | 28 | — | 57 |
| Selections per 1,000 | 63 | 87 | 78 |
| New rather than renewing | 15% | 17% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Davidson County | 141,465 | 10.3% | 6 | 89 |
| Alamance County | 144,917 | 11.8% | 5 | 45 |
| Catawba County | 132,726 | 11.8% | 4 | 63 |
| Harnett County | 122,387 | 9.9% | 4 | 56 |
Davidson County has 6 insurers against this county's 2 — a reminder that the county line, not the state line, is what decides your options.
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